Our 8-session program focuses on the chronic condition of provoked vestibulodynia. This pain condition affects approximately 15% of women – often from their very first attempt at intercourse, tampon or other vaginal insertion. For other women it can begin after many experiences of completely painless intercourse or other vaginal penetration. The condition is stress-related, has a genetic aspect and often is accompanied by other chronic pains and by anxiety disorders. The usual medications given for chronic pain are rarely effective.
Cognitive behavioral therapy (CBT) and mindfulness-based cognitive therapy (MBCT) are proving very promising. We have published positive outcome studies of our former 4-session MBCT program.
Each session lasts 2.25 hours and there are home assignments between the sessions. The program is based on information about chronic pain (especially what is occurring in the mind at the time of a familiar pain), sex therapy and either CBT or MBCT.