1st Edition

Overcoming Anxiety in Sex and Relationships A Comprehensive Guide to Intimate and Emotional Freedom

By Paula Leech Copyright 2025
322 Pages
by Routledge

322 Pages
by Routledge

322 Pages
by Routledge

This book gives readers an accessible and comprehensive understanding of how anxiety, stress, and pressure can have a profound impact on pleasure, connection, and sexual functioning, offering practical tips and techniques for resolving common sexual struggles. Anxiety can influence a multitude of aspects that make us who we are, changing how we move through, make meaning of, and interact with... Read more

 Introduction: What Sex Asks from Us

Part 1: Anxiety and Sex

              1            What is Anxiety?

              2            Sex as Natural Function

              3            Physiology and Sexual Functioning (Vaguely Defined)

              4            Performance, Goal Orientation, Strive Mindset

              5            Mind/Body Connection and Disconnection

              6            Emotion, Prediction, and Association

              7            Putting it All Together: A Word About Pleasure

Part 2: What is My Anxiety Trying to Teach Me?

              8            Arrested Development

              9            Family Matters

              10          Your Relationships

              11          Disconnection

              12          Insecurity and Confidence (Your Relationship to You)

              13          Sexual Prowess and Inexperience

              14          Sex and Aging, Sex and Death, Grief in Sex

              15          Sexual Trauma

              16          Sex as Pathology (Fantasy, Porn, Kink)

              17          Sex “Addiction”

Part 3: Divorcing Anxiety from Your Sex Life: Actionable Steps

              18          Taking Responsibility

              19          Identifying and Managing Distancing Strategies

              20          Mindfulness and Sensate Focus

              21          Basic Practice

              22          Advanced Practice: Erectile Dysfunction and Vaginismus    

Conclusion: Trust Fall

Biography

Paula Leech, LMFT, CST-S, is a certified sex therapist who has worked with individuals, relationships, and families in private practice for over ten years. She mentors sex therapists in training, and teaches at various institutes across the USA and Canada.

Overcoming Anxiety in Sex and Relationships is a refreshing resource that teaches readers how to build a more compassionate, mindful, and empowered relationship to the very human experience of anxiety so they can make more space for play and pleasure in their lives - something we all need and deserve more of.”

- Anne Hodder-Shipp, CSE, award-winning sex and relationship educator, instructor, and author of Speaking from the Heart: 18 Languages for Modern Love

"Overcoming Anxiety in Sex and Relationships is a right-on-the-mark resource at a couldn't-be-more perfect time! In a post-quarantine, COVID world with volatile, global geo-political violence, a domestic epidemic of daily shootings, and an unprecedented erosion of reproductive rights and sexual freedoms, it seems anxiety, stress and worry have become the societal norm, impacting individuals and couples in profound ways.  This easy-reading book is invaluable -- not just a great resource for sex therapists and counselors, but for anyone looking to understand how emotion, physiology and socialization combine to create obstacles to the kind of sex we want -- and most importantly, it helps us find our way through them.  Paula has taken her years of training in sex therapy and deftly condensed and simplified complex therapeutic topics, making her advice to readers approachable, relatable and actionable."

Dr. Richard Siegel, PhD, sex therapist & supervisor, educator & trainer, author & researcher, and Co-Director of Modern Sex Therapy Institutes