Often a therapist treating sexual dysfunction in a couple with marital distress is faced with the dilemma of deciding what or whom to focus in therapy. With the increasing recognition of the need for an integrated systemic approach, therapist is expected to simultaneously address individual, couple and family systems. The challenge is eliciting, organising and understanding complex information from multiple domains. This article, through a case report, illustrates how a couple with vaginismus could be conceptualised and treated in an integrated fashion using Marital Sex Therapy. The intricacies involved in the process are elucidated with an emphasis on a thorough systemic evaluation.
Keywords: Marital therapy, Sex therapy, Vaginismus