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Online Video Counselling: What is it?

Since the Covid-19 pandemic and ongoing restrictions of lockdown, most Counsellors and Psychotherapists have had to move their practice to online or ‘remote’ video counselling.

So what is online video counselling?

Online counselling is offered remotely via an internet connection through an online platform such as Zoom. It can be just as effective as in person counselling and is conducted within the same parameters as in person counselling, such as a safe and confidential space.

The remote aspect of online counselling can seem really strange when you feel the need to speak intimately and confidentially to someone about your personal thoughts and feelings. The idea of providing counselling via a screen felt unnatural to me too. I wondered if it would be difficult since I had always seen my clients in person and this had allowed us to develop a connection and rapport.  However, now that I have had time to adapt my practice, I have realised the many benefits to online counselling and the ability to establish a therapeutic connection can be just as strong as it is when meeting in person.

Noticeable benefits to online counselling are:

Accessibility: being online has actually made it easy for many people to access counselling; this is especially true for those with impaired or reduced mobility. In addition, swift and easy access to online support means it is suitable for those with a busy schedule and limited time.

Convenience: there is a lot more flexibility with arranging times due to the nature of online counselling. Without the added travel time of in person counselling, you can arrange a time that is mutually suitable and in the familiar environment of your home environment.

It is important to be aware of additional issues to consider for online counselling. Internet Connection: Sometimes, for whatever reason, the connection can be poor or become interrupted. I will always discuss a back up plan if this does happen to minimise any disruption to our work together.

Devices: You will need to access to a webcam and/or microphone, and most laptops and tablets have these built in. If you have a smart phone this could also be an option.

Confidentiality: It is important to find a space that is private and undisturbed for the duration of the session. This includes minimising all distractions that can come from tv’s, phones, doorbell (that amazon delivery you have been waiting for all day) and any beloved pets, where possible.

Online video counselling is an excellent option for accessing professional support during these difficult times. For many people, including those who don’t want to travel, who have been shielding or who are working from home it is a natural selection. If you are feeling anxious about accessing counselling you can discuss this prior to our session and request a short test session to ensure technical issues do not encroach upon your counselling session.

Vaginismus

Vaginismus is an involuntary tightening of the pelvic muscles preventing entrance of either a finger, penis or object such as a tampon or dildo entering the vagina. Vaginismus occurs even when a person is aroused and desires sex and can cause many problems for the person experiencing it and can impact all partners if in a relationship and can sometimes result in avoiding intimacy.

There can be many contributory factors for vaginismus and psychosexual therapy can help towards treating it. If you have vaginismus and would like support or more information, contact me here.

Painful Sex – Dyspareunia

Painful sex can affect both men and women and there can be many reasons such as a medical condition or psychological distress.

Females can experience painful sex when they are not feeling fully aroused during penetration or certain positions can cause discomfort due to deeper penetration. Menopause and hormonal changes can be a contributing factor as well as having surgery.

Men can experience pain during intercourse for reasons such as a tight foreskin, soreness around the foreskin, surgery, inflammation of the prostate gland or an infection.

Seeking sexual therapy it is best done after ruling out any underlying medical conditions. If you would more information or help contact me here.

Orgasm Difficulties and Anorgasmia

Orgasm difficulties or anorgasmia can occur with both males and females. Orgasm difficulties may present as having experienced orgasms in the past and not able to now, experiencing orgasm through masturbation but not with partner/s or have never experienced an orgasm.

Many factors can contribute to orgasm difficulties and may not necessarily impact someone enjoying sex or having a fulfilling sex life. However if you are finding that this is causing some concern for you or impacting your relationship and you would like some information or help then contact me here.

Unreliable Erections

Erection difficulties also known as erectile dysfunction are a common problem. Erection difficulties is when a male is unable to have an erection or maintain an erection and can occur either in particular situations or be a general problem. It is normal to have this issue on occasion, and lifestyle can be a contributing factor. However if its an ongoing problem it can impact relationships with intimate partners and affect self-esteem for all partners.

It is advisable to seek a medical professional to rule out any underlying health conditions if maintaining erection’s is a persistent problem. If you would like more information or help please contact me here.

Low Sexual Desire

Low sexual desire or loss of sexual desire means not wanting to initiate or have sex. Sometimes this can present as desiring sex with one partner but not with another, or that there is no desire for sex at all.

There can be many contributing factors such as lifestyle, life stresses or an underlying medical condition or relationship problems and can affect both males and females.

If you would like to understand why you are experiencing low desire or if your low desire is impacting your relationship/s and you would like to understand more about it, contact me here.

Ejaculation Difficulties

Ejaculation problems are a common problem for males. The three main types are, premature, delayed or retrograde. There can be many factors that can cause either of these, but if they are a persistent problem then it is best to seek advice from a medical professional to rule out any underlying health conditions.

Premature Ejaculation

Premature ejaculation is the most common problem and can impact anyone at some stage. Premature ejaculation is when the male ejaculates too quickly and can be at the point just before penetration or very soon after penetration.

Although studies have shown that the average time for ejaculation is roughly around 5.5 minutes, this is not a steadfast rule and is really what is comfortable for you and your intimate partner.

Delayed Ejaculation

Delayed ejaculation is when there is a significant delay in ejaculating, even when the male is aroused and has a full erection. It can present as delaying for a significant amount of time during sex, which can cause discomfort for you and your partner, and is a regular occurrence.

Retrograde Ejaculation

Retrograde ejaculation is the least common of the three types of ejaculation problems. Retrograde ejaculation is when the semen travels backwards into the bladder. This generally does not cause any problems to health and the male still can orgasm, however it can be an issue if you and your partner are trying to conceive.

If you are experiencing any of these problems and would like some information or help then contact me here.