Sexual and intimate concerns are among the most common difficulties people live with, and among the least talked about. Many people carry these struggles privately for years, uncertain whether what they feel is normal, uncertain whether help exists, or uncertain whether they deserve it.
Psychosexual therapy is a specialist form of talk therapy. It explores the emotional, relational and psychological dimensions of sexuality and intimacy, drawing on clinical research in sexology, attachment, and trauma.
Unlike general counselling, psychosexual therapy specifically holds space for conversations many therapists are not trained to have, about desire, arousal, pain, trauma, shame, identity and the particular ways sex and intimacy shape our sense of self.
People come for many reasons. You do not need a diagnosis, a clear label, or a sense that your difficulty is “serious enough.” If something in your intimate life feels painful, confusing or stuck, that is already good reason to ask for support.
Common concerns I work with include:
For the particular dynamic of desire discrepancy or intimacy loss within a couple, you may also find Couples Therapy relevant.
One of the most common things people say in their first session is some version of: “I thought I was the only one who felt this way.”
Shame around sexuality is extraordinarily common, shaped by culture, religion, family silences, earlier experiences, and the simple fact that most of us have never had a safe conversation about sex. In this space, nothing you bring will be judged, pathologised or treated as something to be fixed. We work instead with curiosity, exploring what your experience means, where it comes from, and what you would like to be different.
Sexual difficulties rarely sit in the mind alone. Tension, numbness, anxiety or shutdown during intimacy are usually not failures of will or desire, they are the body's way of staying safe. Often these responses were learned long before we had words for them, shaped by earlier experiences, messages we absorbed, or simply what felt necessary at the time.
In our work, we pay careful, non-intrusive attention to what the body holds: not by touching, but by noticing what it communicates. When those signals are met with curiosity rather than pressure, something often begins to shift, at a level that insight alone rarely reaches.
The work is not only about relieving difficulty. It is about rediscovering what is possible once shame softens and the body begins to feel safer. Many clients find that, alongside the specific concern that brought them in, something broader opens: a fuller sense of their own voice, needs and desires, and of the pleasure and connection that become possible when those are no longer held back.
Some people choose to come to psychosexual therapy with their partner, particularly where sexual difficulty is affecting the relationship, desire discrepancy is causing tension, or both partners want to understand a shared concern together. Either way, the work is shaped around what you bring.
Fees and booking details on the Contact page.