Sex Therapy Counselling in West End, London

Photo of Alice Best, COSRT General, Psychotherapist
Alice Best
Psychotherapist, COSRT General
Verified Verified
West End, London WC2A
I am a Psychosexual and Relationship Therapist, working with individuals and couples. Experiencing an issue with sex or sexuality can be enormously upsetting and damaging to self esteem. Often relationships suffer as a result. Perhaps you have lived with a sexual issue or question about your sexuality for a while and have decided that now is the time to understand it better and work towards a goal. You may be in a relationship where the same argument or sequence plays out, or perhaps you find forming and maintaining relationships difficult and want to understand this better.
I am a Psychosexual and Relationship Therapist, working with individuals and couples. Experiencing an issue with sex or sexuality can be enormously upsetting and damaging to self esteem. Often relationships suffer as a result. Perhaps you have lived with a sexual issue or question about your sexuality for a while and have decided that now is the time to understand it better and work towards a goal. You may be in a relationship where the same argument or sequence plays out, or perhaps you find forming and maintaining relationships difficult and want to understand this better.
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Photo of Kim Goodwin-Wheatle - Connect Relationship & Sex Therapy , COSRT General, Psychotherapist
Connect Relationship & Sex Therapy
Psychotherapist, COSRT General
Verified Verified
West End, London WC1A
I work with a variety of issues such as erectile reliability, premature ejaculation, delayed ejaculation, vaginismus, chronic painful penetrative sex, anorgasmia, low desire, & sexually compulsive behaviour.
A relationship and psychosexual therapist, devoted to providing a safe, sexually affirmative space in which to support individuals & couples to address their communication &/ or sexual concerns. I offer therapy for couples & individuals experiencing intimacy & sexual difficulties. My experience has been gained by working in private practice as well as with the NHS. My integrative therapeutic approach enables me to provide a tailored approach best suited to you. I recognise the importance of cultural difference and diversity in the helping relationship, with respect to age, disability, gender, sexuality & ethnicity.
I work with a variety of issues such as erectile reliability, premature ejaculation, delayed ejaculation, vaginismus, chronic painful penetrative sex, anorgasmia, low desire, & sexually compulsive behaviour.
A relationship and psychosexual therapist, devoted to providing a safe, sexually affirmative space in which to support individuals & couples to address their communication &/ or sexual concerns. I offer therapy for couples & individuals experiencing intimacy & sexual difficulties. My experience has been gained by working in private practice as well as with the NHS. My integrative therapeutic approach enables me to provide a tailored approach best suited to you. I recognise the importance of cultural difference and diversity in the helping relationship, with respect to age, disability, gender, sexuality & ethnicity.
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Photo of Jess MacIntyre-Harrison, PsychD, HCPC - Clin. Psych., Psychologist
Jess MacIntyre-Harrison
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
West End, London WC1A
I have expertise in working with people looking to explore identity, sexual orientation, gender & relationship diversity; people from minoritised communities with diverse cultural, religious and racialised backgrounds; people experiencing problems with sex; & those who have experienced trauma.
I am a Clinical Psychologist with 15 years of experience working with people struggling with complex life & emotional difficulties. Through building a trusting relationship, I aim to sit alongside my clients & empower them in their journeys towards getting to know themselves better, understanding their difficulties, and compassionately making change. I centre compassion and non-judgement in my work, integrating ideas borrowed from Narrative Therapy (NT), Acceptance and Commitment Therapy (ACT), Cognitive-Analytic Therapy (CAT) and body work.
I have expertise in working with people looking to explore identity, sexual orientation, gender & relationship diversity; people from minoritised communities with diverse cultural, religious and racialised backgrounds; people experiencing problems with sex; & those who have experienced trauma.
I am a Clinical Psychologist with 15 years of experience working with people struggling with complex life & emotional difficulties. Through building a trusting relationship, I aim to sit alongside my clients & empower them in their journeys towards getting to know themselves better, understanding their difficulties, and compassionately making change. I centre compassion and non-judgement in my work, integrating ideas borrowed from Narrative Therapy (NT), Acceptance and Commitment Therapy (ACT), Cognitive-Analytic Therapy (CAT) and body work.
020 3835 3331 View 020 3835 3331
Photo of Poppy Mellor, MSc, MBACP, Psychotherapist
Poppy Mellor
Psychotherapist, MSc, MBACP
Verified Verified
West End, London WC2H
I am a qualified sex and relationship therapist with over 15 years experience of working with individual and couples wanting to improve, repair or develop their relationships. This includes same sex relationships and clients from a range of cultural, religious and ethnic backgrounds.
I am a qualified sex and relationship therapist with over 15 years experience of working with individual and couples wanting to improve, repair or develop their relationships. This includes same sex relationships and clients from a range of cultural, religious and ethnic backgrounds.
020 3290 2875 View 020 3290 2875
Photo of Elizabeth Walsh - Healthy Mind Healthy Body Therapeutic Services , MBABCP, Psychotherapist
Healthy Mind Healthy Body Therapeutic Services
Psychotherapist, MBABCP
Verified Verified
West End, London WC1A  (Online Only)
As a sex and relationship therapist I support couples and individuals to repair, improve, and enrich their relationships.
I support people to gain or regain a sense of wellbeing and to alleviate symptoms of anxiety, depression, trauma, and burn out. I deliver effective, evidence-based interventions with warmth and compassion. I am a Cognitive Behavioural Psychotherapist (PGDip University of Dundee) as well as a sex and relationship therapist.
As a sex and relationship therapist I support couples and individuals to repair, improve, and enrich their relationships.
I support people to gain or regain a sense of wellbeing and to alleviate symptoms of anxiety, depression, trauma, and burn out. I deliver effective, evidence-based interventions with warmth and compassion. I am a Cognitive Behavioural Psychotherapist (PGDip University of Dundee) as well as a sex and relationship therapist.
0141 673 8072 View 0141 673 8072
Photo of Fabio D'Apice - Working Through, MA, COSRT General, Counsellor
Working Through
Counsellor, MA, COSRT General
Verified Verified
West End, London WC1A
I work with people who might be struggling with sexual or relationship difficulties such as erectile dysfunction, rapid or delayed ejaculation, anxiety around sex, relationships and intimacy issues, sexual abuse or assault, sexual health issues, compulsive sexual behaviours, vulval pain conditions, vaginismus, dyspareunia (pain during intercourse), sexual orientation questions or insecurities, pornography issues, orgasmic or anorgasmic problems, sexual phobias or aversions, fears around lack of sexual experience, loss of desire, affairs, marital break ups, open relationships, kinks, bdsm, polyamory, addictions, codependency, trauma.
I work with people who might be struggling with sexual or relationship difficulties such as erectile dysfunction, rapid or delayed ejaculation, anxiety around sex, relationships and intimacy issues, sexual abuse or assault, sexual health issues, compulsive sexual behaviours, vulval pain conditions, vaginismus, dyspareunia (pain during intercourse), sexual orientation questions or insecurities, pornography issues, orgasmic or anorgasmic problems, sexual phobias or aversions, fears around lack of sexual experience, loss of desire, affairs, marital break ups, open relationships, kinks, bdsm, polyamory, addictions, codependency, trauma.
020 8103 5619 View 020 8103 5619
Photo of Thomas Sherry - Thomas Sherry. Psychotherapy /Psychosexual Therapy, MBACP, Psychotherapist
Thomas Sherry. Psychotherapy /Psychosexual Therapy
Psychotherapist, MBACP
Verified Verified
2 Endorsed
West End, London WC1A
I specialise as a psychosexual / sex therapist working with individuals and couples experiencing difficulties engaging in or enjoying, sex, struggling with communication, embarrassment, shame, sexuality, sexual self-esteem, body image and desire.
I have worked as a psychotherapist for over 15 years. I work with a range of people presenting with complex difficulties. Such as ADHD , bipolar disorder, BPD, Anxeity, Depression, relationship difficulties, sexual problems , low self esteem, self doubt , imposter syndrome. I'm here to help you understand the lables given by yourself and others, and how they form part of your self-belief system and which can be supportive or undermining. I love seeing how clients thrive by having a confidential space to express themselves honestly and gain a deep perspective on their life.
I specialise as a psychosexual / sex therapist working with individuals and couples experiencing difficulties engaging in or enjoying, sex, struggling with communication, embarrassment, shame, sexuality, sexual self-esteem, body image and desire.
I have worked as a psychotherapist for over 15 years. I work with a range of people presenting with complex difficulties. Such as ADHD , bipolar disorder, BPD, Anxeity, Depression, relationship difficulties, sexual problems , low self esteem, self doubt , imposter syndrome. I'm here to help you understand the lables given by yourself and others, and how they form part of your self-belief system and which can be supportive or undermining. I love seeing how clients thrive by having a confidential space to express themselves honestly and gain a deep perspective on their life.
020 3835 4688 View 020 3835 4688
Photo of Lisa Home, MBACP, Psychotherapist
Lisa Home
Psychotherapist, MBACP
Verified Verified
West End, London WC2A
Life at times can be challenging, people can often feel isolated and stuck in their struggles, confused about what to do to change the things in life that are troubling them. Reaching out can be hard, trusting others can feel even more difficult. It's at these times that therapy can make a difference. I am a sex-positive, kink-knowledgeable psychotherapist and am familiar working with a range of relationship models and gender dynamics. I work with people from a diverse range of cultural backgrounds, including individuals from straight, queer, poly and kink communities, sex workers, and people who identify across the gender spectrum.
Life at times can be challenging, people can often feel isolated and stuck in their struggles, confused about what to do to change the things in life that are troubling them. Reaching out can be hard, trusting others can feel even more difficult. It's at these times that therapy can make a difference. I am a sex-positive, kink-knowledgeable psychotherapist and am familiar working with a range of relationship models and gender dynamics. I work with people from a diverse range of cultural backgrounds, including individuals from straight, queer, poly and kink communities, sex workers, and people who identify across the gender spectrum.
020 3872 0713 View 020 3872 0713
Photo of Genevieve Collister Brown, COSRT General, Psychotherapist
Genevieve Collister Brown
Psychotherapist, COSRT General
Verified Verified
West End, London WC2N
I'm a sex and relationship therapist with over 5 years experience in empowering people through sex education. I work with a wide range of issues including understanding your gender, sexuality and identities (inc. LGBTQIA+), finding the right relationship style for you (non-monogamy, monogamy, polyamory etc), negotiating safer BDSM and kink practices, exploring consent, issues with sexual functioning (genital pain, erection issues, inability to orgasm etc), navigating relationship conflicts and improving sexual intimacy. I also work with people who have experienced sexual trauma and abuse and work in a trauma-informed way.
I'm a sex and relationship therapist with over 5 years experience in empowering people through sex education. I work with a wide range of issues including understanding your gender, sexuality and identities (inc. LGBTQIA+), finding the right relationship style for you (non-monogamy, monogamy, polyamory etc), negotiating safer BDSM and kink practices, exploring consent, issues with sexual functioning (genital pain, erection issues, inability to orgasm etc), navigating relationship conflicts and improving sexual intimacy. I also work with people who have experienced sexual trauma and abuse and work in a trauma-informed way.
0161 524 1594 View 0161 524 1594
Photo of Eva Koumpli, Psychotherapist
Eva Koumpli
Psychotherapist
Verified Verified
West End, London WC1A
Are you experiencing sexuality or relationship challenges? Are you struggling with poor body image, an eating disorder or addiction? Do you need a highly experienced trauma-informed psychotherapist, who can help you in a safe and empathic way? Whether it’s trauma, anxiety, compulsive sexual behaviour, painful sex, unreliable erections, mismatched desire, infidelity, polyamory, gender identity, body image, loss, your relationship to food, or family/parenting difficulties, I'm here for you.
Are you experiencing sexuality or relationship challenges? Are you struggling with poor body image, an eating disorder or addiction? Do you need a highly experienced trauma-informed psychotherapist, who can help you in a safe and empathic way? Whether it’s trauma, anxiety, compulsive sexual behaviour, painful sex, unreliable erections, mismatched desire, infidelity, polyamory, gender identity, body image, loss, your relationship to food, or family/parenting difficulties, I'm here for you.
020 3962 0058 View 020 3962 0058
Photo of Shana Laffy - Shana Laffy - Relationship Therapist , MBACP, Counsellor
Shana Laffy - Relationship Therapist
Counsellor, MBACP
Verified Verified
3 Endorsed
West End, London WC1A
Connecting and relating to others is often one of life's hardest and most painful parts. Many people face challenges with their relationships, whether that's with a partner, friends, siblings, parents, or even the most important relationship—with themselves. People may come to therapy to talk about their sexuality or sexual challenges, communication blocks or trust issues. Partners may want to explore difficult topics such as a lack of desire or intimacy, or people might be curious to change aspects of their life that are no longer serving them.
Connecting and relating to others is often one of life's hardest and most painful parts. Many people face challenges with their relationships, whether that's with a partner, friends, siblings, parents, or even the most important relationship—with themselves. People may come to therapy to talk about their sexuality or sexual challenges, communication blocks or trust issues. Partners may want to explore difficult topics such as a lack of desire or intimacy, or people might be curious to change aspects of their life that are no longer serving them.
020 3835 4910 View 020 3835 4910
Photo of Lotte van Kouwen, MA, HCPC-Art Therap., Psychotherapist
Lotte van Kouwen
Psychotherapist, MA, HCPC-Art Therap.
Verified Verified
2 Endorsed
West End, London WC1A
I offer Psycho Sexual and Relationship therapy, EMDR and Art Psychotherapy for individuals and couples. Psycho Sexual Therapy is a type of talking therapy that is designed to help individuals and couples address medical, psychological, personal, and/or interpersonal factors impacting on sexual satisfaction. In this therapy we explore sexual issues and the impact these may have on your life and relationships either individually or with your partner. I will support you in exploring your sexuality and help you to develop a more conscious sexual self-esteem and enjoyment of your sexuality.
I offer Psycho Sexual and Relationship therapy, EMDR and Art Psychotherapy for individuals and couples. Psycho Sexual Therapy is a type of talking therapy that is designed to help individuals and couples address medical, psychological, personal, and/or interpersonal factors impacting on sexual satisfaction. In this therapy we explore sexual issues and the impact these may have on your life and relationships either individually or with your partner. I will support you in exploring your sexuality and help you to develop a more conscious sexual self-esteem and enjoyment of your sexuality.
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Photo of Amanda Watson, PsychD, Psychotherapist
Amanda Watson
Psychotherapist, PsychD
Verified Verified
West End, London WC1A  (Online Only)
I am also able to support clients with psychological and emotional issues around sex, love, relationships (of all kinds), as well as sex/porn addictions, sexual abuse, BDSM/Kink, affairs, infidelity, etc.
I offer psychotherapy and counselling to individuals and couples/partnerships of all sexual orientations with a supportive and non judgemental approach. I work from an integrative perspective using a range of theories and strategies to suit the specific needs of the client and I specialise in Psychosexual and Relationship issues. I have a 25 year background in Education and Teaching. Please check out my website: www.amandalisawatson.com
I am also able to support clients with psychological and emotional issues around sex, love, relationships (of all kinds), as well as sex/porn addictions, sexual abuse, BDSM/Kink, affairs, infidelity, etc.
I offer psychotherapy and counselling to individuals and couples/partnerships of all sexual orientations with a supportive and non judgemental approach. I work from an integrative perspective using a range of theories and strategies to suit the specific needs of the client and I specialise in Psychosexual and Relationship issues. I have a 25 year background in Education and Teaching. Please check out my website: www.amandalisawatson.com
020 4538 2359 View 020 4538 2359
Photo of Jason Oddi, DCounsPsych, COSRT General, Psychotherapist
Jason Oddi
Psychotherapist, DCounsPsych, COSRT General
Verified Verified
1 Endorsed
West End, London WC2A
Not accepting new clients
Specialist Qualifications as a Psychosexual (Sex) & Relationship Therapist and trauma support were added to support clients with sexual functioning, Identity, trauma, desires, expression, and a myriad of other concerns.
As an Integrative Counsellor, Psychosexual & Relationship/Marriage therapist, I weave different therapies to support clients in their uniqueness to manage and heal from struggles that affect their emotional, and mental health & happiness. Ruptures in one's mental wellness can lead to stress, depression, anxiety, addiction, and sexual functioning/ identity concerns that hinder emotional self-esteem and ongoing happiness within and in our relationship with ourselves and others.
Specialist Qualifications as a Psychosexual (Sex) & Relationship Therapist and trauma support were added to support clients with sexual functioning, Identity, trauma, desires, expression, and a myriad of other concerns.
As an Integrative Counsellor, Psychosexual & Relationship/Marriage therapist, I weave different therapies to support clients in their uniqueness to manage and heal from struggles that affect their emotional, and mental health & happiness. Ruptures in one's mental wellness can lead to stress, depression, anxiety, addiction, and sexual functioning/ identity concerns that hinder emotional self-esteem and ongoing happiness within and in our relationship with ourselves and others.
020 8103 3827 View 020 8103 3827
Photo of Gareth Prosser, MSc, MUKCP, Psychotherapist
Gareth Prosser
Psychotherapist, MSc, MUKCP
Verified Verified
West End, London WC2E  (Online Only)
I work with people that are looking to explore their Gender, Sex and Relationship Diversity.
I am a Psychoanalytic Psychotherapist holding an accreditation with Pink Therapy as a Gender, Sexuality and Relationship Diversity (GSRD) therapist. I hold a diploma at the Contemporary Institute of Clinical Sexology (CICS) in Compulsive Sexual Behaviours, accredited by the College of Sexual and Relationship Therapists (COSRT). My core training in psychoanalytic psychotherapy was at the The Bowlby Centre in London, with a specialism in Attachment. My clinical approach incorporates different techniques and approaches relevant for the individual needs, mirroring the complexity of human experience and ever expanding self knowledge .
I work with people that are looking to explore their Gender, Sex and Relationship Diversity.
I am a Psychoanalytic Psychotherapist holding an accreditation with Pink Therapy as a Gender, Sexuality and Relationship Diversity (GSRD) therapist. I hold a diploma at the Contemporary Institute of Clinical Sexology (CICS) in Compulsive Sexual Behaviours, accredited by the College of Sexual and Relationship Therapists (COSRT). My core training in psychoanalytic psychotherapy was at the The Bowlby Centre in London, with a specialism in Attachment. My clinical approach incorporates different techniques and approaches relevant for the individual needs, mirroring the complexity of human experience and ever expanding self knowledge .
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Photo of Susi Halley, COSRT Accred, Psychotherapist
Susi Halley
Psychotherapist, COSRT Accred
Verified Verified
2 Endorsed
West End, London WC1A
If you are looking for a specialist therapist who can help you with issues related to sex and intimacy then you have come to the right place. I know it can be difficult opening up about issues related to sex, sexuality and sexual function and the impact this can have on you and your relationships. I am an accredited Psychosexual and Relationship Therapist with extensive experience working in the NHS and Private Practice. I have worked in sexual health for the majority of my career and it's my job to make you feel at ease straight away. I am hugely passionate about my work and helping you make the changes you desire.
If you are looking for a specialist therapist who can help you with issues related to sex and intimacy then you have come to the right place. I know it can be difficult opening up about issues related to sex, sexuality and sexual function and the impact this can have on you and your relationships. I am an accredited Psychosexual and Relationship Therapist with extensive experience working in the NHS and Private Practice. I have worked in sexual health for the majority of my career and it's my job to make you feel at ease straight away. I am hugely passionate about my work and helping you make the changes you desire.
020 8059 8388 View 020 8059 8388
Photo of Laura Stannard - Laura Stannard -Sex & Relationship Therapy, COSRT General, Psychotherapist
Laura Stannard -Sex & Relationship Therapy
Psychotherapist, COSRT General
Verified Verified
West End, London WC1A  (Online Only)
Feeling confused about sex & relationships? Owner of a brain that works differently? As an AuDHD sex and relationship therapist, I specialise in working with individuals and couples on a range of difficulties and just so happen to be neurodivergent. My practice is rooted in empathy, respect, and a lived experience of neurodivergence.
Feeling confused about sex & relationships? Owner of a brain that works differently? As an AuDHD sex and relationship therapist, I specialise in working with individuals and couples on a range of difficulties and just so happen to be neurodivergent. My practice is rooted in empathy, respect, and a lived experience of neurodivergence.
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Photo of Angharad Vaughan, DCounsPsych, HCPC - Couns. Psych., Psychologist
Angharad Vaughan
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
West End, London WC1A
I have expertise working with a wide range of difficulties, including depression, anxiety, trauma, relationship problems, physical and sexual health issues, shame, stress, burnout. I am passionate about working with LGBTQI+ communities and have specialist experience of working with gender, sexuality and relationship diversity. I always pay attention to our differences, such as cultural background, sexual and gender identity, disability - and how these and other intersecting identities influence our lived experience, meaning-making and wellbeing.
I have expertise working with a wide range of difficulties, including depression, anxiety, trauma, relationship problems, physical and sexual health issues, shame, stress, burnout. I am passionate about working with LGBTQI+ communities and have specialist experience of working with gender, sexuality and relationship diversity. I always pay attention to our differences, such as cultural background, sexual and gender identity, disability - and how these and other intersecting identities influence our lived experience, meaning-making and wellbeing.
020 3824 1832 View 020 3824 1832
Photo of Lee Valls - The London Practice, DCounsPsych, HCPC - Couns. Psych., Psychologist
The London Practice
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
West End, London WC2H
We have experience with a wide variety of issues, including: Relationship, Family issues, Stress, Anxiety, Depression, HIV, Sexuality, Life threatening illness, Addiction, Bereavement, Loss of meaning and purpose, Identity issues, Low self-esteem, Relationship issues, Sexual abuse, Suicidal thoughts and Employment issues.
We believe that everyone is unique and therefore is dealt with in a way that best caters to his or her individual needs. We work with you by exploring your world to see how you engage with your life and the people around you. Along the journey, we will explore your past, look at your present and see how you perceive the future. We will help you become more aware of your values, beliefs and limitations and help you connect and improve your relationship with yourself. This process may be challenging, yet extremely rewarding as we access the changes you want to make towards living the life that you want to live.
We have experience with a wide variety of issues, including: Relationship, Family issues, Stress, Anxiety, Depression, HIV, Sexuality, Life threatening illness, Addiction, Bereavement, Loss of meaning and purpose, Identity issues, Low self-esteem, Relationship issues, Sexual abuse, Suicidal thoughts and Employment issues.
We believe that everyone is unique and therefore is dealt with in a way that best caters to his or her individual needs. We work with you by exploring your world to see how you engage with your life and the people around you. Along the journey, we will explore your past, look at your present and see how you perceive the future. We will help you become more aware of your values, beliefs and limitations and help you connect and improve your relationship with yourself. This process may be challenging, yet extremely rewarding as we access the changes you want to make towards living the life that you want to live.
020 3962 0673 View 020 3962 0673
Photo of Jessy Woods, MBACP, Counsellor
Jessy Woods
Counsellor, MBACP
Verified Verified
West End, London WC1H
I work with a range of issues focusing on gender identity, sexuality, loss, abuse, anxiety, attachment, family, stress, and anything that is holding you back from an actualised and fully autonomous person that you would like to be.
My name is Jessy, and I am an integrative counsellor, and a registered member of the BACP. I am a counsellor and psychotherapist, which means I draw upon different therapeutic approaches to fit the specific needs of the client. I adapt integrative psychotherapy to your individual needs, where you can start to learn about yourself and process your experience and heal. I always try to offer an inclusive and diverse space for all clients that want to feel accepted without judgment. I am committed to helping and supporting trans and non-binary and gender diverse people of all ethnicities and sexual orientations.
I work with a range of issues focusing on gender identity, sexuality, loss, abuse, anxiety, attachment, family, stress, and anything that is holding you back from an actualised and fully autonomous person that you would like to be.
My name is Jessy, and I am an integrative counsellor, and a registered member of the BACP. I am a counsellor and psychotherapist, which means I draw upon different therapeutic approaches to fit the specific needs of the client. I adapt integrative psychotherapy to your individual needs, where you can start to learn about yourself and process your experience and heal. I always try to offer an inclusive and diverse space for all clients that want to feel accepted without judgment. I am committed to helping and supporting trans and non-binary and gender diverse people of all ethnicities and sexual orientations.
020 3828 7094 View 020 3828 7094
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Sex Therapy Counsellors

Who is sex therapy for?

Sex problems are common in relationships. Many people want a better sex life and want to feel loved and desired by their partner. It is difficult for couples to resolve sexual problems on their own because people often feel ashamed to talk about their sexual desires fearing they are not normal, when in fact a very broad range of preferences and behaviors are normal. A sex therapist can help clarify this and other matters.

Why do people need sex therapy?

Many people do not know how to talk about their erotic needs or their emotional needs, both of which are addressed in sex therapy. Couples often live with sexual difficulties for years before seeking help, and in that time, partners may experience so much disappointment and alienation that they may fear their problems mean they are incompatible. Once people experience disappointment, it is difficult to find resolution without help.

What happens in sex therapy?

People have many misconceptions about what takes place in sex therapy. First, it is a form of talk therapy in which partners discuss their sexual concerns; it does not involve touching or physical exploration of any kind. Sex therapy typically helps couples get comfortable talking to each other about sex so that, in the privacy of their home life, they can openly discuss their sexual desires and make decisions about what they want to do. Couples are typically assigned activities to do at home that build intimacy skills.

What kinds of problems do sex therapists treat?

Very often, partners differ in their degree of sexual desire and struggle over how often to have sex. Or they may have fights about porn use or have difficulty connecting sexually after one partner is unfaithful. Men may have problems with premature ejaculation. Women may find themselves struggling to become aroused or to achieve an orgasm. Sometimes partners feel like they have lost the sense of attraction to their partner. These are all common issues dealt with in sex therapy.