The Pressure to Get It Right
Sexual Performance Anxiety
When attention moves from connection to monitoring yourself, the pressure can become the whole experience.
The Loop
Watching Yourself From the Outside
You may worry about arousal, lasting, or whether you are responding the way you should. During an intimate moment, part of your attention is already assessing how it is going. That self-monitoring, sometimes called spectatoring, can make every change feel like evidence that something is wrong.
The next time, you may anticipate the same problem before you are even close. You might avoid intimacy, seek reassurance, or try to plan each moment. Andrea helps you look at the cycle without treating a single experience as a verdict about your body or your relationship.
Anxiety in Real Time
Notice Where Attention Goes
01The prediction you make before an intimate moment begins.
02The moment you start checking how you are doing.
03The story you tell yourself afterward about what it meant.
A body concern deserves attention, not a quick assumption.
In Conversation
Take the Evaluation Out of the Center
Sex therapy is talk therapy only; there is no sexual contact or physical sexual activity in treatment. Andrea may ask what you notice just before anxiety rises, what you tell yourself afterward, and how you speak with a partner about it. The aim is to understand the pressure, not to grade a performance.
You can consider how expectations, embarrassment, relationship tension, or previous experiences contribute. When physical concerns are present, checking with an appropriate medical provider is important. Andrea does not replace a medical assessment or assume every concern is psychological.
The Appointment
A Place for the Details
Sex Therapy is $250 for 50 minutes. You can use a session to describe one moment precisely: the thought that appeared, how your body responded, and what happened in the conversation afterward. That gives the two of you something more useful than a broad instruction to relax.
If a partner wants to participate, Couples and Sex Therapy is $300 for 50 minutes. This can help both people talk about reassurance, expectations, and avoidance without making one partner responsible for the other's anxiety. Andrea can discuss which format fits after hearing what is happening.
Access to Care
Talk Privately From Where You Are
You can meet by secure video when you are physically in Texas, Colorado, or Idaho. Privacy matters for a subject that may feel embarrassing even to name. You can begin without rehearsing a clinical explanation or pretending that the concern is smaller than it is.
A consultation costs $100 and offers a place to discuss fit and the level of care. If symptoms might have a medical cause, Andrea can encourage a medical check while continuing to address the anxiety and relational effects that bring you to therapy.
Questions
Frequently Asked Questions
Should I see a medical provider first?
If you have physical concerns, a medical evaluation is appropriate. Therapy can address the anxiety and relationship context alongside that care.
Do I need to bring my partner?
No. Individual Sex Therapy is available; couples sessions can be considered if a shared conversation would be useful.
There is room to talk without a scorecard.
Start with a $100 consultation. The $100 is credited in full toward your first paid session or intensive.