Overcoming Sexual Performance Anxiety: A Personal Guide

Introduction

Hi, I'm Charles Linden. If you're grappling with sexual performance anxiety, you know how intimacy can become fraught with overwhelming pressure and self-doubt. Whether with a partner or alone, the anticipation of sexual activity can trigger a cascade of anxious thoughts and physical reactions. Let's explore sexual performance anxiety together and find effective ways to manage and overcome it.

Understanding Sexual Performance Anxiety

What is Sexual Performance Anxiety?

Sexual performance anxiety involves fears and worries about one's ability to perform sexually. These fears can affect people of all genders and sexual orientations, often leading to concerns about personal adequacy and performance expectations.

Recognising Symptoms

Emotional Experience

  • Fear and Apprehension: A deep-seated fear of not being able to perform adequately or satisfy your partner.
  • Embarrassment and Shame: Feeling embarrassed or ashamed about perceived sexual inadequacies or performance issues.
  • Guilt: Feeling guilty about not meeting your partner's expectations or not enjoying intimacy as much as you feel you should.

Physical Sensations

  • Increased Heart Rate: Heart palpitations or a racing heartbeat due to heightened anxiety.
  • Muscle Tension: Tightness in muscles, particularly in the pelvic area, making relaxation difficult.
  • Sweating: Experiencing excessive sweating, especially in stressful sexual situations.

Cognitive Effects

  • Negative Thoughts: Persistent negative thoughts about performance, such as "I won't be able to perform," or "What if I disappoint my partner?"
  • Racing Thoughts: Thoughts racing through your mind, making it hard to focus on the present moment or enjoy intimacy.
  • Self-Doubt: Doubting your sexual abilities or feeling inadequate compared to perceived expectations.

Common Thoughts of Anxious Sufferers

Typical Concerns

  • "I won't be able to perform well enough."
  • "What if I can't satisfy my partner?"
  • "I'm afraid of embarrassing myself."
  • "If I don't perform perfectly, my partner will be disappointed."
  • "I'm scared of not being able to maintain an erection/get aroused."
  • "What if I can't orgasm or my partner doesn't enjoy it?"
  • "I always mess things up in bed."
  • "I can't relax and enjoy sex because I'm too worried."
  • "I'm not good enough compared to other partners my partner has had."
  • "This will ruin our relationship if I can't perform."
  • "I'll never be able to have a satisfying sex life."
  • "I'm not normal because I struggle with this."
  • "My partner expects more from me."
  • "Other people are better at this than I am."
  • "Everyone else seems to enjoy sex effortlessly."
  • "I have to prove myself every time we have sex."
  • "I can't let my partner down."
  • "I need to be perfect or else it's a failure."
  • "I should be better at this."
  • "I'm not as good in bed as I should be."
  • "I'm a failure when it comes to sex."

Behavioural Patterns

Avoidance

  • Avoiding Sexual Encounters: Avoiding sexual encounters or withdrawing from intimacy to prevent anxiety and potential disappointment.

Difficulty Initiating or Maintaining

  • Struggling to Initiate or Maintain Arousal: Difficulty initiating or maintaining arousal (in men) or difficulty achieving orgasm (in both men and women).

Relationship Strain

  • Potential Strain in Relationships: Anxiety-related sexual issues and communication challenges can strain relationships.

Overall Impact

Stress and Anxiety

  • Overall Heightened Stress Levels: Ongoing anxiety affecting both sexual and general well-being.

Loss of Enjoyment

  • Difficulty Experiencing Pleasure: Heightened anxiety and self-consciousness make it hard to enjoy sexual activities.

Impact on Self-Esteem

  • Decreased Self-Esteem: Reduced confidence in sexual abilities, affecting overall self-image and self-worth.

Steps to Overcoming Sexual Performance Anxiety

Embrace New Behaviours

To escape the anxiety trap, you must learn new, non-anxious behaviours. This involves reprogramming your subconscious mind through consistent, conscious effort. It's not easy, but it's possible with the right guidance and support.

Practice Diversion Techniques

One effective strategy is diversion—engaging in activities that shift your focus away from anxiety. This helps your subconscious mind adopt new, positive behaviours, reducing anxiety over time. Engaging in hobbies and staying active can significantly help in managing sexual performance anxiety.

Finding Support and Staying Committed

Remember, recovery is a journey, not a destination. Surround yourself with supportive people and resources.

Conclusion

If these experiences resonate with you, it’s important to recognise that you might be suffering from Sexual Performance Anxiety. The Anxiety Project recovery methodology creates fast, simple, and lifelong, drug-free, anxiety disorder recovery. It is the world's first and only accredited, evidence-based, psycho-educational recovery treatment.

By Lori Shifrin

Clinical Therapist