Content: John, a 50-year-old man, has been married to Jenny for 25years. He complains about an unsatisfactory sexual life and feels highly distressed. The couple has had infrequent sexual encounters, usually with mutual masturbation and no penetration. John has always felt anxious about his erections, even though he had only experienced ED a few times. During the individual session, Jenny reports lack of motivation to have sex for two years. The main reason is that she initiated an extramarital affair …