Mark Goldberg, LCMFT, CST, was recently on the BackTable Urology Podcast with Dr. JoseSilva. They discussed psychogenic erectile dysfunction and his role as a sex therapist for patients and couples. He was on Episode 130 titled “Exploring Psychogenic Aspects of Erectile Dysfunction”. It can be found on the BackTable website, Spotify, Apple Podcasts, and YouTube.
Podcast Show Notes
First, Mark shares his expertise on how to address performance anxiety in patients. He explains that performance anxiety can present in different ways for different people and that it is important to understand the unique thoughts and feelings associated with each individual’s manifestation. He recommends what is best for patients who are insistent on immediate relief and emphasizes the importance of finding a balance between a challenging lifestyle and having enough mental bandwidth to have the desired sexual function.
Next, they discuss the causes of premature ejaculation, which can be lifelong or acquired and across the board or situational. He outlines the two general areas of focus to address premature ejaculation, which are over-excitation and performance anxiety. He then discusses the different methods to treat the different causes, such ASL medications, and cognitive and behavioral interventions.
Then, Mark speaks about the difference between men and women’s expectations of sexual performance. Men tend to have higher expectations of themselves, while women oftentimes feel like they are not living up to the bar. Mark also discusses the role of telehealth, as it is easier for therapists to work with people outside of the United States than across state lines. Mark also shares his experience of starting his radio podcast during the COVID-19 pandemic.
About BackTable Urology Podcast
The BackTable Urology podcast was developed to provide resources for practicing Urologists. Listen in to learn how leading physicians tackle major urological conditions with medical and surgical approaches.
