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Therapy for Erectile Dysfunction in Texas

Fix ED issues

Regain Confidence and Feel in Control.

It’s hard not to feel like less of a man.

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From ‘This is embarrasing’ to ‘Oh yeah!’

Feel confident now!

Schedule a free consult

Feeling like your body is not cooperating in bed?

When it is not working, it can feel frustrating and powerless. Sex becomes something you worry about, taking the fun away.

Your partner is ready, and you feel ready, too, but when the moment comes, your body just doesn’t respond. It’s disappointing; the more you try, the less it works. Ahhh help!

You can’t find the words to explain why it’s happening; no matter what you say, words can’t fix it. The pressure builds, only making things worse.

ED leaves men feeling ashamed and powerless. It’s tough, and it can shake their confidence and create issues in their relationship, especially if they take it personally and don’t feel desirable. With sex therapy, you can take back control, rebuild your confidence, and, most importantly, put a smile on your partner’s face.

No more feeling like you’re letting them down.

I can help you take back control.

Schedule a free consult

What happens in sex therapy?

Sex therapy is a professional, talk-based approach that focuses on emotional, psychological, and relational concerns—without involving physical contact, romantic interactions, or explicit material.

Feeling Inadequate or Ashamed

  • Go From —“It’s embarrassing; I avoid intimacy because I don’t want to disappoint her.”
  • To — “I am not afraid anymore. I can actually enjoy the moment and create connection.”

Fear of Rejection

  • Go From —“I’m scared she’s pretending to be okay when she’s not.”
  • To — I can tell my partner  is happy and satisfied. We communicate so well and they know how to support me and make me feel good. 

Frustration with Lack of Control

  • Go From —“It feels like my body is betraying me.”
  • To — I feel powerful and in control. No matter what, everything is going to be ok.

Strained Relationships

  • Go From —“It feels like my body is betraying me.”
  • To — “I feel so relaxed, I look forward to it”

Stop worrying about performance

Learn how to enjoy intimacy again without the stress.

Schedule a free consult

Erectile Dysfunction (ED)

Causes of Erectile Dysfunction (ED)

Erectile dysfunction (ED) often results from a mix of psychological and biological factors. Since the mind and body work together during sexual arousal, it’s common for men to experience a combination of both.

Sex Thearapy for Men (3)

Is medication the solution to ED?

Medication can be a very effective option for managing ED, especially when the cause is physical, like poor blood flow. However, it’s not always the complete solution. If the issue is related to stress, anxiety, or relationship dynamics, medication may not fully address the problem. In most cases, a combined approach that considers both physical and emotional factors is the most effective.

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What’s the best medication to treat ED?

The best medication really depends on your individual needs and health circumstances. Sildenafil (Viagra) and Tadalafil (Cialis) are two of the most commonly prescribed options. Sildenafil is fast-acting and ideal for use as needed, while Tadalafil lasts much longer—up to 36 hours—and offers more flexibility. A healthcare provider can guide you on the best choice based on your lifestyle and medical history.

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What are the causes of ED?

  • ED can result from a variety of factors, including:
  • Physical causes: Conditions like diabetes, high blood pressure, heart disease, hormonal imbalances, or nerve damage.
  • Psychological causes: Stress, anxiety, depression, or unresolved relationship issues.
  • Lifestyle factors: Smoking, excessive alcohol consumption, lack of exercise, or poor nutrition.
    Identifying the root cause is key to determining the most effective treatment.
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Can ED be fixed?

In many cases, yes, ED can be treated successfully. For some, addressing underlying health issues, such as heart disease or diabetes, makes a big difference. Others may need support for psychological factors, like performance anxiety or stress. Lifestyle changes—such as regular exercise, a healthy diet, and avoiding smoking or heavy drinking—can also have a significant impact. With the right approach, most people see improvement.

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What’s the best medication to treat ED?

The best medication really depends on your individual needs and health circumstances. Sildenafil (Viagra) and Tadalafil (Cialis) are two of the most commonly prescribed options. Sildenafil is fast-acting and ideal for use as needed, while Tadalafil lasts much longer—up to 36 hours—and offers more flexibility. A healthcare provider can guide you on the best choice based on your lifestyle and medical history.

Sensate Focus Therapy (3)

What are some effective treatments for ED?

  • Treatment options depend on the cause of ED. Some common approaches include:
  • Medications: PDE5 inhibitors like Viagra or Cialis are often prescribed to improve blood flow.
  • Therapy: Counseling or sex therapy can be beneficial for addressing psychological barriers, such as anxiety or relationship stress.
  • Lifestyle changes: Exercise, a healthy diet, reducing alcohol, and quitting smoking can significantly improve symptoms.
  • Alternative medical treatments for ED: Hormone therapy, vacuum devices, or surgical options may be recommended in some cases.

 

3 steps to get started

Step 1

Schedule a free consult

Get your questions answered and learned how you will be helped in this 15 min consultation.

Step 2

Begin sessions

Scheduled a full 50 min session where you will learn tools and have exercises to practice at home to grow quick and steady.

Step 3

Individualized plan

We will create a unique strategy that works for your specific needs and addresses the challenges you need support with. 

Don’t let ED hold you back

Learn the tools to regain control now.

Schedule a free consult
LPC supervision Texas

Hi. I’m Vielka. A Certified Sex Therapist who knows what you’re going through.

More about me

At the beginning, everything was great—including sex. It was fun, spontaneous, and there was a lot of it. But after a couple of years, something changed. I didn’t want to have sex anymore. I grew up in Costa Rica, a catholic country and I had no idea how to fix it.

I started doing it just for my partner, but honestly, it felt like I was doing him a favor. Saying “no” didn’t make him happy, and saying “yes” didn’t make me happy. Sex was no longer enjoyable, and our emotional intimacy began to suffer.

I felt terrible as a partner. I lost desire and didn’t know how to bring it back. It didn’t matter how many toys or lingerie I would buy. Nothing worked. I felt like giving up.

Then I learned that losing desire happens to a lot of couples. This made me feel better, but the problem was still there—and I had no idea how to fix it.

I reached a point where I thought, “I’m okay never having sex again.” Yes, it got that bad. Deep down, I craved the connection, excitement, and aliveness that sex brings, but I had no idea how to make that happen.

But I didn’t give up and I embarked on a journey that led me to become a Certified Sex Therapist through the American Association of Sexuality Educators, Counselors, and Therapists (AASECT).

I discovered the tools I needed, and my intimacy became absolutely AMAZING! Now I know how to create mind-blowing orgasms and keep desire alive over time. I’m passionate about sharing what I’ve learned and helping others transform their sexuality through self-love and healing.

Frequently Asked Questions

Any additional questions? We are here to answer…

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Therapy for ED is about getting to the root of what’s holding you back—whether it’s stress, anxiety, or relationship struggles. You’ll learn tools to manage performance pressure, rebuild your confidence, and feel more in control of your body and your relationship. It’s not about quick fixes but lasting solutions that work for you.

Absolutely. Even with physical causes, ED often comes with stress, frustration, and self-doubt that make things worse. You’ll be provided with strategies to manage the mental and emotional side, making medical treatments more effective and giving you the confidence to reconnect with your partner.

A session is just a conversation—no awkward exams or explicit material. You’ll talk about what’s been going on, how it’s affecting you, and what you want to change. You’ll be provided with practical tools to reduce performance anxiety, improve communication, and rebuild intimacy step by step.

Only if you want them to be. Some people prefer to work on their own first, while others find that involving their partner helps with communication and trust. You’ll learn how to decide what’s best for your situation and how to involve them effectively if needed.

Everyone’s different, but many men start noticing progress within a few sessions. The more you practice the tools and techniques you’re provided with, the faster you’ll see changes. Lasting results usually take a few weeks to months, but every step forward counts.

Let’s turn things around—starting now.

Overcome ED

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Located in Austin, TX and online | 512-6667625

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Vielka Kano Counseling & Coaching

910 West Ave I Central Austin, TX | 78701

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