What is psychosexual therapy?

Psychosexual therapy originated from Sigmund Freud's psychoanalytic theories, which linked sexual development to unresolved childhood conflicts. Freud’s psychosexual stages laid the groundwork for understanding adult sexual dysfunctions. In the 1950s and 60s, Masters and Johnson shifted the focus to the physiological and behavioral aspects of sexual response, developing therapeutic techniques such as sensate focus. The basis of psychosexual therapy stems from the understanding that sexual difficulties often have psychological, emotional, and sometimes physical components that influence one another.

Psychosexual therapy has come a long way since the early 1900s. It is a unique intersection of therapeutic modalities, focused on what can be a very sensual and connecting part of the human existance, sex & sexuality. It combines talk therapy with practical techniques and behavioural exercises to help clients explore their thoughts, emotions, and behaviors related to sex. It integrates psychoanalytic insights, cognitive-behavioral therapy (CBT), relationship counselling, and mindfulness practices. It addresses emotional, cognitive, relational, and physiological aspects of sexual health, providing a comprehensive approach to treating sexual dysfunctions and enhancing intimacy and well-being.

Psychosexual therapy is a specialised form of therapy designed to help individuals and couples address emotional, psychological, and physical issues related to their sexual health and functioning. It is typically recommended for people experiencing difficulties such as low libido, sexual anxiety, erectile dysfunction, premature ejaculation, pain during intercourse, or relationship problems related to intimacy.

What is relationship therapy?

Relationship therapy is a type of psychotherapy designed to help couples improve communication, resolve conflicts, and strengthen emotional connections. It addresses issues such as trust, intimacy, communication breakdowns, infidelity, and differing values. The therapist works with both partners to explore underlying emotional needs, patterns of behavior, and the dynamics within the relationship. Techniques from various therapeutic approaches, such as cognitive-behavioral therapy (CBT), psychodynamic therapy alongside practising healthy communication tools and techniques are often used. The goal is to foster understanding, promote healthy communication, and help couples develop strategies for maintaining a fulfilling and lasting relationship. Psychosexual & relationship therapy very often go hand in hand together.

What kind of issues do I work with?

• Sexual Dysfunction: Including but not strictly erectile dysfunction, rapid ejaculation, low sex drive, vaginismus, vulvodynia and anorgasmia.

• Sexual Trauma & Abuse: Healing from past sexual abuse or assault.

• Performance Anxiety: Stress or anxiety about sexual performance.

• Body Image Issues: Insecurity affecting sexual confidence and intimacy.

• Paraphilias & Kinks: Navigating atypical sexual interests in a safe space.

• Trust Issues: Infidelity, dishonesty, or emotional distance in relationships.

• Communication Problems: Difficulty expressing needs or resolving conflicts.

• Intimacy & Connection: Lack of emotional or physical intimacy in relationships.

  Please get in touch if you feel that psychosexual & relationship therapy would benefit you but feel that your needs are not reflected in this list. It is not exhaustive & I offer a 15 minute free phone or video consulation to discuss if we would be a good match to work together.

My approach

The therapy process usually begins with an assessment to explore the your sexual history, relationship dynamics, medical background, and any emotional or psychological concerns that might be impacting your sexual life. A key goal is to help you feel safe and comfortable in discussing sensitive issues, often breaking down shame or guilt that may be associated with sex. Depending on your and/or your partner’s needs, therapy may include education about sexual anatomy, arousal processes, or communication techniques for enhancing intimacy.

First session of therapy

Whether you’re someone who has been to other types of therapy in the past or this is your first time interested in seeing if talking therapies are for you. Welcome! The first therapy session generally follows a similar structure. I will introduce myself, explain a little bit of my background and what psychosexual/relationship therapy is. We will discuss why you are coming to therapy in more detail than our initial call and your goals for treatment. We will discuss shared expectations of both client/therapist rapport. If you are happy to continue to work together, I will send a therapy contract for us both to sign. Then we can work together to see the wonderful process of therapy begin.

Length of treatment

Each session is 50 minutes long. The length of how long we will work together completely depends from person to person. Often clients find 10-15 sessions has a positive effect on their presenting issue and starts to break down the barrier of guilt, anxiety and shame that can encompass a sexual issue. Some may feel that they need fewer sessions, whilst others benefit from a more longer term approach to address broader range of issues over time. It is dependant on your needs and what you feel comfortable with.

Welcome to my practice

I offer a warm, non-judgmental space where you can explore concerns around sex, intimacy, and relationships—whether individually or as a couple. My approach is collaborative, inclusive, and grounded in respect for your unique experiences and identity.

I work integratively, drawing from a range of therapeutic models to support your emotional and relational wellbeing. Central to my practice are the values of empathy, openness, and honesty, with the aim of helping you feel heard, understood, and empowered to move forward with your sex life.

What techniques are used during therapy?

Sex therapists use mindfulness techniques to enhance sexual well-being, including focusing on physical sensations, deep breathing to reduce anxiety, and cultivating non-judgmental acceptance of sexual experiences. Sensate focus exercises promote connection without performance pressure, while visualisation creates safe, relaxing mental spaces. Grounding techniques help clients stay present, and open communication fosters intimacy. Additionally, self-exploration through journaling or mindful sexual exploration exercises encourages self-awareness. These tools can reduce anxiety, improve intimacy, and enhance sexual pleasure and confidence.

What is CBT?

Cognitive Behavioral Therapy (CBT) is a psychotherapy that helps individuals identify and change negative thought patterns and behaviors. It focuses on problem-solving and teaches coping strategies to manage stress, anxiety, depression, and other mental health issues. CBT is typically short-term and goal-oriented, aiming for practical, lasting change.

Inclusivity

As a therapist and a human being, inclusivity is essential for me in creating a safe, non-judgmental space where individuals of all sexual orientations, gender identities, and relationship structures feel respected and understood. People from all walks of life are welcome in my practice. I will always endeavour to use inclusive language and be culturally sensitive, as I strive to create a supportive environment that promotes healing, self-exploration, and growth, ensuring all clients feel validated and empowered. My sessions are a safe space, I always welcome being educated on being more inclusive from my clients.