James was 30, and worried. Whilst he could ejaculate easily with masturbation, with penetration it was impossible. He had wondered if there were deep seated problems causing it, if he were unconsciously afraid of or angry with his partner, but could not see why that might be so.
The therapist listened to his story. When he learned to masturbate as a lad, he had always used strong touch and equally powerful fantasy. He had got used to this, but with a partner the strong touch was missing, as was the fantasy.
The therapist prescribed Sex Therapy for him, tailoring it to gradually reduce his need for fantasy, and to respond to lighter and softer touch.
Several times James felt like giving up as it seemed to take a while, and he was impatient, but the therapist told him to keep going. Gradually James noticed his response was getting much better without the fantasy, and withou the strong touching.
He did not have a partner at the end of the therapy, but felt confident that he would be OK if he met someone.