The thing the therapist has helped me see the most is that setting expectations and being in the moment greatly affects how I feel about the outcome.

For example, I was until very recently anorgasmic from Orgovyx. Going into a sexual encounter knowing this made me feel sad and anxious and not wanting to even do it at all. However, approaching it from the angle of "I'm going to enjoy the physicality and emotions of this experience as it's happening and see where it leads instead of thinking about how it's going to end" has helped a lot.

Another example: pre-Orgovyx I walked my dog four miles in an hour. Post-Orgovyx that same walk took about an hour and 15 minutes. I'd been thinking "this sucks, my walk is taking me 15 minutes longer than before" and I would look at the reports from my watch showing me slowing down. Now I go into it thinking "It's nice to be outdoors and my dog is really happy jumping in all the leaf piles and it's fun watching her. I'm lucky I get to do this."

Just this simple reframing has really made a difference. TBH, I initially thought it was just "psychological mumbo-jumbo" but there really is something to it. Not saying this is ALWAYS easy to do but I do make a good faith effort and feel it's helping me.