Therapy for Erectile Dysfunction Adaptation of ACT for Compliance With an Erectile Rehabilitation Program

Inclusion Criteria:

Part A

Men who are 1 to 3 years post radical prostatectomy for early stage prostate cancer
Participated in penile injection program
Are able to speak, read, write and understand English well enough to complete study assessment and communicate with an English speaking therapist

Part B

Men who are up to 9 months post radical prostatectomy.
Had good erectile functioning pre-surgery (i.e., 24 or greater on the IIEF Erectile Function Domain (EFD) score), graded their erections as a 1 or 2 on the standard 5 point Urology Erectile Function scale) or have a score of 7 or greater on the 1-10 pre-surgery erectile function scale on the SMRP assessment)
Seen at MSKCC"s Sexual Medicine Rehabilitation Program (SMRP)
Advised by the clinical staff of the SMRP to start penile injections.

Exclusion Criteria:

Part A

Recurrence or progression of disease,
Specific injection phobia (self report)
A history of bipolar disorder or psychotic disorder (determined from self-report and/or chart review)
Current major depression (determined by self report and/or clinician observation and assessment) that would preclude from giving informed consent or being an active participant in a focus group

Part B

Specific injection phobia (self report)
A history of bipolar disorder or psychotic disorder (determined from self-report and/or chart review)
Current major depression (determined by self report and/or clinician observation and assessment) that would preclude from giving informed consent or being an active participant in a therapeutic session.