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Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
Sex and brain
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Sex and brain

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This is a ppt i presented during the 26th National Sex Conference in India. This is basically to give an idea that the work of the psychotherapist is to do witht the brain and not just abstract issues …

This is a ppt i presented during the 26th National Sex Conference in India. This is basically to give an idea that the work of the psychotherapist is to do witht the brain and not just abstract issues which no one understands!

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  • 1. Cognitive Behaviour Therapy for Sexual Dysfunctions Ravi Samuel MA MPhil PGCARM (Lond) Psychotherapist www.urclinic.com
  • 2. Sex and the Brain <ul><li>Multiple locations in the Brain </li></ul><ul><li>Limbic Level Activity </li></ul><ul><li>The ‘Will’ has as much control over sex as it is over breathing, digestion like involuntary actions. </li></ul><ul><li>Is it why “I wont masturbate” does not last long? </li></ul>www.urclinic.com
  • 3. Sex and the Brain <ul><li>Pituitary plays a pivotal role </li></ul><ul><li>testosterone </li></ul><ul><li>Sexual organs </li></ul><ul><li>Secondary sexual features </li></ul>www.urclinic.com
  • 4. Sex and the Brain <ul><li>Orbital Frontal Damage can induce abnormal sexual preferences </li></ul><ul><li>Similar effect can be seen among people who are exposed to abnormal sexual activities: internet </li></ul>www.urclinic.com
  • 5. Sex and the Brain <ul><li>Damage to Dorsolateral prefrontal cortex can reduce sexual drive in a person </li></ul><ul><li>Similar effect can be experienced due to depression, anxiety, stress, medications like antidepressants </li></ul>www.urclinic.com
  • 6. Sex and the Brain <ul><li>Temporal lobe lesions can lead to hyper-sexuality and abnormal sexual experiences </li></ul>www.urclinic.com
  • 7. Emotions influence cognition (Brain Functioning) <ul><li>Happiness </li></ul><ul><li>Joy </li></ul><ul><li>Satisfaction </li></ul><ul><li>Excitement </li></ul><ul><li>Love </li></ul><ul><li>Security </li></ul><ul><li>Depression </li></ul><ul><li>Sadness </li></ul><ul><li>Self Criticism </li></ul><ul><li>Low mood </li></ul><ul><li>Gloomy </li></ul><ul><li>Anxiety </li></ul>www.urclinic.com
  • 8. Brain, Sex and Emotions <ul><li>Emotions involve multiple areas of the brain: </li></ul><ul><li>Amygdala </li></ul><ul><li>Hippocampus </li></ul><ul><li>Thalamus </li></ul><ul><li>Hypothalamus </li></ul><ul><li>Cingulate gyrus </li></ul>www.urclinic.com
  • 9. Emotions are Influenced by: <ul><li>Perception </li></ul><ul><li>Thoughts </li></ul><ul><li>Beliefs </li></ul><ul><li>Perspective of early experiences </li></ul><ul><li>Emotional triggers - PTSD </li></ul>www.urclinic.com
  • 10. Cognitive Behaviour Psychotherapy <ul><li>CBT is a corrective procedure of perceptions, beliefs, thoughts, emotional processes and behaviour. </li></ul><ul><li>Perceiving partner as unattractive could be due to a reference to ex or actress. </li></ul><ul><li>Girls should be submissive in bed belief could put off a person in bed. </li></ul>www.urclinic.com
  • 11. Cognitive Behaviour Psychotherapy <ul><li>Anxiety: Early failures in sexual experiences can affect erection and performance leading to avoidance. </li></ul><ul><li>Faulty conditioning: Having sex in a tense atmosphere: sex with neighbour’s wife, sex at terrace, public places – tranquility of closed room atmosphere might not trigger sexuality. </li></ul>www.urclinic.com
  • 12. Inner Conflicts <ul><li>Conscious vs. the Sub Conscious Mind </li></ul><ul><li>Not feeling like </li></ul><ul><li>but trying </li></ul><ul><li>Risk of being caught </li></ul><ul><li>having premature ejaculation </li></ul>www.urclinic.com Subconscious mind Conscious mind
  • 13. Erectile Dysfunction <ul><li>Inability to achieve and maintain erection to complete the cycle of Intercourse. </li></ul><ul><li>Erection for a male is directly linked to self Image and Pride: leading to enormous anxiety. </li></ul><ul><li>Anxiety producing thoughts and Anxiety emotion shifts focus from sexuality to fear of performance thereby destroying erection. </li></ul>www.urclinic.com
  • 14. Cognitive Behaviour Psychotherapy <ul><li>Graded Exposure </li></ul><ul><li>Petting </li></ul><ul><li>Foreplay without genital </li></ul><ul><li>Foreplay with genital </li></ul><ul><li>Oral stimulation = stop start approach </li></ul><ul><li>Caressing towards orgasm but not intercourse </li></ul>www.urclinic.com IC Pre Intercourse Stage Graded Exposure Thoughts / Beliefs / Attitude Rapport
  • 15. Voyeurism <ul><li>Voyeurism has taken a totally different dimension following the Internet facility. </li></ul><ul><li>Voyeurism is sometimes associated with Exhibitionism! </li></ul><ul><li>Virtual sex becomes more exciting than actual sex. Virtual sex gives scope for variety which real world may not be able to offer. </li></ul>www.urclinic.com
  • 16. CBT for Voyeurism <ul><li>Identifying the underlying cause for porn addiction: </li></ul><ul><li>Inadequate feeling, lack of satisfaction with partner </li></ul><ul><li>Uncooperative partner </li></ul><ul><li>Lack of loving relationship </li></ul><ul><li>Love making vs. Sex </li></ul>www.urclinic.com
  • 17. CBT for Voyeurism <ul><li>Marital Counselling </li></ul><ul><li>Reorienting to Real Life Sexual Activity </li></ul><ul><li>Strengthening the ‘Will Power’ to avoid pornography </li></ul>www.urclinic.com
  • 18. HSDD: Hypoactive Sexual Desire Disorder in Women <ul><li>Could have been caused by premature ejaculation in their man. </li></ul><ul><li>Erectile dysfunction in their man </li></ul><ul><li>Poor understanding of sexual preferences and sexual performances. </li></ul><ul><li>Marital problems </li></ul><ul><li>Dysfunctional Beliefs about sexuality </li></ul>www.urclinic.com
  • 19. CBT for HSDD <ul><li>Balance Sheet of Advantages and Disadvantages of Dysfunctional Beliefs </li></ul><ul><li>Removing the faulty belief </li></ul><ul><li>Removing the mid life crisis in relationship </li></ul><ul><li>Reduce the sexual promiscuity among male due to sexual deprivation. </li></ul>www.urclinic.com
  • 20. Conclusion: <ul><li>Psychotherapy has been reported to be effective form of psychological therapy for sexual disorders as it systematically focuses on perception, thoughts, beliefs and behaviour of a person. </li></ul>www.urclinic.com
  • 21. Thank You Ladies and Gentlemen www.urclinic.com

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