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Could be some kind of limiting belief. Sometimes it almost feels like sex is just something that happens to other people, or maybe only in movies or something. How do you get past something like that?
Well there is no real easy answer. NLP is very very helpful. Since the problem is based on your mind's visualizations, changing how you visualize situations is the best way it fix it. Mirror affirmations can do wonders as well. I am a huge proponent of Tony Robbins, and he does three things that I think could help, they are: the dickens pattern, swish patterns, and pattern interrupts.
Dickens pattern (name based on a Christmas Tale by Charles Dickens):
The idea behind this NLP pattern is too apply enough pain toward staying the same, that your brain has no choice but to change, because staying the same would feel too painful. Basically you have to picture times in the past where, being the way you are, affected your life negatively. Then you have to picture how, being the way you are, affects you life negatively now. Then picture yourself five years in the future, and how bad you feel for not changing. Then 10 years, then 20, then fifty, and finally how would you feel if you were to die and you never did anything to change. This visualization will prime your mind to be completely open to change, and will motivate you immensely.
Swish pattern:
Picture yourself now, as you are when you feel at your worst and most embarrassed. Make the picture large in your mind. Now picture the "fixed" version of you off in the distance. Notice how much better that version of you is. Notice all the confidence and strength, and the complete lack of your problem. Now in your head play some odd and funny music as the soundtrack to the visualization. Finally, like a slingshot shooting the strong image of yourself into the foreground, bring the picture of you close to you in your mind, let it knock away the negative picture of you and encompass your mind's eye. While you are doing this, say "swish", or whatever phrase you choose. This word will be an anchor for whenever doubt or weakness reenters your mind, just say your word and all the positivity will return as well. Repeat this process as needed.
Pattern interrupts:
People tend to allow negativity to enter there minds and completely take over. We do it so often that they become unconscious habits and we don't notice or even realize we can control them. The answer is to interrupt ourselves every time we notice we are giving into negative thoughts. We do so by doing something so odd or incongruent to the feelings associated to the thoughts, that way we kind of snap ourselves out of our own negativity. Like if you start being really down on yourself and start thinking about reasons why you wont succeed at something (<-limiting beliefs), do something weird like: get a goofy smile and start laughing, reach up and honk your nose like a clown, slap yourself in a funny way, say something funny to yourself, or anything else that seems odd. Then after you've snapped out of thinking negatively, think of whatever you were thinking about but in a positive way. Instead of thinking about all the ways you could fail, think of all the ways you could succeed. If you do this process consistently enough, it will become difficult to think negatively, thinking positively will become your new default mode.
I know these techniques seem odd, but they are very effective when done properly.
Also these techniques are a lot better when you hear them on tape from Tony Robbins himself, and he walks you through them step by step, seeing as how he is professional trained in NLP and has invented some of these techniques. But I did the best I could to explain them.