The landscape has dramatically changed for patients seeking treatment for rapid 
ejaculation. Previously, psychotherapy or behavioral treatment was considered to 
be the treatment of choice for this troubling sexual dysfunction. Since the 
early 1990s, an efficacious alternative treatment has emerged-the off-label 
administration of SSRI medications. Currently, several short-acting SSRI 
compounds are in phase III clinical trials and are likely to receive approval as 
the first medical treatment for rapid ejaculation. Given the presumed efficacy 
of these new compounds and the off-label use of the current SSRIs, one might 
conclude that psychotherapy\behavior therapy for rapid ejaculation is an 
obsolete and antiquated intervention. On the contrary, psychotherapy is now more 
relevant than ever. The two aims of this paper are to review 
psychological/behavioral therapies for rapid ejaculation and to discuss the 
important role of combined psychological and medical treatment. In the new age 
of SSRI treatment for rapid ejaculation, some form of psychological/behavioral 
intervention is essential to help patients/couples make better use of medical 
therapies, to learn skills to delay ejaculation once off medication, to bolster 
sexual confidence, and to enhance patient and partner sexual satisfaction.