ABSTRACT
This chapter provides a framework for the clinician to engage clients and to conduct a comprehensive Cognitive-Behavioral Therapy for Sexual Dysfunction (CBCST) assessment within the biopsychosocial model. CBCST requires the clinician to provide clinical leadership to formulate constructive goals in collaboration with the clients, provide specific cognitive and behavioral tools, and promote individual and relationship satisfaction. Focused sex education is essential, as unrealistic assumptions and standards regarding sex are a perennial feature of sexual dysfunction (SD). Education about sexual function can relieve anxiety and distress, as it normalizes variation in responses and provides optimism for developing satisfying, pressure-free sexuality. Sexual problems warranting therapeutic attention are commonly veiled behind descriptions of other concerns, such as depression, anxiety, and relationship conflict. The constellation of developmental experiences, current psychological health, specific cognitions and emotions, and interpersonal and relational factors presents a challenging but intriguing picture that calls for careful evaluation.
