Psychosexual Psychotherapy

Psychosexual psychotherapy is a specialised form of therapy that focuses on addressing and resolving issues related to sexuality and intimacy. It is usually conducted by trained and licensed therapists who have expertise in dealing with sexual concerns and relationship problems.

Psychosexual issues encompass a broad range of challenges related to sexuality, intimacy, and relationships. Individual psychosexual psychotherapy aims to address these concerns through therapeutic interventions.

Sexual Dysfunction (in DSM-5 sexual dysfunction is defined as “a clinically significant disturbance in a person's ability to respond sexually or to experience sexual pleasure”):

  • Erectile dysfunction

  • Premature ejaculation

  • Delayed ejaculation

  • Sexual arousal disorder: low sexual desire or the lack of desire/hypersexuality

  • Vaginismus

  • Dyspareunia (painful intercourse)

  • Orgasm difficulties

  • Other specified sexual dysfunction

  • Unspecified sexual dysfunction

    Body Image Issues:

    • Negative body image

    • Insecurities about physical appearance

    • Impact on sexual self-esteem

    Intimacy and Relationship Challenges:

    • Difficulty forming or maintaining intimate relationships

    • Fear of intimacy

    • Communication issues within relationships

    • Trust issues

    Sexual Identity Concerns:

    • Confusion or questioning of sexual orientation

    • Coming out struggles

    • Internalised homophobia or biphobia

    Gender Identity Issues:

    • Gender dysphoria

    • Exploration of gender identity

    • Coping with societal expectations

    Past Trauma or Abuse:

    • Sexual abuse or assault

    • Trauma affecting sexual function

    • Trust and safety issues

    Performance Anxiety:

    • Anxiety related to sexual performance

    • Pressure to meet perceived expectations

    Desire Discrepancies:

    • Mismatched libido within a relationship

    • Differences in sexual desire between partners

Here is a list of psychosexual issues that might be addressed in individual psychosexual psychotherapy:

psychosexual psychotherapy

Body Function and Changes:

  • Coping with aging and its impact on sexuality

  • Adjusting to physical changes in the body

Sexual Shame and Guilt:

  • Cultural or religious influences

  • Internalized beliefs about sexuality

  • Addressing feelings of shame or guilt

Sexual Education and Information:

  • Lack of sexual knowledge

  • Misinformation or myths

  • Education on sexual health and well-being

Pornography and Online Behaviour:

  • Concerns or issues related to pornography consumption

  • Problematic online sexual behaviour

Infidelity and Betrayal:

  • Recovering from the impact of infidelity

  • Rebuilding trust in a relationship

Cultural or Religious Influences:

  • Navigating sexuality within cultural or religious contexts

  • Balancing personal beliefs with sexual expression

Frequently Asked Questions

  • The initial session is an opportunity for you to share your concerns and for the therapist to gather relevant information. It sets the foundation for understanding your unique needs and establishing goals for therapy.

  • Sex and relationship therapy is suitable for any individual aged 18 or older experiencing challenges in the realm of sexuality, intimacy, or relationships. These challenges may manifest as physical, emotional, or psychological issues, or a combination of all three.

  • Most clients typically attend therapy on a weekly basis. This regularity fosters momentum, accountability, and facilitates positive change by ingraining healthier behaviours. In some cases, clients may arrange for sessions every other week based on mutual agreement.

  • The duration of therapy varies based on individual needs. Some clients may benefit from short-term interventions, while others may find longer-term therapy more beneficial. It's a collaborative process that can be reassessed as needed.

  • Yes, all information you disclose is treated with utmost confidentiality, with only a few exceptions outlined in the contract. For instance, if you express intentions of causing harm to yourself or others, or if your records are legally requested, such as by law enforcement, confidentiality may be breached. In such cases, I will make every effort to notify you before taking this step. Additional details on how personal information is managed can be found in the privacy notice.

    Additionally, I may discuss aspects of your situation—excluding personally identifying details—with my supervisor. This is done as part of my commitment to ongoing professional development, ensuring the highest level of therapeutic competency. Rest assured that your privacy remains a top priority throughout this process.

  • Your therapist is trained to create a safe and non-judgmental space. They will work at a pace that is comfortable for you, allowing you to gradually explore and discuss challenging topics.

  • If you're experiencing challenges in your sexual, intimate, or relationship life, psychosexual therapy can provide valuable support. A consultation with a therapist can help determine if it aligns with your needs and goals.

  • Yes, you can. Confidentiality and data protection are taken very seriously.

    Here is the contract and privacy policy.

  • Written Documentation:

    Therapists may take notes during sessions for their reference. These notes are securely stored and are part of your confidential record.

    Confidentiality Measures:

    Confidentiality is a top priority. Your therapist is bound by professional ethics and legal obligations to keep your information private.

    Your data will not be disclosed to anyone without your explicit consent, except in cases where there is a risk of harm to yourself or others.

    Secure Record-Keeping:

    Client records, whether in written or electronic form, are securely stored to prevent unauthorised access. Therapists use secure systems and follow standards to protect client information.

    Informed Consent:

    Prior to starting therapy, you will receive and sign contract. This document outlines the therapist's commitment to confidentiality, the limitations of confidentiality, and your rights regarding your personal information.

    Legal and Ethical Guidelines:

    Therapists adhere to legal and ethical guidelines related to client confidentiality. These guidelines are in place to safeguard your privacy and protect your rights as a client.

    Data Sharing Protocols:

    If there is a need for collaboration with other healthcare professionals, any sharing of data is done with your explicit consent. Therapists follow established protocols to ensure secure and ethical information exchange.

    Client's Right to Access:

    You have the right to access your own records upon request. This ensures transparency in the therapeutic process, and any concerns or corrections can be addressed.

    Data Disposal:

    Therapists have protocols for the secure disposal of records when they are no longer needed, adhering to legal and ethical guidelines.

  • Take some time to reflect on your concerns and goals. Arrive with an open mind and be ready to share as much or as little as you feel comfortable. It's about creating a safe and trusting space for our work together. I will send to you Intake Questionnaire that might to help you reflect on your current situation.

  • Preparing for an online psychotherapy session is essential to create a conducive environment for therapeutic work. Here are some steps you can take:

    Technical Setup:

    Ensure your device (computer, tablet, or phone) is charged and has a stable internet connection.

    Familiarise yourself with the video conferencing platform your therapist uses (in the JKL Therapy Centre we use Zoom, Teams or Google Meet).

    Test your camera, microphone, and speakers to ensure they are functioning correctly.

    Private and Quiet Space:

    Find a quiet and private space where you won't be disturbed during the session.

    Inform others in your household about the scheduled session to minimize interruptions.

    Comfortable Seating:

    Sit in a comfortable chair with good back support to promote relaxation.

    Position yourself so that your face is well-lit, allowing the therapist to see you clearly.

    Distraction-Free Environment:

    Turn off or silence electronic devices, including notifications on your computer or phone.

    Eliminate potential distractions to maintain focus on the therapeutic conversation.

    Materials and Resources:

    Have a notebook and pen handy for note-taking or jotting down insights.

    Bring any relevant materials or resources the therapist has suggested for discussion.

    Mindful Presence:

    Practice mindfulness or deep breathing before the session to center yourself.

    Arrive a few minutes early to mentally transition into the therapeutic space.

    Internet Security:

    Ensure that your internet connection is secure, and your chosen video conferencing platform has the necessary privacy settings enabled.

    Backup Plan:

    Have a backup plan in case of technical issues. Exchange contact information with your therapist to switch to a phone call if needed.

    Remember:

    Be open and honest about your feelings and experiences during the session.

    Discuss any concerns or challenges related to the online format with your therapist.

    Communicate any changes in your circumstances or availability that might impact future sessions.

  • Simply click here.

Curious about psychosexual psychotherapy? Ever wondered what a session actually looks like?

Assessment and Initial Sessions (1-3):

  • The therapist will conduct an initial assessment to understand your concerns, history, and goals.

  • You'll have the opportunity to discuss your sexual and relationship experiences openly and honestly.

What to expect from assessment? What the therapist is going to ask me for?

In psychosexual psychotherapy, taking a comprehensive sexual history is a crucial component of the initial assessment. The therapist aims to gather information about various aspects of the client's sexual experiences, attitudes, and concerns. Here are some key elements typically covered in the sexual history-taking process:

Sexual Development:

  • Exploration of your sexual development from childhood through adolescence and into adulthood.

  • Questions about early awareness of sexuality, sexual education, and family attitudes towards sex.

    Sexual Identity:

    • Discussion of the client's sexual orientation and gender identity.

    • Exploration of any struggles or concerns related to sexual identity.

    Relationship History:

    • Examination of past and current relationships, including relationship dynamics and communication patterns.

    • Identification of any significant milestones or challenges in intimate relationships.

    Physical/medical Health:

    • Inquiry into yours's physical health, including any medical conditions, medications, or surgeries that may impact sexual function.

    • Discussion of sexual health practices and safer sex behaviours.

    Psychological Health:

    • Assessment of mental health and any psychological factors that may affect sexual well-being, such as anxiety, depression, or trauma.

    • Exploration of coping mechanisms and stressors.

    Sexual Function:

    • Detailed exploration of sexual function, including any difficulties or concerns related to arousal, desire, orgasm, and pain.

    • Identification of any specific sexual dysfunctions or challenges.

    Sexual Behaviours:

    • Open discussion about sexual behaviours, preferences, and fantasies.

    • Exploration of any concerns or conflicts related to sexual activities.

    Trauma History:

    • Sensitively addressing any history of sexual trauma or abuse.

    • Understanding the impact of trauma on your current sexual experiences.

    Cultural and Religious Influences:

    • Exploration of cultural and religious beliefs that may impact the client's attitudes towards sex.

    • Understanding the role of cultural or religious norms in shaping sexual behaviours.

    Communication and Intimacy:

    • Assessment of communication patterns within intimate relationships.

    • Exploration of feelings of intimacy, emotional connection, and satisfaction.

    Expectations and Goals:

    • Discussion of your expectations for therapy and their specific goals in relation to sexual well-being and relationships.

    • Collaboratively, the therapist and you establish clear and achievable goals for therapy. These goals may be related to improving sexual function, enhancing intimacy, or addressing specific concerns.

It's important to note that the process of taking a sexual history is collaborative, with the therapist creating a safe and non-judgmental space for the client to share personal information. The information gathered during the sexual history serves as a foundation for developing a tailored treatment plan and addressing specific concerns within the context of psychosexual psychotherapy.