Multimodal sex therapy for the treatment of vulvodynia: a clinician's view.
Sex therapists are often challenged when treating women with the primary diagnosis of vulvodynia or subtypes of vulvar-vestibular pain. This article presents an overview of how a sex therapist can assess problem areas related to this diagnosis and approach treatment in a practical and comprehensive fashion. What follows is based on anecdotal clinical experience of the author. It outlines a multimodal approach that includes cognitive-behavioral techniques, both individual and conjoint therapy, as well as close cooperation with physicians who provide concurrent medical management.
Slowinski
J
J
Department of Psychiatry, Pennsylvania Hospital, 700 Spruce Street, Philadelphia, PA 19106, USA. JSLOW007@aol.com
D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D010146:Pain / Q000150:complications*; D059408:Pain Management; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology / Q000628:therapy; D014845:Vulvar Diseases / Q000150:complications* / Q000628:therapy*