Single Man with Performance Anxiety

1h 21m

Evie Kirana

Health Psychologist & Sexologist
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Content:

John is a single man 29 years old from India, living in London. He has a good job but no relationship now; he flirts through apps. He complains about erectile dysfunction. The sexual history shows that he never achieved sexual intercourse because he has problems attaining an erection, while everything is fine with masturbation. The first attempt to have intercourse failed in a casual relationship with Marianne one year ago and the same went for a few other tries with her. From that point on, he avoided meeting Marianne and any other woman. The urologist he consulted confirms a good health status with no medical issue. The problem is psychogenic. Despite his cultural background, he thinks that sex before marriage is fine, but he feels embarrassed and afraid to get humiliated if he fails again.

Evie Kirana discusses the case presented by Francesca Tripodi, where these key points are emphasized:

    1. Where do we start from? What would be Step 1 in clinical management?
    2. How could we explain performance anxiety to our patients? How much does the patient’s education count in such a case?
    3. What can the patient learn about himself? How can he deal with his embarrassment?

Produced in 2021

Evie Kirana

Evie Kirana

Health Psychologist & Sexologist
Lecturer and Supervisor

Dr. Paraskevi-Sofia (Evie) Kirana, Ph.D., MSc, ECPS, received her Bachelor’s Degree in Psychology from Panteion University (1998) and immediately continued with her postgraduate studies in Health Psychology (MSc) at the University of Bristol in the United Kingdom, and later completed her Ph.D. in psychology at the University of Athens.

She received additional training in the field of sexology by completing the Specialist Programme of the European Society for Sexual Medicine (ESSM) and a two-year postgraduate program in psychosexual dysfunction treatments at the Mental Health Research Institute (EPIPSY) of the University of Athens. In 2013 she was awarded the title of Honorary Fellow of the European Committee of Sexual Medicine (hon FECSM). Since 2008 her daily clinical work has focused solely on treating sexual dysfunctions of men and women, with the majority of cases being erectile dysfunction and ejaculatory disorders. Within the last 5 years, she has treated approximately 1500 men with psychogenic erectile dysfunction and 1000 men with premature ejaculation. Since 2010 she has lectured at the postgraduate program on psychosexual dysfunctions of Athens, as well as all educational activities of the ESSM (ESSM School of Sexual Medicine, ABC course, Preparatory Course). Her lectures and workshops are usually on psychogenic erectile dysfunction and ejaculatory disorders. For the last 8 years, she has been the head of the Centre for Sexual and Reproductive Health (KESAY). Her research work includes 19 international and 6 Greek publications. She is one of the editors of the EFS-ESSM Syllabus in Clinical Sexology and also the ESSM Manual of Sexual Medicine (2nd edition). She has served as an associate editor of the Journal of Sexual Medicine and as a member of the editorial board of the Journal of Sexual Medicine. She was the chair of the ESSM/EFS Exam Committee for psycho-sexologists (2012-2022), a member of the 4th International Consultation for Sexual Medicine, and a member of the EFS executive committee (2018-2022) and co-chair of the EFS scientific committee (2017-2022).
She is currently a member of the ESSM Educational Committee and chair of the ESSM Sexology scientific sub-committee.

Languages

English, Greek

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