1. Sexual Difficulties and Solutions
(Case studies)

2. Janet
Janet does not climax. She would like to learn what produces erotic responses and orgasm for her.
Diagnosis?
Causes?
Treatment?

3. Twee
Twee has painful vaginal contractions when her husband begins to penetrate.
Diagnosis?
Causes?
Treatment?

4. Jim
Jim ejaculates within thirty seconds of penetration, which frustrates him and his partner.
Diagnosis?
Causes?
Treatment?
More frequent orgasm
Continue activity after first ejaculation
Squeeze technique
Stop-start technique

5. Art Art has trouble maintaining his erection. Treatment? Diagnosis?
Causes?
Psychological
Relationship
Physiological
Treatment?

6. Mary
Mary is never interested in sex, feels it is an imposition, and has lost her interest.
What questions would you ask her? Why?
Diagnosis?
Causes?
Physiological
Psychological
Relationship
Treatment?

7. Willard Willard would like to find a good sex therapist.
Where would he go?
What questions would you ask?

8. Dan
Dan came back from the war unable to move his legs or feel anything from the waist down. What do you tell him and his wife?