Psychosexual (Sex) Psychotherapy
What is a Sex Therapy?
Psychosexual (sex) psychotherapy is a specialised form of psychotherapy designed to help individuals and relationships address sexual issues and improve their sexual satisfaction.
What issues can be addressed in sex therapy?
Sex therapy can address a wide range of issues related to sexual health, intimacy, and relationships.
Here's a comprehensive list of areas that can be addressed in sex therapy:
Sexual Dysfunctions/Difficulties
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Erectile dysfunction, Premature ejaculation, Delayed ejaculation, Genito-Pelvic Pain/Penetration Disorder: Vaginismus, Dyspareunia, Anodyspareunia; Anorgasmia (difficulty achieving orgasm), Orgasmic disorder, MSIAD (Male Sexual Interest/Arousal Disorder), FSIAD (Female Sexual Interest/Arousal Disorder), Hypoactive Sexual Desire Disorder (HSDD), Other specified and unspecified sexual dysfunctions
Identity and Orientation
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Internalised sexual-phobias, body image concerns, sexual trauma or abuse recovery, sexual shame or guilt, stress and anxiety affecting sexual function
Relationship Diversity & Structure
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LGBTQ+ specific, consensual non-monogamy, and polyamory; BDSM/kink literacy and exploration
Relationship and Intimacy Issues
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Communication problems around sex; intimacy concerns, mismatched sexual preferences or desires, infidelity and trust issues, sexual boredom or lack of satisfaction, emotional disconnection
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Compulsive Sexual Behaviours & Unspecific Concerns
Pornography or/and sex relative difficulties, managing unwanted sexual behaviours; sexual aversion or fear of intimacy; addressing unspecific sexual preferences or urges
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Life Changes Affecting Sexuality
Adjusting to parenthood; menopause and andropause; aging and sexuality; illness or disability affecting sexual function; impact of hormones, health, and fertility on sex life; sexual side effects of medications; chronic illness and sexuality; post-surgery sexual adjustment
Who is a sex therapist?
A sex therapist is a registered mental health professional who specialises in helping individuals and couples address sexual issues and improve their sexual relationships. Key points about sex therapists include:
Qualifications: Sex therapists are typically psychiatrists, psychologists, marriage and family therapists, or clinical social workers who have received additional specialised training in sex therapy beyond their standard mental health education. Many sex therapists are certified by organizations like the College of Sexual and Relationship Therapists COSRT, which oversees clinical training and credentials for sexual health practitioners.
Approach: Sex therapy is primarily talk therapy, focusing on discussing and resolving sexual issues through conversation, exercises, and education. It does not involve any physical or sexual contact between the therapist and client.
Sexual Education and Exploration
Improving sexual knowledge and skills
Exploring kink, BDSM, or alternative sexual practices
Understanding and enhancing pleasure
Cultural and Religious Concerns
Navigating cultural expectations around sex
Addressing religious-based sexual shame or guilt
Psychological Factors
Performance anxiety
Body image concerns
Sexual trauma or abuse recovery
Sexual shame or guilt
Stress and anxiety affecting sexual function
Tailored Support for Individuals and Diverse Relationship
Gender, Sex & Relationship Diversity (GSRD) Affirming Therapy
Neurodivergence Affirming Therapy
Relationship Structures
Polyamorous relationships: Multiple consensual romantic or sexual relationships.
Open relationships: Partners allowing sexual or romantic relationships outside their primary relationship.
Ethical non-monogamy: Consensual non-exclusive relationships.
Who can benefits from sex therapy?
Individuals
Cisgender individuals: People whose gender identity matches their sex assigned at birth.
Transgender and non-binary individuals: Those whose gender identity differs from their sex assigned at birth.
Gender non-conforming people: Individuals who do not adhere to societal expectations of gender.
People exploring or questioning their gender identity: Those seeking to understand and affirm their gender.
Heterosexual individuals: People attracted to the opposite sex.
Gay, lesbian, and bisexual individuals: People attracted to the same sex or both sexes.
Pansexual, asexual, and demisexual individuals: Those with varied sexual attractions or lack thereof.
People with disabilities or chronic illnesses: Individuals whose sexual function may be affected by their condition.
Couples
Monogamous couples: Partners committed to an exclusive relationship.
Polyamorous individuals and groups: Those practicing consensual non-monogamy.
People in open relationships: Couples allowing sexual relationships outside their primary partnership.
Couples with communication issues: Partners needing to improve discussions about sexual desires and concerns.
Couples with mismatched libidos: Partners with differing levels of sexual desire.
Couples facing intimacy issues: Those seeking to strengthen their emotional and physical connection.
Couples with relationship problems: Partners addressing broader issues impacting their sexual satisfaction.
Online Sex Therapy
In addition to providing sex therapy in London (W5), we also offer online consultations via Google Meet. Online sex therapy can help you understand sex better, identify and address the underlying causes of sexual issues, and deepen your connection with your partner(s). Both in-person and online psychosexual therapy sessions are available for individuals, couples, or relationships.
How Much Does Sex Therapy Cost?
The cost of a sex therapy varies depending on whether the session is virtual or in-person, as well as the length of the session.
50 minutes, online, individual - £30-£120
50 minutes, online, couple/relationship - £40-£150
If you are seeking in-person sex therapy, please note that these sessions have an additional cost of £15.
Low-cost individual sex therapy available here and low-cost couple sex therapy available here. Notice that low-cost therapy is provided by trainee psychosexual and relationship therapists who have already completed significant portions of their professional training.
Frequently Asked Questions
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Yes, you can. Confidentiality and data protection are taken very seriously.
Here is the contract and privacy policy.
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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.
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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.
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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.
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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.