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8 9 The Cochrane review of nine studies found that individual 0

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Both individual counselling and group therapy increase the chances of quitting. 8 9 The Cochrane review of nine studies found that individual counselling was better than brief advice or usual care (1.55, 1.27 to 1.90).9 Group therapy was more effective than self help materials but not consistently better than other interventions involving personal contact.8 There was no difference between group and individual therapy in the two trials that included both. Groups are theoretically more cost effective, but their usefulness may be limited by difficulties in recruiting and retaining participants.10In the trials the therapists were usually clinical psychologists, but the interventions drew on a variety of psychological techniques rather than a distinctive theoretical model.

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Initiate sex talk “In loving couples, there often an exaggerated fear of hurting the other feelings if you say, never liked that position, says Tiefer. “Often couples have different ideas of what sex is for: One feels that it for romance and bonding; the other feels that much too serious, and it just about having an orgasm.” Talk about your feelings in a neutral place (not your bed) with the idea that you working on a project (your sex life) as colleagues, not negotiating a settlement like two sides in a labor dispute. Remember, says Tiefer: “Sex is a lot like dancing.

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