Nicky MacCulloch

Accredited Psychosexual and Relationship Therapist

Psychosexual Therapist

Psychosexual therapy

Sexual Difficulties and How Psychosexual Therapy Can Help

Sexual difficulties are not uncommon, they can present irrespective of age and gender, at any stage of life.  For some individuals, sexual problems can be uncomfortable to talk about or even disclose and this can sometimes lead to avoidance in seeking professional help.  Problems with lovemaking can often create tensions in an existing relationship and for those without a partner it can cause a ‘shying away’ from potential opportunities.

Sexual issues may include:

For males

Difficulty obtaining and maintaining erections
Ejaculating too quickly or not at all
Loss of interest in lovemaking
Issues with orgasm

For females

There are several conditions which can lead to painful or uncomfortable intercourse.
Issues with orgasm
Loss of interest in lovemaking

Overall, coping with a sexual difficulty (as an individual or as a partner) can have a negative effect on our general sense of well-being and may result in loss of confidence, reduction in self-esteem, feelings of anxiety and low mood.

Psychosexual therapy is a ‘talking therapy’ and to begin with, undertaking a comprehensive assessment in order to gain a good grasp of your difficulties is essential.  Following on from assessment, a discussion outlining the proposed therapy and suggested techniques allows you to make an informed choice as to whether this style of therapy is best suited to you.  As your therapist, my aim is to enable you to understand, overcome or adjust to your sexual issue by providing therapy which is tailor-made to suit your particular needs.  An integral part of psychosexual therapy, involves carrying out agreed exercises in the privacy of your own home and providing feedback at future sessions.  This sharing of information allows continued assessment of your difficulty and modification of techniques to ensure that our work together is effective.  If an underlying physical component to a sexual issue is suspected, a review by a medical professional will be recommended to provide a comprehensive and collaborative approach to dealing with your difficulty.

Clinical and Professional Experience

My early career began in nursing and I have over 20 years of experience working in the National Health Service.  My interest in sexual problems grew while I was working with patients suffering from long-term conditions such as diabetes and heart disease.  These patients would often face sexual difficulties as a result of their illness or their medications.  In order to expand my knowledge in the field of sexual function and to understand sexual problems more fully, I studied and successfully obtained the London Diploma of Psychosexual and Relationship Therapy.   Following relocation to Hampshire, I continued to work as a nurse gaining further experience in the specialist field of contraception and sexual health.  At the same time I started to work as a part-time Psychosexual Therapist, a role I am still working in today.

I am a member of the following governing bodies – College of Sexual and Relationship Therapists ( as an accredited Psychosexual Therapist and the Nursing and Midwifery Council ( as a Registered Nurse.  Adherence to Professional Standards, Codes of Ethics and Conduct and Continuing Professional Development requirements is recognised as an important facet of my practice.  In order to keep up-to-date with contemporary methods and research I engage in regular educational events and I am a member of the local Wessex Sexual and Relationship Therapists study group.


2016      COSRT Accredited Psychosexual and Relationship Therapist

2014      London Diploma of Sexual and Relationship Therapy

2008      Primary Certificate in Cognitive Behavioural Therapy & Training

1997      Diploma of Higher Education in Nursing (Adult)