Sexual Concerns

We understand that it can be difficult to talk about sex and sexual problems. We are used, trained and comfortable talking about sex. It is quite usual for the issue of sex to bring up strong feelings that make speaking about sexual difficulties challenging. We know that you will need privacy, confidentiality and an experienced counsellor / psychotherapist so that you will feel relaxed and able to talk through your sexual concern.  

We are used to working with all people whether identifying as heterosexual or LGTBQi+ / GSRD. 

Sometimes clients want to talk through concerns about sex relating to beliefs, culture, expectations, norms, gender, sexuality, previous experiences, abuse whilst for others there can be a sexual function problem, for example pain during sex or unreliable erections.

Whilst all of our therapists are able to speak with you about sex, sexual functioning concerns are the sole focus of psychosexual and relationship therapy. If your concern is regarding sexual functioning then Nicholas, Monika, Evangelos and Cris are able to work with you.

Sexual function concerns can be due to physical or psychological factors or a combination of these. Sexual problems may occur at a specific time in life or in response to a specific situation, such as stress, anxiety or depression. There are a wide number of sexual problems which inhibit sexual relations and they can be seen as falling into four categories:

Desire disorders - where there is a concern about an apparent absence of desire or interest in sex

Arousal disorders - concerns and issues around becoming and remaining aroused

Orgasm disorders - difficulties in achieving or delaying orgasm 

Pain disorders - discomfort and pain experienced during sex

We always ask whether you have sought medical advice before seeking counselling and psychotherapy and here are a list of the concerns people bring for counselling and psychotherapy:

  • Abuse
  • Asexuality
  • Bisexuality
  • Boundaries / consent
  • Coming Out
  • Compulsive Sexual Behaviour (CSBD)
  • Cybersex
  • Desire - loss of, high
  • Difficult feelings including jealousy, shame, frustration, impotence, anxiety, depression
  • Dyspareunia
  • Erectile dysfunction / Erectile Disorder
  • Ejaculation difficulties - premature ejaculation, delayed ejaculation
  • Exhibitionism
  • Fantasies
  • Fetishes
  • Foreplay / coreplay
  • Gender
  • HIV
  • Infertility
  • Impotence
  • Infidelity
  • Kink /BDSM
  • Law breaking
  • Masturbation
  • Monogamy
  • Open relationships 
  • Orgasms
  • Pain - dysparunia
  • Polyamory
  • Polygamy
  • Pornography
  • Sex addiction
  • Sexual harrassment
  • Sexual repression
  • Sexuality
  • Unsafe sex
  • Vaginismus
  • Voyeurism

Our sexuality is a complex process involving different aspects such as ageing, personal experience, interpersonal relationships, health and social status, a problem in any of these areas may lead to sexual problems.

We have many years of experience, and provide a wide range of Private and Confidential Counselling and Psychotherapy services covering Relationship, Gender, Sexuality and Sexual Problems. A commonly used term is Psychosexual Relationship Therapy.

Often people come to us because they have been to see a Doctor who has not found any medical and physical reason for the sexual problem also people often come because they can link their sexual concern to a specific event and want to talk things through. Sexual issues is something that we can work with in both individual and couples counselling / psychotherapy.

We offer a range of approaches including Integrative Psychotherapy, Cognitive Behavioural Psychotherapy, Systemic and Existential Psychotherapy however we always recommend an initial session to determine what will be most helpful.

Further Sexual Concerns Therapy Assistance

If you require further assistance regarding our therapy services suitable for a person or couple with Sexual Concerns either Contact Nicholas Rose & Associates using the Enquiry form here below or please telephone 020 8996 9551

Therapists Specialising in Sexual Concerns:

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I just want to thank you for all your support over the past couple of months. You have helped me during a confusing and challenging time in my life and for that I am grateful for your time and understanding.

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