What counseling approaches work for dyspareunia?
Cognitive behavioural therapy (CBT), psychosexual counselling, and trauma-informed therapy are evidence-based approaches for dyspareunia, addressing both pain and emotional impacts.
Detailed Medical Explanation
CBT focuses on changing pain-related thoughts and behaviours. Psychosexual counselling helps with relationship, intimacy, and communication issues. Trauma-informed therapy is essential for women with a history of sexual trauma. These approaches can be combined and are most effective when tailored to the individual. NHS: Talking Therapies.
Clinical Context
Counselling should be offered by a professional with expertise in women’s sexual health and pain, and may be delivered in individual or couples sessions.
Evidence-Based Approaches
NICE and NHS recommend integrating psychological therapy and counselling into management plans for persistent or complex dyspareunia. NHS: Talking Therapies.