The syndrome of anxious anticipation of sexual failure (STOSN) is one of the anxiety-phobic and obsessive-compulsive disorders, which performs an adaptive-protective function and manifests itself in situational doubts about one's sexual abilities to qualitatively conduct sexual intercourse according to a certain pattern; it may be characterized by coitophobia. In the etiology of the development of STOSN in men and women, somatic and mental diseases, in particular psychopathies and depressive disorders, have been identified among medical factors. It can also be the result of a side effect of drug treatment (selective serotonin reuptake inhibitors in antidepressants, finasteride in a component of drugs against hair loss). The psychogenic etiology of the syndrome develops in the context of irrational beliefs and attitudes of "all or nothing". It is determined at the individual level in single or frequent negative episodes of previous sexual experience, when sexual failures cause doubts about one's own sexual ability, so the next intimate approach is subject to hypercontrol. It is accompanied by the phenomenon of "self-observation" when combining the roles of both participant and observer during a sexual act (in men, the androcentric variant of STOSN, which is interested only in his sexual problems; the feminocentric variant - in most cases, worries about the feelings of the partner in connection with his sexual dysfunction; mixed - a combination of the two previous ones). As a result, the spontaneity and naturalness necessary for the emergence and maintenance of sexual arousal are lost; this then entails new failures and an increase in obsessive fears. STOSN is quite characteristic of both men and women, although it is more described in the dimension of male sexuality. Depending on the intensity of the course, the sexual cycle of normal sexual reactions is blocked at a certain stage, in particular, at its maximum manifestation - there is no further stage of the copulatory cycle, a pronounced deactualization of sexual contacts in general (low sexual desire) may develop. If the syndrome allowed the sexual scenario to be launched, then the next block may occur at the stage of arousal in men as erectile dysfunction, in women - a disorder of genital-pelvic pain/penetration. Premature ejaculation or its delay in men and orgasm disorders in women manifest themselves at the orgasm stage in STOSN. It is important to understand that effective sexological work on STOSN in men and women involves a comprehensive interdisciplinary approach to diagnosis, collection of information in the anamnesis about the possible physiological basis of the existing sexual dysfunction, its primary or secondary nature (as a result of contacting another appropriate specialist). If medical reasons are excluded, then individual therapy (psychoeducation, work with cognitive biases, CBT techniques) and couple family therapy. First, it is important to include psychoeducation regarding sexual disorders in the rehabilitation of Ukrainian military personnel and their partners; as well as those in conditions of forced migration, which will minimize the risk of developing psychogenic sexual dysfunction. In individual therapy, special attention is paid to helping victims of sexual violence in martial law to prevent the development of sexual dysfunction or its therapy. In the dimension of couple family therapy, establishing a psychological atmosphere with the existing partner, verbalizing one's own sexual needs, desires, and increasing the sexual skills of both will allow solving a possible sexual problem.