Arousal Nonconcordance and a History of Sexual Abuse

This article was updated on September 19, 2026.

Arousal nonconcordance is the physiological phenomenon where a person's physical body responds sexually (such as through lubrication or erection) while their mind feels zero emotional or psychological desire. For survivors of sexual trauma, understanding this disconnect is a vital step toward healing and releasing unearned shame.

Understanding the disconnect between mind and body is a powerful first step toward trauma recovery and reclaiming your narrative.

Topics:

• What is Arousal Nonconcordance?
• The Difference Between Sexual Desire vs. Sexual Arousal
• Examples of Arousal Nonconcordance
• The Connection to Trauma and Memories of Sexual Abuse
• How Trauma Healing and Role Play Can Empower Survivors
• Finding the Right Trauma-Informed Sex Therapist

What is Arousal Nonconcordance?

Arousal nonconcordance occurs when there is a distinct disconnect between how someone feels physically and how they feel emotionally and psychologically.

Essentially, it means physical signs of sexual response do not automatically equal psychological desire. It manifests in two distinct ways:

• A person feels physically aroused, but they do not want to have sex.
• A person emotionally desires sex, but their body does not respond with physical arousal.

(For a deeper dive into the foundations of this concept, see my companion article: What is Arousal Nonconcordance?)

The Difference Between Sexual Desire vs. Sexual Arousal

To fully understand this concept, it helps to distinguish between the mind's intent and the body's autonomous reflexes.

• Sexual Desire: This is a purely psychological state. Often described as being "in the mood," desire is a state of mind heavily influenced by emotions, thoughts, stress levels, relationship dynamics, and the immediate context.
• Sexual Arousal: This is an autonomous physical response. It involves involuntary physiological changes, such as increased blood flow to the genitals, lubrication, or erection. Arousal is frequently triggered by automatic physical cues, visual stimuli, touch or sudden memories.

While sexual desire and sexual arousal frequently occur together, they operate on separate systems. Arousal nonconcordance is the clear proof that your body can react independently of your conscious mind.

Examples of Arousal Nonconcordance:

The following clinical vignettes, which are composite cases, illustrate how common and varied this experience is across different relationships:

• Liz and Jane (Lubrication vs. Desire): Liz feels deeply turned on while kissing Jane. However, when Jane touches Liz's genitals, she notices Liz feels dry. Jane assumes this means Liz doesn't want to have sex and stops. Liz gently tells her that even though her body hasn't caught up yet, she intensely desires Jane. They communicate, continue kissing, and enjoy making love.
• Mary and Bill (Unwanted Physical Arousal): Bill touches Mary's genitals to initiate sex. Mary has a severe headache and explicitly states she is not in the mood. Confused, Bill says, "But you're wet, how are you not in the mood?" Mary explains that her body's lubrication is just an automatic reflex, but she lacks the psychological desire to have sex right now. They wait until morning, when Mary feels better, to enjoy intimacy.
• John and Ed (Desire vs. Erection Performance): While in bed, John tells Ed he wants to have sex. During foreplay, Ed notices John does not have an erection and withdraws, assuming John isn't attracted to him. John reassures Ed that he desires him completely, but anxiety is blocking his physical response. After cuddling quietly to calm John's nervous system, his body relaxes and he achieves an erection.

Arousal Nonconcordance and Memories of Sexual Abuse

Understanding arousal nonconcordance is absolutely critical for individuals navigating a history of sexual abuse or managing unexpected sexual trauma triggers.

Why Does the Body Get Aroused During Abuse?

During an assault, or when experiencing intrusive memories of past trauma, the human body may automatically lubricate or erect. This is an involuntary, biological survival reflex. The body reacts to physical touch or heightened nervous system arousal to protect itself from tissue damage. It does not mean the victim enjoyed, wanted, or consented to the abuse.

Overcoming the Cycle of Shame and Self-Blame

Because many survivors are unaware of how arousal nonconcordance works, experiencing a physical reaction during or after an assault causes immense confusion. Survivors frequently experience:

• Intense feelings of shame, guilt, and self-blame.
• The mistaken belief that they "secretly wanted it" or that "something is wrong with them."
• Distressing flashbacks triggered during healthy, consensual intimacy (see my guide on Coping With Trauma: Managing Sexual Triggers).

If you experienced physical arousal during trauma, there is absolutely nothing wrong with you. You are not to blame. Your body simply did what it was biologically wired to do to protect itself.

How Trauma Healing and Roleplay Can Empower Survivors

Every survivor's healing journey looks completely different. While some people choose to accept their body's automatic responses and move forward, others actively use creative clinical strategies to reclaim their bodily autonomy.

One therapeutic approach involves consensual trauma-informed roleplay with a trusted, safe partner. During the original trauma, the survivor had zero control over their body or the outcome. In a structured, highly communicative roleplay setting, the survivor uses their imagination to dictate the rules, set firm boundaries, and experience a safe, completely different outcome. By rewriting the script, the roleplay acts as a powerful tool for emotional somatic healing.

Finding the Right Trauma-Informed Sex Therapist

The vast majority of general mental health professionals receive very little, if any, training in human sexuality, and many do not understand the mechanics of arousal nonconcordance.

If you want to safely process unwanted physical responses, heal from trauma, and rebuild a fulfilling intimate life, it is essential to work with a practitioner dually trained in both sex therapy and trauma resolution (learn more here: What Are Common Issues Discussed in Sex Therapy?).

About Josephine Ferraro, LCSW

I am a licensed New York psychotherapist, Certified Sex Therapist and Trauma Specialist with over 20 years of experience helping individuals and couples heal trauma and reclaim their intimacy in my office in Greenwich Village, New York City (10011) and online.

My practice integrates specialized modalities including EMDR, AEDP, IFS, Somatic Experiencing, Hypnotherapy, and Emotionally Focused Therapy (EFT) for individuals and couples.

I offer a complementary 15 minute phone call before setting up an appointment.

Ready to reclaim your narrative?
To set up a private consultation at my NYC practice, contact me today:

• Website: Josephine Ferraro, LCSW - NYC Psychotherapist

• Phone: (917) 742-2624
• Website: Josephine Ferraro, LCSW - NYC Psychotherapist
• Email: josephineferraro@iCloud.com

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What Are the Pros and Cons of Rebound S£x After a Breakup?

This article was revised on September 14, 2026.

According to Justin Lehmiller, Ph.D., social psychologist and sex researcher, there are pros and cons to having rebound sex after a breakup (see my article:  The Problem With Rebound Relationships).

What is Rebound Sex?

Rebound sex is sexual activity with someone new to get over a breakup.  The objective is to get over an ex by having sex with someone else.

Pros and Cons of Rebound Sex

This can involve hooking up for a one-night stand with someone you have no intention of seeing again. It can be with someone you start dating after you go through a relationship breakup. It might also involve having casual sex with one of your ex-partners.

According to Dr. Lehmiller, rebound sex is more likely to occur, on average, about a month after the breakup.  He describes rebound sex as being a short term coping strategy.  

He also indicates that rebound sex is much more likely to occur if you were the one who was left behind (i.e., your partner broke up with you).

What Are the Pros and Cons of Rebound Sex?

According to Dr. Lehmiller's article in Psychology Today, while there is nothing inherently right or wrong about rebound sex, there are pros and cons depending upon the circumstances and context which can make a big difference about whether it's a positive or negative experience for you.

Pros

• Under the right circumstances and in the right context, rebound sex can be a confidence booster.

• Similarly, rebound sex can, potentially, help you to move on from a breakup (if context and circumstances are right).

Cons

• If the context and circumstances aren't right for you, you might regret having rebound sex. For instance, if you were drunk or impaired by drugs, you might have regrets afterward.  This can lower your sense of self confidence.

• If you regret having rebound sex, you might find yourself missing your ex even more intensely than before (this isn't mentioned in the Psychology Today article, but it has been my clinical experience that when clients have regrets about rebound sex, they often long for their ex, who is known and familiar).

• If rebound sex involves feelings of revenge against an ex, you might be left with regrets and unresolved feelings.

Clinical Vignettes

The following brief clinical vignettes, which are composites of many different cases with all identifying information changed, are examples of the pros and cons of rebound sex:

Pros

    Alice

After Alice's boyfriend of three months broke up with her, she wanted to start dating again, but she wasn't emotionally available enough to even consider getting into a serious relationship.  So, when she met Bill at a bar about a month after her breakup, she could feel they were both sexually attracted to each other and she explained her situation to him. She was honest about only wanting to have casual sex with him. Bill responded by telling her that he was just out of a long term relationship and he wasn't looking for anything serious.  

Both of them were sober and in the right state of mind to make responsible sexual decisions. So, they went back to Alice's place and had a passionate night of sex.  By the next morning, Alice felt sexually desirable again in a way she had not felt in a long time. She also felt a boost to her self confidence. Bill told her that he felt great the next morning.  After that, they met a few more times to have casual sex, but they mutually decided not to continue seeing each other because, other than sex, they had very little in common.  They both dated other people and remained friendly whenever they ran into each other. They both felt the rebound sex they had with each other helped them to move on from their breakups.

Cons

    John

After John's wife, Beth, left him in their sixth year of marriage, John was in a state of despair.  He had no awareness that Beth was so unhappy that she would end their marriage, so it came as a shock to him. Two weeks after the breakup, John felt inconsolable.  Even before the breakup, he didn't know how to handle uncomfortable emotions, so he didn't feel equipped to handle the sadness and pain that came up for him. 

Not knowing what to do with his emotions, he turned to alcohol and got drunk every night for two weeks.  During that time, while he was in a drunken stupor, he called Nina, a woman he dated briefly before he got married and they spent the weekend together having sex. Nina was also Beth's former college roommate.  John wanted revenge against Beth so he secretly hoped that Nina, who had unresolved issues with Beth, would tell Beth about their weekend together as a way to get back at Beth. He wanted Beth to feel as much pain as he did when she left him.  But by the time he sobered up and he realized that Nina had feelings for him and she hoped they would get back together, he knew he had made a mistake because he didn't tell Nina that this was just rebound sex and he had no intention of getting back with her. He felt even worse when Beth called him and told him that Nina told her that she and John had sex. Beth told him she couldn't believe he would act out this way to hurt her. Then, he felt even worse and regretted having rebound sex.

Communicate Openly and Honestly With Rebound Sex Partners

As these two vignettes illustrate, it's important to be open and honest with your partner about what you want when you want rebound sex as illustrated in the vignette about Alice.

You want to make sure you and the other person are in agreement that you both only want casual sex and neither of you is looking for anything more, which was also illustrated in the vignette about Alice.

If you don't communicate honestly, there's the potential for misunderstandings and hurt feelings as illustrated in the vignette about John.

Don't have rebound sex to get revenge on your ex because everyone involved might get hurt, which was also illustrated in the vignette about John.

Getting Help in Therapy

There are times, especially after a breakup, when you might not know what you want.

A skilled psychotherapist can help you to explore your feelings and make choices that are right for you.

Rather than struggling on your own, seek help with a licensed mental health professional so you can lead a more meaningful life.

Contact & Consultation Information

I see clients online throughout New York State and in person at my private office in Greenwich Village, New York, NY 10011.

I offer a free 15-minute introductory phone consultation before scheduling your initial appointment.

• Website: Visit Josephine Ferraro, LCSW - NYC Psychotherapist to learn more about my practice.

• Email: Reach out confidentially via email at josephineferraro@iCloud.com.

• Phone: Call me directly at (917) 742-2624 during standard business hours.

Relationships: Why is Sexual Aftercare Important?

I wrote about the importance of aftercare in a prior article about BDSM (Bondage and Discipline, Dominance and Submission and Sadism and Masochism), but aftercare isn't just for BDSM--it's important for non-BDSM encounters too, so I'm exploring that topic in this article.

Aftercare Shows You Care

The concept of sexual aftercare began in the BDSM community and is now considered a common practice in conventional sex that does not include BDSM.

What is Sexual Aftercare?

There is no one-size fits all approach to sexual aftercare.

Aftercare Shows You Care

Sexual aftercare is an essential part of sexual intimacy which helps to foster emotional connection and intimacy. 

Sexual aftercare involves both physical and emotional care which often go together.

Physical aftercare can include:

• Cuddling
• Offering a gentle massage
• Sharing a blanket
• Hydrating or having a snack
• Tending to potential injuries that can occur during sex including scratches or bruises
• Showering together
• Taking a nap
• Reading together
• Listening to music
• Anything partners enjoy that maintains physical comfort and closeness

Emotional aftercare can include:

• Open, reassuring conversations between partners
• Discussing vulnerable feelings

Why is Sexual Aftercare Important?

Sexual aftercare is important for many reasons including that it:

• Helps each partner to relax and recover in a caring way

Aftercare Shows You Care

• Shows mutual respect and appreciation

• Helps partners to feel secure

• Helps to ease partners to transition from sex to everyday life without feeling an abrupt change

• Helps the body to adjust to fading feel-good hormones like oxytocin and dopamine which are released during sexual activity

• Helps to avoid postcoital dysphoria which is a condition that some people experience after sex which includes sadness, anxiety or distress

• Helps to prevent negative emotions where one or both partners can feel used, dismissed, unappreciated. Other people can experience guilt or shame if they don't engage in sexual aftercare

What Not to Do After Sex

• Avoid jumping out of bed immediately after sex to take a shower unless you and your partner have agreed to this beforehand. If you abruptly leave your partner after sex, your partner can feel alone and abandoned after such an intimate experience. 

• If you feel sweaty and uncomfortable after sex, after you cuddle with your partner, you can use a warm wash cloth and offer one to your partner. You can also shower together so the showering becomes part of the sexual intimacy. 

• Even if you and your partner have a casual friendship or relationship, don't treat your partner like a sexual object. Show them respect and care.

How to Set Up Sexual Aftercare Before Sex

• Clear communication with your partner is the key to having sexual aftercare that you and your partner can enjoy together.

Aftercare Shows You Care

• Share information with your partner about your aftercare needs and find out what they prefer.

Conclusion

Sexual aftercare is an important part of sexual intimacy.

There is no right or wrong way to do sexual aftercare as long as it meets your needs and your partner's needs.

Getting Help in Sex Therapy

If you and your partner have been having sexual problems, you could benefit from talking to a sex therapist (see my article: What is Sex Therapy?).

Individual adults and couples seek help in sex therapy for a variety of reasons (see my article: Why Do Individuals and Couples Seek Help in Sex Therapy).

Sex therapy is a form of talk therapy. There is no nudity or sex during sex therapy sessions (see my article: Common Misconceptions About Sex Therapy).

Rather than struggling on your own, seek help from a certified sex therapist so you can have a more fulfilling relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist).

I have over 25 years of experience working with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles: 

Have You and Your Partner Stopped Having Sex?  

Sexual Desire Discrepancy: You and Your Partner Have Different Levels of Sexual Desire

What is Sexual Self Esteem? 

The Four Cs of Safer and More Pleasurable Sex 

Understanding Your Sexual Arousal Type  

Overcoming Anxiety-Related Erectile Problems 

To Improve Sexual Intimacy Get Off the Sexual Staircase

What is Erotic Empathy?  

Overcoming Sexual Shame and Guilt 

Overcoming Painful Sex