Psychosexual Therapy

What is Psychosexual Therapy?

Very often people struggle with their sexual difficulty in silence feeling embarrassed and ashamed unable to discuss their issues with anyone. Psychosexual Therapy helps both individuals and couples to overcome this.

I offer an initial assessment to talk through the problem and to decide the way forward. At this stage the aim is to give voice to what is happening and for me to inform you of your options. You could be offered a programme of therapy of Sensate Focus exercises which is based on behavioural change, practised in the privacy of your own home. It is designed to remove pressure on sexual performance and concentrates much more in the early stages on rebuilding intimacy. Sometimes I may suggest you visit your GP to examine other organic possibilities before engaging in Therapy.

What Psychosexual Therapy is not

It is not a quick fix. Some problems take longer that others depending on your willingness to engage with the therapy. It is not ‘hands on’. You do the exercises at home alone or with your partner and bring your feed back to your appointment where we collaborate to analyse the information.

Programme of Therapy

It is a method of changing behaviour based in Cognitive Behavioural Therapy [CBT] but not exclusively, a skilled practitioner may draw on other modalities to increase the effectiveness of any area of focus.  Whilst there are no guarantees of success the process produces positive change in most cases.

Below are medical definitions which you may or may not find helpful, please be kind to yourself and know that we are all different!  These are common reasons for people to seek help, but this is not an exhaustive list and one of the most common reasons for seeking help is that a couple’s sexual relationship has ‘dwindled away’ over the lifespan of the relationship.

Sexual Disorder Definitions

Male Erectile Disorder 

Persistent or recurrent inability to retain or maintain until completion an adequate erection.

Premature Ejaculation

Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before a person wishes it. The Clinician will consider the contextual situation ie age, new relationship, and recent frequency of sexual activity.

Male Orgasmic Disorder

Persistent or recurrent delay in, or absence of orgasm following normal sexual stimulation. The Clinician will take into account age, adequate focus and intensity and duration of sexual activity.

Vaginismus Response

Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.


Recurrent or persistent genital pain associated with sexual intercourse in either male or female.

Female Orgasmic Disorder 

Persistent or recurrent delay in, or absence of orgasm following a normal excitement phase. Women exhibit a wide variation in the type or intensity of stimulation that triggers orgasm.

Female Sexual Arousal Disorder 

Persistent or recurrent inability to attain, or maintain until completion of sexual activity an adequate lubrication-swelling response to sexual excitement.

Sexual Aversion Disorder 

Persistent or recurrent extreme aversion to, and avoidance of all [or almost all] genital sexual contact with