Our Psychologists have availability for face-to-face and online appointments for adults, adolescents and children.

Sexual Problems

Sexual problems are more common than many people realise. They can involve low sexual desire, difficulty becoming aroused, trouble reaching orgasm, or pain during sex. These challenges can affect anyone — regardless of age, gender, or relationship status — and often have a mix of physical, emotional, and relationship causes. Stress, hormonal changes, medication, or past experiences can all play a part. The good news is that treatment for sexual problems is effective and can help you regain confidence, intimacy, and satisfaction in your sexual life. You don’t have to face it alone — support is available and recovery is possible.

Common Signs of Sexual Problems

Sexual problems can look different for everyone, but some common signs include:

What you may not be aware of about
sexual problems...

1

In Australia, over half of men and women aged 18–59 report at least one sexual problem each year

2

Serious sexual dysfunction affects about 13% of men and 20% of women in Australia

3

54% of Australian men aged 18–55 experience a sexual difficulty lasting three months or more annually

4

Nearly half of young Australian women feel unhappy or distressed about their sex lives

Couple having an open, caring conversation to strengthen their relationship

What the research says about sexual problems

Sexual problems are common, complex, and influenced by a mix of physical, psychological, and relational factors. Research from the American Psychological Association (APA, 2019) highlights that issues with desire, arousal, orgasm, or sexual pain affect people of all genders and ages, and can have a real impact on confidence, relationships, and wellbeing.

Mindfulness-based therapies

One of the most significant changes in sex therapy over the past decade has been the use of mindfulness-based interventions. Studies show that mindfulness can help with low desire, arousal problems, difficulty reaching orgasm, and sexual pain. By teaching people to focus on present-moment sensations and connect with their bodies, mindfulness helps reduce anxiety and improves sexual satisfaction for both men and women. Group programs and tailored exercises have been shown to be effective for a range of sexual problems, including those following medical conditions like cancer.

Psychological therapy over medication

While medications can help with certain sexual problems, research emphasises that psychological interventions are often the most effective long-term solution. Cognitive-behavioural therapy (CBT), emotion-focused therapy, and couples communication techniques address not only sexual functioning but also self-esteem, intimacy, and confidence. For many women, desire and satisfaction are linked more to emotional closeness and feeling valued than purely physiological factors, making therapy a better option than medication alone.

Inclusivity in sex therapy

Modern research stresses the importance of treating all people, regardless of gender identity or sexual orientation. Historically, sex therapy focused on heterosexual, cisgender couples, but contemporary approaches are expanding to include transgender, nonbinary, same-sex, and non-monogamous clients. Therapy now considers unique challenges such as discrimination, body image concerns, and the need for inclusive communication about sexual anatomy and experiences.

Considering the couple’s perspective

Research increasingly recognises that sexual problems are often a couple’s issue, not just an individual one. Dysfunction in one partner can affect satisfaction and desire in the other, so effective therapy often involves addressing relationship dynamics, teaching partners to adapt and communicate, and finding ways to maintain intimacy even when challenges like pain occur.

Changing attitudes and digital interventions

Cultural attitudes toward sex are evolving, with younger generations more open to discussing sexual challenges, yet many people still feel embarrassed or reluctant to seek help. Digital and telepsychology approaches are emerging as effective ways to provide support, allowing people who might be uncomfortable with face-to-face sessions to access evidence-based treatment for sexual problems safely and confidentially.

The role of psychologists

The APA emphasises that psychologists play a crucial role in treating sexual dysfunction. While specialised sex therapy training is valuable, all psychologists can offer guidance on sexual health, using evidence-based strategies to help clients overcome challenges, improve intimacy, and regain confidence.

*Source: CE Corner: Sex therapy for the 21st century: Five emerging directions – American Psychological Association

Picture of Written by Dr Elizabeth Woodcock

Written by Dr Elizabeth Woodcock

Clinical Psychologist, Director of MindBox Psychology

Our Psychologists are highly qualified, with Masters or Doctorate degrees in Clinical Psychology. We use evidence-based approaches, including Cognitive Behaviour Therapy (CBT), and Mindfulness, to provide tailored support for individuals and couples experiencing sexual difficulties, helping them address concerns related to intimacy, performance anxiety, and relationship dynamics.