Hey
@WhiteRose,
I agree with you that therapy isn't the only option, but I think it's part of an overall recovery approach. I think the most important thing for him is to be able to talk about. Whether that's on a forum like this, whether he has close friends, or you, that he can talk to. Whether it's journaling. It all helps. The critical piece is for him to be able to talk about it.
If he's like me, or many of the people here, he's probably kept that aspect locked up for a very long time. So long that the very idea of opening that box, sharing that information, being vulnerable, is terrifying. The shame, the internalization, the self-loathing, the confusion. All of those are very real and he needs to understand that he's not alone.
He needs an outlet that he can share and have it be a safe space where he can talk about how he feels and and know that he is safe to talk about those feelings. CSA is taboo. Sadly, and this is changing, it's more taboo for men. Our society teaches men that they're supposed to be the aggressor and when you're put into a CSA position then it's perceived as an emasculating event. And that idea and that trauma is then internalized and it becomes something that hurts a person's self worth.
That your husband told you is a good sign. Clearly he feels safe with you. What he likely needs now is your encouragement, your patience, and your understanding. ED medication and such helps with the physiological aspect of it, but you're right, his is likely psychological. When he's in those intimate situation it's possible that's its triggering for him and he has a hard time concentrating or being present in the moment. If it's anything like things I've experienced, it's easy to be taken back to a previous moment that was anything but positive and that makes it hard to maintain interest. That he's willing to take that chance says a lot. He likely has the medication so that he can still play the role that society has outlined for him.
If therapy is not an option, then making working with others who have similar experiences will help. The truth is, he probably wants to be intimate. He probably wants to be vulnerable. He probably wants everything to be the way that you want it to be. But he's not at that point yet where that is possible. The good news is that recovery and healing are possible and with the right encouragement and support, and recurrence of encouragement and support, he will begin to see that recovery and healing is possible.
Once he starts to dip his toe into that pool, he will get used to a feeling that he probably has prevented himself for feeling for years. He probably isn't even consciously blocking those feelings. But once he can experience them, little by little, it will become more comfortable for him and then I think you'll see not only an improvement in sexual activities but also intimacy over all.
When he's ready, I'd encourage him to read a book, "Victims No Longer" It has some really interesting insights and it's validating. There are also discussions about healing and recovery that show case not that it's possible, but sort explain what that experience could look like.
Anyways, I hope it helps,
Jeremy
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