Q: How do you treat sexual difficulties?

A: Sexual difficulties (e.g., sexual anorexia, desire discrepancies, premature ejaculation, erectile dysfunction, sexual pain) are common. I use use a sequential, task based approach that consists of weekly communication, touching, and educational experiences that are customized to address the specific topic that the couple wishes to address. Experiences are fine-tuned to each couple’s needs so that they can progress through the exercises at a good pace. Depending on the treatment goals, couples may progress through the tasks within 12-14 weeks (if they find time to engage in one communication, one touching, and one educational experience per week). Couples can also choose to do a sexual retraining weekend intensive or a week-long accelerated retraining instead of weekly sessions.

Q: What is the difference between sex therapy and sex addiction therapy?

A: Sex therapy is indicated if  sexual “dysfunctions” (see the aforementioned examples) are the primary topic to address. Sex addiction therapy is indicated if one or multiple addiction(s) are present that have impaired the couple’s psychological, emotional, spiritual, and physical intimacy. In the case of an addiction pattern, the treatment focuses first on helping with containing  the addiction response so that the addiction patterns no longer interfere with the couple’s well-being. Experiences are fine-tuned to each couple’s needs.

Q: In our previous treatment for sex addiction we were advised to stay sexually abstinent as my partner recovered from sexual addiction but we are ready to get develop our sex life after recovery. How will you work with us?

A: If you sought treatment for sexual addiction, I use the Sexual Reintegration Approach that is one of the 30 Tasks that were developed by Dr. Patrick Carnes. Depending on the specifics of the sexual addictive behavior that you (and/or your partner) has worked on, we will adjust the sex therapy process to match your intimacy exercises with the treatment goals that you embarked on for your sexual addiction. I will be able to determine this upon your completion of the intake process.

Sexual Difficulties

With the complexity of life we are facing, demand free sexuality can become a challenge.

However, you can work on resolving sexual difficulties such as erectile dysfunction, premature ejaculation, desire discrepancies, and/or orgasmic disorders individually or with your partner.

I am trained to guide you through sensate focused “homefun” activities that you get to engage in in the privacy of your home.

Master’s and Johnson’s Sensate Focus activities are geared to replace anxiety and sexual difficulties with the ability to engage in demand-free, mutually satisfying experiences of shared intimacy.

Additional information on sexual therapy with Dr. Sibylle

Q: We really like our therapist but he/she is not trained in sex therapy. Can you work with all of us?

A: Yes! I work with you (the individual or the couple) and your therapist. You will need to sign the authorization to release information form so that I can confer with your therapist. This will allow me to guide you through the sexual retraining tasks while your referring therapist can remain the point of reference for a more in depth work of the topics that arise from the sexual retraining tasks.

Q: What should I expect when I contact you?

A: If you contact me I will ask you to complete the intake forms (completing the forms using key words suffices): clients are asked to email the completed forms prior to our first meeting. If you don’t have enough time to complete it or prefer meeting in person to discuss the information, we will complete the forms together during your assessment sessions.

With couples, I usually spend one session individually to go over one partner’s intake forms, one individual session to go over the
other partner’s intake forms, and a third session to provide joint feedback and to map out the couple’s treatment goals.

Touching and Communication Format for Sex Therapy


Listen to these instructions on how to give and receive demand-free, mutually satisfying touch:



how to touch

Listen to these instructions on how to communicate:


What are your comments and questions?

Feel free to call Dr. Sibylle at (917) 620-0481, via email at toolsforvitality@gmx.de or by completing the contact form.