--- title: "Premature Ejaculation Therapy for Men | FrankTalk" description: "Frank online therapy for premature and delayed ejaculation with Paul Nelson, LMHC, CSE. Retraining, partner work, and no shame. Book a session today." lang: en json-ld: | [ { "@context": "https://schema.org", "@type": "Person", "name": "Paul R. 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Nelson", "url": "https://franktalktherapy.com/about" }, "founder": { "@type": "Person", "name": "Paul R. Nelson" } }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "How long does it usually take to see progress?", "acceptedAnswer": { "@type": "Answer", "text": "Many men notice change within a handful of sessions, especially when the work is behavioral. More entrenched patterns or medication-related DE can take longer, but progress is almost always measurable within the first month or two." } }, { "@type": "Question", "name": "I take an SSRI and I think it's causing my delayed ejaculation. Do I need to stop it?", "acceptedAnswer": { "@type": "Answer", "text": "Not on your own. SSRIs are a common contributor to DE, but the answer is a conversation with your prescriber about dose, timing, or alternatives, not stopping cold. Therapy runs alongside that conversation and covers what medication changes alone won't fix." } }, { "@type": "Question", "name": "Does this only work if I have a partner?", "acceptedAnswer": { "@type": "Answer", "text": "No. Plenty of the work is solo, including retraining arousal awareness, changing masturbation patterns, addressing the anxiety layer. Partnered sessions accelerate the relational piece when it applies, but they're never required." } } ] } ] --- [![FrankTalk Therapy](/__l5e/assets-v1/791852f2-474d-4294-bfbf-c5ac6322a947/franktalk-logo.png) ](/) [Home](/) Services [Therapy for Men](/therapy-for-men)[Sex Therapy](/sex-therapy)[Consulting](/consulting)[Couples & Partners](/couples-and-partners)[What We Help With](/specialties) Guides [All Guides](/guides)[How to Last Longer in Bed](/guides/how-to-last-longer-in-bed)[How Long Do Men Actually Last?](/guides/how-long-do-men-actually-last)[The Start-Stop Technique](/guides/start-stop-technique)[The Squeeze Technique](/guides/squeeze-technique)[Pelvic Floor Training for Men](/guides/pelvic-floor-training-for-men) Service Areas [Where We Serve](/areas-served) New York [Online Therapy in New York](/online-therapy/new-york) Connecticut [Online Therapy in Connecticut](/online-therapy/connecticut) Practice [About Paul](/about)[What to Expect](/what-to-expect)[Fees & Insurance](/fees-and-insurance)[FAQ](/faq) [Waiting Room](https://doxy.me/franktalktherapy)[Talk to Paul](/contact) # Premature & Delayed Ejaculation [Home](/)/ Premature & Delayed Ejaculation Specialty ## What it is These two show up as opposites but they're really cousins. Both are about timing you can't control, and both wear down confidence fast. Premature ejaculation (PE) means climaxing sooner than you or your partner want, often within a minute or two of penetration. Delayed ejaculation (DE) is the reverse: you can't get there at all, or it takes so long that intercourse becomes a marathon nobody enjoys. Both have physiological and psychological ingredients. PE often traces to nervous- system sensitivity, early conditioning, or high arousal that overwhelms control. DE is frequently tied to antidepressants (especially SSRIs), specific masturbation patterns that partnered sex can't replicate, low arousal, or performance concerns. Neither is a character flaw. Both respond to real, structured work. The Approach ## How therapy helps The starting point is a straightforward assessment: how often, in what contexts, with or without a partner, on or off which medications, and how long this has been the pattern. That picture usually points directly at whether the work is behavioral, relational, medical, or (most often) a mix of all three. If medication side effects or a physical cause are contributing, we coordinate with your prescriber or a urologist. For PE, we use sex-therapy techniques with a long track record, including arousal awareness, pacing, and the [stop-start](/guides/start-stop-technique) and [squeeze](/guides/squeeze-technique) approaches, practiced in a way that fits your actual life, not a textbook. For DE, we look at masturbation style and stimulus, work on transferring sensation into partnered sex, and address any avoidance or over-focus on the endpoint that's making it worse. Partner dynamics are almost always part of the picture. If your partner is involved, we can bring them in for one or two sessions to defuse the mind-reading, reduce pressure on both sides, and turn sex back into something you're doing _together_instead of a test one of you keeps failing. 20–30% of men report significant PE or DE at some point in their lives. The good news: this is one of the most responsive areas in all of sex therapy. You're not alone. FAQ ## Frequently asked questions How long does it usually take to see progress? Many men notice change within a handful of sessions, especially when the work is behavioral. More entrenched patterns or medication-related DE can take longer, but progress is almost always measurable within the first month or two. I take an SSRI and I think it's causing my delayed ejaculation. Do I need to stop it? Not on your own. SSRIs are a common contributor to DE, but the answer is a conversation with your prescriber about dose, timing, or alternatives, not stopping cold. Therapy runs alongside that conversation and covers what medication changes alone won't fix. Does this only work if I have a partner? No. Plenty of the work is solo, including retraining arousal awareness, changing masturbation patterns, addressing the anxiety layer. Partnered sessions accelerate the relational piece when it applies, but they're never required. Still have questions? [Contact us](/contact) Book a Session ## Ready to work on timing without the shame? A private, direct, 50-minute session focused on what's actually going on and what to do about it. [Talk to Paul](/contact) Related ## You may also want to read [ ### Guide: How to Last Longer in Bed The full walkthrough of arousal awareness, the start-stop and squeeze methods, and what medication does and does not do. Read more ](/guides/how-to-last-longer-in-bed)[ ### Sexual Performance Anxiety The fear layer that keeps PE and DE locked in long after the original trigger is gone. Read more ](/specialties/performance-anxiety)[ ### Erectile Dysfunction (ED) Therapy The other side of the timing coin, and the concern most often tangled up with PE and DE. Read more ](/specialties/erectile-dysfunction) ### Appointments are generally available: Mondays 5pm–9pm, Fridays 9am–6pm, & Saturdays 9am–1pm ![FrankTalk](/__l5e/assets-v1/0e01afa1-3c85-4757-973c-932f613785ce/resources_footer-logo.png) You have come to the right place to find help! - [](https://www.instagram.com/franktalkwithpaul/) - [](https://maps.google.com/?cid=1028244695779196009) ### Explore - [Home](/) - [About Paul](/about) - [Therapy for Men](/therapy-for-men) - [Sex Therapy](/sex-therapy) - [Consulting](/consulting) - [Couples & Partners](/couples-and-partners) - [What We Help With](/specialties) - [Guides for Men](/guides) - [What to Expect](/what-to-expect) - [Fees & Insurance](/fees-and-insurance) - [FAQ](/faq) - [Areas Served](/areas-served) - [Join Waiting Room](https://doxy.me/franktalktherapy) - [Contact](/contact) ### Contact - Email: [paul@franktalk.org](mailto:paul@franktalk.org) - Call Anytime [(646) 535-3133](tel:+16465353133) - Community site [www.franktalk.org](https://www.franktalk.org) ### Email Newsletter Subscribe to our newsletter to receive the latest news about FrankTalk Therapy Company I am not a robotSign Me Up! © Copyright 2023/2024 by [FrankTalkTherapy.com](https://franktalktherapy.com) [Privacy](/privacy.html)[Terms](/terms.html)[Cookies](/cookie.html)[Disclosures](/disclaimers.html)[Good Faith Estimate](/good-faith-estimate.html) Talk to Paul