What is sexual performance anxiety and how is it treated? | Calm Psychology Clinic - Calm Psychology Clinic
Seyyed Mohammad Amin Jazayeri
تهرانروانشناس
When the Mind Locks Out Sexual Performance
Sexual performance anxiety is one of the most common but least discussed psychological problems in marital and sexual relationships. Many people, especially but not only men, at some point in their lives are faced with the fear of "not being good enough", "not being able to satisfy a partner" or "failing in sex". If these fears are repeated, they gradually turn into sexual performance anxiety; Anxiety that not only destroys the pleasure of the relationship, but can also cause emotional distance, decrease in self-confidence and even complete coldness of the relationship.
At Clinic of Psychocalm Psychology, this problem is recognized as a serious but completely treatable problem; A subject whose roots can be identified and treated with the help of the best therapist and the best psychoanalyst.
What exactly is sexual performance anxiety?
Sexual performance anxiety is a condition in which a person focuses too much on his performance before or during sex and is constantly worried about the "result". This concern can include the following:
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Fear of insufficient erection or premature ejaculation
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Worry about not reaching orgasm
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Fear of being judged by a sexual partner
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Compare yourself with the partner's previous experiences or relationships
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Fear of repeating a previous unsuccessful experience
This anxiety activates the body's stress system and disrupts exactly what the person is afraid of; It means sexual function.

Why does sexual performance anxiety occur?
Sexual performance anxiety usually does not have a single cause and a combination of psychological, experiential and communication factors play a role in its formation:
Past negative experiences
A failed relationship, ridicule, criticism or even a simple sexual failure can be engraved in a person's mind and become a permanent fear.
Misconceptions about sex
Beliefs like:
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"I must always be ready"
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"If it crashes once, it means I have a problem"
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"A real man always performs well"
These false thoughts create intense psychological pressure that is the basis of sexual performance anxiety.
Anxiety and chronic stress
People who suffer from anxiety, obsessive thoughts or occupational stress in their daily life are more exposed to sexual problems.
communication problems with sexual partner
Lack of honest conversation, fear of expressing needs or feelings of emotional insecurity aggravate sexual performance anxiety.
symptoms of sexual performance anxiety
Sexual performance anxiety is not just an internal feeling and is usually accompanied by certain symptoms:
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Reduction or cessation of erection
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premature ejaculation or delayed ejaculation
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Decreased libido
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Heart palpitations, sweating or muscle tension before intercourse
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Avoid sex
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Feeling guilt, shame or embarrassment after intercourse
In many clients of Best Vank Counselor in the Psycho-Physical Clinic, it is observed that these symptoms become more severe over time and if not treated, lead to more serious problems in the relationship.
The role of the mind in sexual performance anxiety
One of the most important points that the best psychoanalyst emphasizes is that sexual function is more mental than physical. When the mind is involved in fear and predicting failure:
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The body enters the "fight or flight" mode
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Blood flow and concentration are disturbed
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Pleasure gives way to control and worry
In such conditions, even physically healthy people suffer from dysfunction.

Can sexual performance anxiety be treated?
The good news is Yes, it is completely treatable
Contrary to what many people think, sexual performance anxiety is not a permanent or embarrassing problem, but a correctable psychological reaction.
In Clinic of Psychocalm Psychology, the treatment of this problem is usually done in combination:
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Specialized psychotherapy
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correcting false beliefs
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Communication skills training
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Decreasing anxiety and increasing body awareness
Next, we will discuss the treatment methods in detail.
Sexual performance anxiety treatment methods (from a scientific and psychotherapeutic point of view)
Where does the treatment of sexual performance anxiety start?
Sexual performance anxiety treatment does not start from the body, contrary to popular belief; Rather, it starts from mind. This is exactly why referring to the best therapist and best psychoanalyst plays a key role in treating this problem.
At Clinic of Psychocalm Psychology, the first step of treatment is to understand the psychological roots of sexual performance anxiety and break the "fear-failure-fear" cycle.
Individual psychotherapy; The main pillar of treatment
Psychotherapy helps a person:
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Identify harmful thoughts about sex
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Reduce fear of judgment or failure
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Establish a healthier relationship with your body and your libido
In sessions with the best psychoanalyst, there are usually deeper roots such as:
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Childhood Anxieties
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embarrassing experiences
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defect and failure schemas
are examined and treated; Factors that directly contribute to sexual performance anxiety.
Cognitive-behavioral therapy (CBT) and sexual performance anxiety
One of the most effective ways to treat sexual performance anxiety is cognitive-behavioral therapy (CBT). In this way:
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Thoughts like "I must screw up" or "I must be great" are challenged
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Reasonable and calming alternatives are taught
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Focus shifts from "performance" to "pleasure and communication"
Many clients of Best Counselor Wenk report that after a few sessions of CBT, their pre-relational anxiety is significantly reduced.

Sex therapy; Reconstruction of sexual experience without pressure
Sex therapy is one of the most specialized methods of treating sexual performance anxiety. In this approach:
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Exercises are given to increase body awareness and reduce mental pressure
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The focus is on touch, feeling and intimacy rather than the end result
At the Clinic of Calm Psychology, sex therapy is performed by trained therapists and according to the culture and values of the client.
The role of the sexual partner in the treatment of sexual performance anxiety
One common mistake is to think that one has to solve this problem "alone". While:
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Sexual partner support makes the healing process many times faster
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Decreasing criticism and increasing empathy reduces anxiety
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Safe conversation about fears is part of therapy
For this reason, in many cases, couple therapy sessions or joint sessions with the best therapist are recommended.
Is drug therapy necessary?
In most cases, sexual performance anxiety is treated without medication and simply with psychotherapy. But in the circumstances that:
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Severe and pervasive anxiety
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The person has depression or anxiety disorder at the same time
With expert diagnosis, short-term drug therapy may be used along with psychotherapy.
Telephone consultation; Effective treatment for shy people
One of the important advantages of telephone consultation is that:
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References are more comfortable talking about sex
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Fear of judgment is reduced
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Access is easier for people outside Tehran or working
At the Clinic of Psychocalm Psychology, telephone counseling is of the same quality as face-to-face sessions and is conducted by the best psychoanalysts and experienced therapists.
How long does it take to treat sexual performance anxiety?
Duration of treatment depends on various factors:
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Severity of anxiety
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History of mental problems
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Person and sexual partner cooperation
But the good news is that many clients experience noticeable changes between 6 to 12 sessions.

Sexual performance anxiety in men and women + common misconceptions
Is sexual performance anxiety only for men?
One of the biggest misconceptions is that sexual performance anxiety only happens to men. The fact is that:
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Men show more clear physical symptoms
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Women experience more psychological and emotional symptoms
But in both groups, the main root of the problem is one thing: Anxiety and mental stress.
At Clinic of Psychocalm Psychology, the treatment of sexual performance anxiety regardless of gender is designed based on the individual's experience and psychological patterns.
Sexual performance anxiety in men
In men, sexual performance anxiety usually manifests as follows:
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Severe anxiety about erection
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Fear of premature ejaculation
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Compare yourself to others or porn
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Too much focus on "doing it right"
These worries make the mind constantly in control mode and do not allow the body to function normally.
Best Therapist usually helps men to:
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Abandon results-oriented pressure
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rebuild sexual confidence
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establish a healthier relationship with their body
Sexual performance anxiety in women
In women, sexual performance anxiety is often accompanied by symptoms such as:
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Not reaching pleasure or orgasm
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Pain during intercourse
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Feeling of dissatisfaction or guilt
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Fear of "not being good enough"
comes with. Many women have not learned to talk about their sexual needs, and this suppression intensifies anxiety.
In sessions with the best psychoanalyst, these repressed patterns are identified and corrected.
Common misconceptions about sexual performance anxiety
False beliefs are the main fuel of sexual performance anxiety. Some of the most common ones:
❌ "If it breaks down once, it means I have a problem"
❌ "Sex should always be great"
❌ "You shouldn't talk about fears"
❌ "Treatment means Confession of weakness"
While the reality is:
✔ Sex is a human experience, not a test.
When should you see a psychologist?
Seeing a Best Venk Counselor or specialist therapist is essential if you have any of these symptoms:
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Avoid sex
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Severe anxiety before intercourse
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Reduction of emotional intimacy
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Negative effect on self-confidence
At the Clinic of Psychocalm Psychology, the initial assessment is done accurately and without judgment.
Why does arbitrary treatment not work?
Searching the Internet, taking over-the-counter drugs, or focusing solely on physical techniques:
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Does not treat the root of anxiety
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Creates a dependency
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Makes the problem deeper
For this reason, principled treatment under the supervision of the best therapist and the best psychoanalyst has the best and most stable result.

Practical solutions to reduce sexual performance anxiety (exercises and practical tips)
How to control sexual performance anxiety before intercourse?
To reduce sexual performance anxiety, just knowing is not enough; Practice and repetition comes first. These strategies are exactly the things that the best therapist teaches in therapy sessions.
Take the focus off 'performance', put it on 'experience'
One of the most important exercises is to take sex out of the exam mode. That is:
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The goal is not to reach orgasm
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focus on touch, intimacy and communication
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Allow the body to react without forcing
This attitude change alone significantly reduces the intensity of sexual performance anxiety.
Breathing exercises to reduce anxiety before intercourse
Simple but very effective exercise:
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Deep breath from the nose (4 seconds)
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Breath holding (2 seconds)
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Slow exhalation through the mouth (6 seconds)
Do this exercise 5 minutes before intercourse to calm the nervous system.
honest conversation with sexual partner
Concealing exacerbates sexual performance anxiety. Talking about:
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Fears
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Expectations
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Requirements
It reduces mental pressure. Many couples who have come to Best Wenk Counselor have experienced significant improvement just by improving communication.
Body awareness exercises (Sensate Focus)
These exercises used in sex therapy:
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They start the relationship without sexual purpose
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Focus on body sensations, not results
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They bring back natural pleasure
In the Clinic of Calm Psychology, these exercises are taught step by step.
Lifestyle modification and its effect on sexual performance anxiety
Unhealthy lifestyle can aggravate sexual performance anxiety:
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Insomnia
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High consumption of caffeine
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High job stress
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Lack of physical activity
Improving sleep, nutrition and regular exercise play an important supporting role in treatment.
Common mistakes of couples when facing sexual performance anxiety
Some behaviors unintentionally make the problem worse:
Pushing for a relationship
Joking or teasing
Comparing with others
Ignoring the other person's feelings
Teaching these things in sessions with the best therapist will prevent re-injury.
When are home remedies not enough?
If:
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Anxiety continues
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Completely impaired sexual intercourse
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Severely reduced self-confidence
You should definitely refer to the best psychoanalyst or the best Wenk consultant. Professional treatment makes the path shorter and safer.

Summary: sexual performance anxiety; Common problem but completely treatable
Sexual performance anxiety is one of the most common problems that can affect a person's pleasure, intimacy and self-confidence. This anxiety is usually formed by the fear of failure, mental pressure, past negative experiences and false beliefs about sex, and if ignored, it becomes more intense over time.
The important point is that sexual performance anxiety:
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Not a sign of weakness
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Not permanent
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And it is completely curable
Provided that the treatment path is chosen correctly.
Why is it necessary to see a specialist therapist?
Many people try to solve this problem with arbitrary methods or non-expert advice; But sexual performance anxiety is a deep psychological issue that needs expert investigation.
Treatment under the supervision of the best therapist and the best psychoanalyst will:
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Identify the roots of anxiety
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correct false beliefs
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reduce mental pressure
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pleasure and intimacy return to the relationship
The role of the psycho-calm psychology clinic in the treatment of sexual performance anxiety
At Clinic of Psychocalm Psychology, the treatment of sexual performance anxiety is done in a person-oriented and scientific manner. This means:
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accurate assessment of a person's mental and communication status
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Use of psychotherapy, CBT and sex therapy
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Possibility of individual therapy or couple therapy
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Complete privacy and safe space without judgment
Also for people who are not able to visit in person or prefer to talk in a more comfortable environment, Phone consultation by therapists Experienced provided.
Why is it important to choose the best consultant?
Access to the Best Wenk Advisor allows you to:
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Treatment should be done regularly and continuously
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Easier treatment follow-up
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A person feels more secure and confident
These factors have a direct impact on the success of sexual performance anxiety treatment.
Concluding Remarks
If sexual performance anxiety has caused you to avoid relationships, lower your self-confidence, or hurt your emotional intimacy, know that you are not alone. This problem is more common than you might think, and with professional help, it can be completely managed and treated.
Referring to Clinic of Calm Psychology can be your first step to return peace, pleasure and security in sexual and emotional relationship.