Your therapist first creates a safe space where you can speak in your own words and at your own pace. Together you then explore which factors, such as stress, worrying thoughts, beliefs, past experiences or relationship issues, play a part.
Approaches such as sex therapy, cognitive behavioural therapy and mindfulness practice are common. Couples are sometimes given gradual exercises to reduce anxiety and rebuild intimacy, always done at home in private, never in session.
This work can be individual or with your partner. Education about the body and sexual response is often part of it, because many worries come from misinformation.