EARN 1 CEU - NBCC, AASECT

Beyond “I Can’t Finish”: Understanding Delayed Ejaculation

Delayed Ejaculation can be a challenging sexual concern to assess and treat because there is rarely one simple cause. Biological, psychological, relational, behavioral, cultural, and medication-related factors can all contribute, making a comprehensive assessment essential.

This course will help clinicians accurately assess and diagnose Delayed Ejaculation using DSM-5-TR criteria while developing a deeper understanding of the many factors that can interfere with ejaculation and orgasm. We explore medical and neurological contributors, medications such as SSRIs, aging, masturbation and stimulation patterns, pornography, anxiety, spectatoring, relationship dynamics, and gender-affirming considerations.

We also move beyond assessment and into practical, evidence-informed sex therapy interventions designed to reduce performance pressure, better understand a client’s arousal template, expand sexual stimulation, and help clients and partners build more satisfying sexual experiences.

This course is offered asynchronously and upon completion you can earn 1 CE. It is taught by Matt Lachman, M.Ed., M.S., LPCC-S, CST, CST-S.
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Course Objectives

  • Describe Delayed Ejaculation and differentiate ejaculation from the subjective experience of orgasm.
  • Apply DSM-5-TR diagnostic criteria and a biopsychosocial framework when assessing Delayed Ejaculation.
  • Identify medical, medication-related, psychological, sexual, relational, and cultural factors that may contribute to Delayed Ejaculation.
  • Apply evidence-informed sex therapy interventions to reduce performance pressure, explore arousal and stimulation patterns, and improve sexual functioning and satisfaction.
These objectives meet ST-B, CK-G, and CK-I for AASECT Sex Therapy Certification requirements

Frequently asked questions

Who is this course designed for?

This course is designed for licensed mental health clinicians, sex therapists, and other healthcare providers who work with clients experiencing sexual health concerns. It is appropriate for both clinicians new to treating sexual dysfunction and those looking to deepen their existing knowledge and skills.

Does this course offer continuing education credits?

Yes. The Institute for Sex Positive Therapy (ISPT) is an AASECT and NBCC approved provider. This course offers 1.5 CE credits upon completion.

Is this course appropriate for clinicians who are new to sex therapy?

Yes. The course covers foundational diagnostic criteria and assessment alongside clinical interventions, making it accessible to clinicians at various levels of experience with sexual health topics.

What does the research say about treatment for Delayed Ejaculation?

Delayed Ejaculation is one of the most treatable sexual dysfunctions. Evidence-based approaches including mindful masturbation, mindfulness-based sex therapy, and cognitive restructuring have strong empirical support.
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