Vaginismus: Information, tips and help in Berlin & online
Hypnotherapy and Hypnobalancing™ in BerlinVaginismus
Hypnotherapy can provide an acceptable time and cost-effective therapeutic tool that helps resolve vaginismus and improves sexual satisfaction.
Overview
- Vaginismus
- Consequences of Vaginismus
- Types of Vaginismus
- Help with Vaginismus
- Remarks
- Other Classifications
Vaginismus
Vaginismus refers to sexual dysfunction among which women suffer. It is a condition where there is an involuntary tightness of the vagina during attempted intercourse. The convulsive, usually painful contraction of the pelvic floor muscles and the outer vaginal muscles of the woman can occur during insertion of the penis when using tampons, or in gynecological examinations. The intensity varies considerably, from unpleasant to unbearable.
The tightness is caused by involuntary contractions of the pelvic floor muscles surrounding the vagina. The woman does not directly control or will the tightness to occur; it is an involuntary pelvic response. Many women do not even have any awareness that the muscle response is causing the tightness or penetration problem. It comes to a vaginal spasm due to involuntary narrowing of the pelvic floor.
Consequences of Vaginismus
Many affected women experience vaginal intercourse as painful, which makes sex life difficult and less fulfilling. In case of severe pain, sexual intercourse is avoided.
Types of Vaginismus
Vaginismus can begin during adolescence (primary vaginismus) or later (secondary vaginismus). As a result, many affected women choose other ways for their pleasurable and satisfying sexuality.
a. Primary Vaginismus
When a woman has never been able to have pain-free intercourse due to the involuntary contractions of the pelvic floor muscles, her condition is known as primary vaginismus. Some women with primary vaginismus are unable to insert tampons or complete pelvic exams. Many couples are unable to consummate their relationship due to primary vaginismus.
b. Secondary Vaginismus
Secondary vaginismus usually refers to the experience of developing vaginismus a little later in life, after a period of pain-free intercourse. Vaginismus can be developed later in life, even after many years of pleasurable intercourse. This type of condition, called secondary vaginismus, is usually precipitated by a medical condition, traumatic event, childbirth, surgery, or life change like menopause.
Help with Vaginismus
It is usually the desire for pregnancy or more sexual fulfillment that makes those affected look for solutions. Good news: Vaginismus is highly treatable, and a full recovery from vaginismus is the realistic outcome of treatment.
Hypnotherapy with Hypnobalancing helps women with vaginismus to solve blockages, to work up possible traumatic experiences, and to dissolve the self-sustaining cycle of anxiety and pain. The goal is the clear improvement of subjective feeling and thereby positive physical reactions. Another option, which is well-suited to hypnotherapy, is to do appropriate exercises. If necessary, the gynecologist can give recommendations here.
Remarks
Before starting psychotherapy: Get medical advice, so that physical causes can be excluded.
Other Classifications
Other specialists may use other terms referring to vaginismus, such as:
a. Apareunia
A general term that refers to a condition where one is unable to have sexual intercourse. Vaginismus is one type of apareunia if it is completely preventing penetration.
b. Dyspareunia
A general term that refers to a condition where there is pain during sexual intercourse. Vaginismus has been considered to be one type of dyspareunia, but is closely associated with all types of sexual pain.
How to decide to ask for help?
Are you thinking about whether you need professional help to recover? You may feel that you should be able to handle things on your own, or that talking to someone means you are not a strong person. You might be worried that talking about your issue during treatment could make your symptoms worse. It is important to get all those obstacles out of the way.
When asking for help
It is good to know that it is important to help yourself. It’s also important to know when you need to reach out for some help. Therapy can be a good opportunity to learn both aspects of emotional strength, autonomy, and reliance on those you trust.
An experienced therapist will let you choose the pace of your therapy and won't force you to discuss things you're not ready for. Emotional strength involves learning on your own and knowing how and when support is helpful.
How do the symptoms influence your life?
One of the best ways to figure out if assistance is good for you is to consider how much the symptoms you are experiencing interfere with your daily life. Do you have limitations in your personal life, or at work? Are you able to focus? Is it easy for you to build and maintain fulfilling relationships with people? Do you enjoy your life? Is there a feeling in you that your life could be more fulfilling?
Who can assist you?
Are you considering getting my assistance? The easiest way for you to find out is if you know someone I've been able to help. Then you will know firsthand what to expect. If that is not the case, you will find on this website some information that will make it easier for you to get an impression of me. Trust is important, and that's why I aim for transparency.
Your therapist
For about two decades, I am specialized in the field of fears and anxiety disorders. I spend about 20 hours a week helping people to free themselves from their limitations and thereby gain a better quality of life. If you want to know how it all started and what you should know about me, please read my profile. And yes, therapy is a very personal matter: Because it is a very intensive collaboration, I reveal some details about myself. So you can get a first impression of me. Trust is important and that is why I focus on transparency.
The sessions are conducted either in German or English.
What does hypnotherapy cost?
Here are some organizational details. Please read them before the appointment reservation. People often ask, "How much does hypnotherapy cost?" What is meant by this are the presumed total costs, which result from the fee and the duration of the psychotherapy with hypnotherapy.
Fee for psychotherapy
The fee per session hour of psychotherapy (60 minutes) for appointments from Monday to Thursday from 10:00 to 18:00:
- A. Sessions by telephone or online with video support 179,- Euro
- B. Sessions in my premises 199,- Euro.
- C. For options A. and B. plus short-term appointment changes* once up to 24 hours before, add to the hourly fee 35, - Euro.
The fees for psychotherapy are exempt from VAT according to § 4 No. 14 a) UStG.
The first session usually lasts 90 minutes. Outside the mentioned business hours (Monday and Tuesday from 10:00 a.m. until 6:00 p.m.) I add a 35 % surcharge. The minimum duration of a session is 60 minutes, billing beyond that in 30-minute units. The minimum duration of a session is 60 minutes, billing beyond that in 30-minute units.
The fees do not include travel, accommodation, and allowance costs, which will be charged to the client. For traveling on my behalf: The costs for the journey will be charged according to time and effort. Within Berlin, at least an hourly fee is charged. Relevant is the individual agreement.
Postponement of meetings: For hourly fees A. and B. sessions that last up to 120 minutes can be once rescheduled up to 72 hours in advance (only weekdays count Monday till Friday, no holidays), longer sessions, or more than 120 minutes within 7 days at least 14 days in advance. Otherwise, they will be charged in full.
You can't come to my practice? Switch to a session with video or use your telephone.
Method of payment: The fee must always be paid in full by bank transfer 7 days before the session. I will send you details by mail so that you are well-informed.
Right of rescission: If registration by consumers for an event is made by telephone, letter, e-mail, or online form, the provisions of the Distance Selling Act shall apply. If the intended start of the event at the time of registration is within the withdrawal period according to the Fernabsatzgesetz (Distance Selling Act), the registration is considered a request to start the service within the withdrawal period. You have the right to revoke a service order/date without giving reasons. This is possible within 14 days of the order by telephone and in writing.
Cost coverage by health insurance companies and other insurers
Usually, the fee is not paid by national health insurance companies. Please contact your insurance company to find out about their policy details. Please discuss this with your insurer in advance. You will receive an invoice from me with classification according to ICD-10. Should applications etc. be necessary, we can do this together during the meetings.
Therapy duration
The first therapy session lasts 90 minutes, subsequent sessions can also be 60 minutes long. The number of sessions required is as varied as the personalities and situations of the clients. For anxiety disorders, I usually see clients for 3 to 8 sessions. Frequently, this question can be estimated by the clients themselves after the second session. I will then also give you an estimation based on previous experience.
Appointment booking
Please read the important information before making an appointment with me, including the contraindications for psychotherapy with hypnotherapy. I have answered frequently asked questions for you. For the success of your therapy, this information is of crucial importance. If this attracts you, then you can find out about booking your appointment here. The better you are informed, the faster we can focus on you and your wishes.
To make an appointment, you can preferably contact me by e-mail (mail@noack-hypnose.de) or by using the contact form (privacy policy) as well as by phone 01577 704 53 56 or 030 - 864 213 69. You will then receive a confirmation of your reservation by e-mail. In this reply, you will find the details for the first session. This usually happens within 24 hours. If you do not receive a reply, it could be because an email has ended up in the spam filter. In such a case, please call me.
There are only a few practice hours available, and they want to be used well. The fee for individual session hours is therefore always to be paid in full by bank transfer, with payment received at least 7 days before the session.
Why at least 7 days in advance? I would like to do it differently, but this is the best practice. Appointments that have not been confirmed with payment received seven days in advance are noticeably more likely to be canceled. And the repeated callbacks take up a lot of time. Because of this, I'm currently faced with the decision of whether and how to either significantly adjust fees to absorb this or to consistently organize in a way that is fair to all parties. Because of this, I am also offering options in terms of shifting appointments with the fees.
There is a maximum of 20 hours a week available for psychotherapy, and any canceled appointment means patients are unable to benefit from psychotherapy help. I understand that it would be more convenient for you otherwise, but this solution is the fairest for all involved.
You can use real-time bank transfer (costs 25 Ct. at Sparkasse Berlin, for example) for time-sensitive appointments, and the transfer takes a few minutes, or we can make an appointment with appropriate advance preparation. If this is not an option for you, please let me know immediately so that I can assign your appointment. Otherwise, I appreciate your understanding and look forward to intensive cooperation.
You are not in Berlin or prefer an alternative instead of coming to me?
You are not in Berlin or do not want or cannot come to the practice for other reasons? Then it is worth reading the following information about the options:
a. Travel to Berlin
For clients traveling to Berlin, there is the possibility, if booked in advance, to hold 2 sessions on the same day. It should be discussed in advance by telephone whether this is a recommendable option, as it requires appropriate prerequisites. Any sources of additional pressure should be avoided in the interest of the therapeutic success.
Here you will find further information when considering to travel to me in Berlin.
b. Online sessions
At times a personal meeting is not possible. In such cases, a telephone session or a session with video support via the Internet is an alternative or supplement. I have been using this setting for many years, and many clients have achieved excellent results with it. These experiences make it easy to achieve very intensive sessions in this way as well. You are more flexible and can also use my support very promptly. There are currently reduced fees for such sessions.
You are also on the safe side regarding the coronavirus. By the way, this is also an option if you should be unexpectedly unable to attend a session personally.
Preparation for the first session
With the confirmation of your appointment, you will receive recommendations on how to prepare for your first session with me. With your appointment confirmation, you will receive recommendations on how to prepare for your first session with me. You will also get an overview of what to consider regarding the Coronavirus during in-office appointments and how to prepare best for online sessions.
The first session: Step by step
The optimal prerequisites are set right at the beginning. In the first meeting, we create the basis for intensive cooperation. Step by step:
1. Preparation
The first session is generally 90 minutes so that there is enough time for an in-depth preliminary discussion, in which we can clarify questions. Then we begin with a detailed dialogue, with the anamnesis, in order to adapt the therapeutic plan individually to your personal needs. For this purpose, we define your goals and motives and discuss the steps.
2. First intervention
As soon as you are ready for it, we get to work. You set the pace. In the second part of the session, we figure out the easiest way to get you into a comfortable, relaxed hypnotic state. You will experience an introductory trance. This enables access to your unconscious and permits initial suggestions. How far we proceed with this in the first session will be determined by your reactions. Finally, I gently lead you out of the trance.
3. Evaluation, options, and outlook
Following the first trance, I will respond to your questions, and we will discuss how to proceed with your hypnotherapy. In most cases, you will receive recommendations you can apply to complement and enhance the work we do together, even beyond the sessions. It is crucial that you not only feel better in the session, but also have an improvement in your everyday life. The more effectively we work together, the sooner I make myself superfluous as your therapist. That's it!
Self-hypnosis
When appropriate, I will teach you self-hypnosis to complement the hypnosis sessions. Self-hypnosis is a tool to control unconscious processes and thus mental states by yourself.
After you enjoyed positive trance experiences with my support, you can learn self-hypnosis very quickly. This helps you to progress self-determined. It accelerates the process, deepens, and consolidates what has been achieved in the therapy sessions. Your autonomy is thus fostered. A good therapist makes himself superfluous as soon as possible. Self-hypnosis is an excellent method of self-help that can be used beyond the actual issue.
Be sure to read the following notice
Before contacting me, please read the detailed information about fees, booking, contraindications to hypnotherapy and answers to other frequently asked questions (FAQ).
These pages are intended to provide information for those interested in psychotherapy using hypnotherapy. It is not intended to replace psychotherapy or personal consultation, examination or diagnosis by a licensed medical practitioner. I am not a medical doctor. I specialize in helping people with anxiety and anxiety disorders. The profession of a hypnotherapist (official license to practice psychotherapy according to the HPG) is fundamentally different from that of a medical doctor. Medical diagnoses are not made, nor are promises of healing made or medication prescribed. Hypnotherapy is not a substitute for medical or psychiatric intervention where this is required.
If you have any questions about psychotherapy with hypnosis, please do not hesitate to contact me. I will be happy to inform you.
Just ask me personally.
Let's talk. Please read the privacy policy. If you are interested, you can contact me for questions and appointments via this contact form or by e-mail (mail@berlin-hypnosis.com), phone 030/86421369, and mobile phone 01577/7045356. The best time to contact me by telephone is Monday to Thursday between 9.00 am and 6.00 pm. During sessions, there is an answering machine. Leave a message and your phone number in Germany, and I'll call you back as soon as possible. Make sure I understand what you are asking for.
You can find answers to frequently asked questions, such as fees, on the home page. There are also lots of articles and details about me (profile) to help you get an idea of who I am. This will also make it easier for you to decide if I am the right therapist for you and your problem.
Message
Remarks:
In the address bar of your browser, the URL should begin with "https://www.berlin-hypnosis.com/...". This indicates a secure connection (SSL). Whether you enter your real name is up to you.
Articles
Am I the right therapist for you and your topic?
You want to be sure to make a good decision when choosing a therapist that is right for you and your topic? Then I will make it easy for you and introduce myself.
Is anxiety only in your mind?
We often hear that fear is purely a matter of the head. And if it is only a thought, it can’t be that bad, can it?
How can hypnosis help me?
How can hypnosis help me? Hypnosis is just a tool to create better suggestibility or bypass the analytical mind. Hypnosis helps you get in touch with more conscious awareness and sense of your body. Hypnosis is effective in addressing relationship issues,...
Published: March 12, 2007
Author: Karsten Noack
Revision: August 15, 2023
Translation: August 23, 2019
German version:
K:
H:
T: RR
AN: #132