EPISODE · Dec 16, 2025 · 49 MIN
Sex & Performance Anxiety: What Helps with Dr. Evie Kirana
from In Bed with Science: a Sex Podcast · host Leigh Norén | Sex Therapist and Relationship Expert
If you want sex to feel good again and not have to think about whether you're hard or softening, or whether you're going to have an orgasm soon — this episode gives you clear, usable tools to start moving in that direction.In part two of this series on sexual performance anxiety, I talk with health psychologist and clinical sexologist Dr Evie Kirana about how to deal with sexual performance anxiety. We break down the real mind–body connection (no woo here - just pure physiology!), why you can’t force your erection or orgasm to cooperate, and how to shift from performance pressure to meaningful connection.You’ll learn:Why fighting or hiding your anxiety makes it strongerHow to tolerate anxiety in the moment without shutting downThe four practical steps to deal with sexual performance anxiety in a new clinical modelHow connection-focused goals (instead of "I-have-to-get-this-righ goals") help your body during sexHow partners can support without becoming the “fixer” or the “nurse"Timestamps:01:24 Introducing Dr. Evie Kirana03:50 Gender Differences in Seeking Treatment for Sexual Dysfunction05:30 Understanding Sexual Performance Anxiety (SPA)07:57 Shame and Its Role10:05 Cognitive Reappraisal: Changing Unhelpful Thoughts13:06 Why We Can’t Control Sexual Function (Much Like Other Bodily Functions)15:53 Shifting from Performance Goals to Connection Goals18:44 The 4 Phases of Managing Sexual Performance Anxiety (& How To Do It)25:05 Partner Dynamics and Navigating Progress Together28:08 Why Society Doesn’t Talk About Sexual Performance Anxiety31:45 Key Takeaways from Dr. Evie Kirana's Research34:14 When to Seek Professional Help for Anxiety36:45 Resources: MindMyErection.com38:30 My Sex-Therapist Reflections & Final Thoughts48:17 Outro & Support ResourcesYou can find Dr. Kirana’s free video resources for men & people with penises (and their partners) at MindMyErection.com.The study discussed in this episode is A theoretical model for sexual performance anxiety (SPA) and a clinical approach for its remediation (SPA-R) by Rowland & Kirana, published in Sexual Medicine Review.Interested in my services? Check them out hereJoin my 1:1 online program Re:Desire here.Do you want to submit a listener question for the podcast? Here's the link
What this episode covers
If you want sex to feel good again and not have to think about whether you're hard or softening, or whether you're going to have an orgasm soon — this episode gives you clear, usable tools to start moving in that direction.In part two of this series on sexual performance anxiety, I talk with health psychologist and clinical sexologist Dr Evie Kirana about how to deal with sexual performance anxiety. We break down the real mind–body connection (no woo here - just pure physiology!), why you can’t force your erection or orgasm to cooperate, and how to shift from performance pressure to meaningful connection.You’ll learn:Why fighting or hiding your anxiety makes it strongerHow to tolerate anxiety in the moment without shutting downThe four practical steps to deal with sexual performance anxiety in a new clinical modelHow connection-focused goals (instead of "I-have-to-get-this-righ goals") help your body during sexHow partners can support without becoming the “fixer” or the “nurse"Timestamps:01:24 Introducing Dr. Evie Kirana03:50 Gender Differences in Seeking Treatment for Sexual Dysfunction05:30 Understanding Sexual Performance Anxiety (SPA)07:57 Shame and Its Role10:05 Cognitive Reappraisal: Changing Unhelpful Thoughts13:06 Why We Can’t Control Sexual Function (Much Like Other Bodily Functions)15:53 Shifting from Performance Goals to Connection Goals18:44 The 4 Phases of Managing Sexual Performance Anxiety (& How To Do It)25:05 Partner Dynamics and Navigating Progress Together28:08 Why Society Doesn’t Talk About Sexual Performance Anxiety31:45 Key Takeaways from Dr. Evie Kirana's Research34:14 When to Seek Professional Help for Anxiety36:45 Resources: MindMyErection.com38:30 My Sex-Therapist Reflections & Final Thoughts48:17 Outro & Support ResourcesYou can find Dr. Kirana’s free video resources for men & people with penises (and their partners) at MindMyErection.com.The study discussed in this episode is A theoretical model for sexual performance anxiety (SPA) and a clinical approach for its remediation (SPA-R) by Rowland & Kirana, published in Sexual Medicine Review.Interested in my services? Check them out hereJoin my 1:1 online program Re:Desire here.Do you want to submit a listener question for the podcast? Here's the link
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Sex & Performance Anxiety: What Helps with Dr. Evie Kirana
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