It is clear that communicating about intimacy and the whole area of sex is problematic for many. Sex, unlike any other human topic, is commonly hidden from general conversation while the often fantasy sexual settings of advertising, film, books and internet are abundant. Reliable factual information is not so easily found, often even from healthcare providers, and commonly it can be deeply upsetting and a source of embarrassment to start talking about sexual matters.

That said, an initial session, whether as an individual or a couple, to discuss the source of conflict and stress usually quickly helps to clear up misconceptions, get some proper information and guidance, including possible medical referrals, and finally to replace embarrassment with ease and openness.

Psychosexual Therapy (PST) work revolves around a cognitive behavioural program structured to individual needs. At its simplest, it acknowledges that present ways of addressing intimacy through thoughts, feelings and actions are not succeeding and can be replaced with less negative, better informed, helpful responses.

Often, success with intimacy is very much wrapped up in a couple’s relationship. Whether sexual dilemmas are at the root of the relationship or vice versa, or a bit of both, I can help assess the best way forward. Making improvements in sexual wellbeing usually has a beneficial impact on the general relationship.

There are specific dilemmas PST will address including:

arousal and desire (including differences of desire between partners)

sexual satisfaction, including orgasm (rapid, delayed or not achieving)

erectile sufficiency

pain on penetrative sex, non-consummation

change from the impact of illness, disability, ageing, fertility challenges, sexual compulsion