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Sarah Vanherweghen

Topics

Sexual desire and arousal: Reduced or, conversely, increased sexual desire; differences in sexual desire between partners; problems with arousal; and problems with erection and lubrication.
Orgasm and ejaculation: Absence, delayed or premature orgasms.

Control over sexual behaviour and impulses: Difficulty regulating sexual impulses, compulsive sexual behaviour (such as excessive use of pornography, frequent sexual acts or risky behaviour), feelings of shame or loss of control, and the impact of these on well-being, relationships and day-to-day functioning.
Sexual pain and physical discomfort: Pain during sexual activity (such as in cases of dyspareunia or vaginismus) and other physical symptoms that make intimacy difficult.
Fertility and sexuality: Effects of fertility problems and treatments on intimacy and sexual experience between partners.
Sexual dissatisfaction and intimacy: Dissatisfaction with one’s sex life, differences in sexual needs, and issues relating to closeness and emotional connection.
Communication and relationships: Difficulty discussing wishes, boundaries and expectations within the relationship.
Infidelity and rebuilding trust: Dealing with adultery, processing emotions and rebuilding trust within the relationship.
Violence and inappropriate behaviour within a relationship: Experiences of physical, emotional or sexual violence, unwanted sexual acts or coercion, and the impact on safety, trust and intimacy.

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Initial Meeting: The introduction forms the starting point of a potential trajectory. During this session, we clarify the client’s concerns, expectations, and goals. You will gain insight into my working methods, while together we explore what is needed to provide appropriate guidance. Depending on the situation, the introductory phase may consist of one or more sessions. At the end, we will discuss whether further guidance is recommended and in what form it could continue.
Follow-up Sessions: The follow-up sessions are structured from a biopsychosocial approach, focusing on the interplay between physical, psychological, and relational aspects. The guidance is tailored to the specific needs of the client and may consist of one or more sessions. When relevant, exercises or reflections may be provided to continue working at home. The number of sessions and their frequency are always determined in consultation, according to the client’s pace and needs.
Referral: In certain situations, a referral to another healthcare professional may be desirable, for example to a general practitioner, psychologist, gynaecologist, pelvic floor therapist, or other specialist. This is always done in consultation, ensuring that the care provided aligns optimally with the client’s needs and situation.