Sexual Performance Anxiety Counseling

Name: STD Treatment Clinic
Address: Bhagwatibahal, Thamel, Kathmandu, Bagmati Province, 44600, NP
Telephone: +977-9700682800
Price range: NPR 450 - NPR 5000
Rating: 4.9

Expert counseling for sexual performance anxiety in Kathmandu. CBT-based therapy, mindfulness, sensate focus exercises, and couples counseling to overcome bedroom anxiety and confidence issues.

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Sexual Performance Anxiety Testing Erectile Dysfunction Premature Ejaculation Low Libido Low Testosterone Peyronie's Disease Delayed Ejaculation

Medically Reviewed

Expert Verified

Dr. G.P. YadavNMC: 15834

MBBSMD

Reviewed: Jun 1, 2025

Updated: Jun 1, 2025

Symptoms of Sexual Performance Anxiety Counseling

Fear of not satisfying partner
Anxiety about sexual performance
Avoiding sexual situations
Racing thoughts during sex
Inability to relax during intimacy
Watching partner for signs of dissatisfaction

Testing & Treatment

Evaluation includes clinical interview, anxiety and depression screening questionnaires, assessment of relationship dynamics, and ruling out organic causes of sexual dysfunction with basic hormonal tests.

Cognitive Behavioral Therapy (CBT), mindfulness-based stress reduction, sensate focus exercises (non-demand pleasuring), psychoeducation, couples therapy, and temporary use of ED medication to break the anxiety cycle.

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Emergency Contact Information:

National Emergency:

102 (Ambulance)

Our Clinic:

+977-9700682800 (WhatsApp available 24/7)

Bir Hospital Emergency:

+977-1-4412400

TU Teaching Hospital:

+977-1-4434320

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Last Updated: June 16, 2026 |Clinic: STD Treatment Clinic |License: 15834

Frequently Asked Questions About Sexual Performance Anxiety Counseling

What is sexual performance anxiety?

Sexual performance anxiety is the fear of not being able to perform sexually or satisfy a partner. It creates a cycle of worry that actually causes or worsens sexual problems like ED or PE. It is one of the most common psychological causes of sexual dysfunction.

How does performance anxiety cause erectile dysfunction?

Performance anxiety activates the sympathetic nervous system (fight-or-flight), which releases stress hormones like adrenaline. These cause blood vessels to constrict, making it difficult to achieve or maintain an erection. The more a man worries about ED, the more likely it is to happen.

How is performance anxiety treated?

Treatment includes cognitive-behavioral therapy (CBT), psychosexual counseling, mindfulness-based stress reduction, sensate focus exercises (non-demand pleasuring), couples therapy, and sometimes temporary medication to break the anxiety cycle. Most men improve significantly with treatment.

Can performance anxiety cause premature ejaculation?

Yes, performance anxiety is a major cause of PE. Anxiety reduces ejaculatory control by increasing arousal and sympathetic nervous system activation. Treating the underlying anxiety often improves both PE and ED simultaneously.

How do I stop worrying about sex performance?

Focus on intimacy rather than performance. Practice mindfulness to stay present. Communicate openly with your partner about your concerns. Consider therapy to address underlying anxiety. Our sexologists specialize in helping men overcome performance anxiety in a confidential, supportive environment.