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Simon Wilson
Psychosexual Therapy and Forensic Clinical Articles
Expert articles on psychosexual therapy, men’s sexual health, compulsive sexual behaviour, relationships, betrayal trauma, EMDR and forensic practice.


What Happens in Therapy for Sex Addiction or Compulsive Sexual Behaviour?
What happens in therapy for sex addiction or CSBD? Simon Wilson explains assessment, treatment goals, confidentiality and practical work towards change.

Simon Wilson


What to Expect in Your First Sex Therapy Session
What happens in your first sex therapy session? A guide to assessment, confidentiality, attending alone or with a partner, and getting started in London or online.

Simon Wilson


EMDR for Trauma Affecting Sex and Intimacy
How EMDR may help when traumatic memories affect sex and intimacy—and why careful assessment and wider psychosexual therapy still matter.

Simon Wilson


Trauma, Attachment and Repetitive Sexual Behaviour
How trauma, attachment, emotional regulation and shame may contribute to repetitive sexual behaviour—and what integrated specialist therapy involves.

Simon Wilson


Why Men Delay Seeking Help for Sexual and Psychological Difficulties
Why men postpone seeking help for sexual and psychological difficulties—and how confidential, specialist therapy can provide a practical first step.

Simon Wilson


Supporting Partners Following Sexual Betrayal
Specialist support for partners following sexual betrayal, including stabilisation, boundaries, sexual health, accountability and decisions about the relationship.

Simon Wilson


Disclosure and Discovery of Sexual Behaviour Within a Relationship
What happens when hidden sexual behaviour is disclosed or discovered? This article considers trust, accountability, partner impact, confidentiality and how specialist relationship therapy can help.

Simon Wilson


Problematic Pornography Use: When Does a Habit Become a Clinical Concern?
When does pornography use become a clinical concern? A specialist look at digital habits, impaired control, sexual effects, secrecy and relationship harm.

Simon Wilson


Sex Addiction, Compulsive Sexual Behaviour and High Sexual Desire: Why the Difference Matters
People often use the terms “sex addiction”, “compulsive sexual behaviour” and “high sex drive” as though they mean the same thing. They do not. Someone may have a strong interest in sex without being out of control. Another person may engage in sexual behaviour less frequently yet experience a persistent inability to manage it, with serious consequences. A third may feel intense distress because their sexuality conflicts with personal, religious or cultural values, even thoug

Simon Wilson


Problematic Online Sexual Behaviour: When Is Specialist Help Needed?
Online sexual behaviour is not problematic simply because it is frequent. Learn when loss of control, escalation, harm, secrecy, consent concerns or potential illegality indicate specialist help.

Simon Wilson


Forensic Psychosexual Therapy: What Treatment Involves
Forensic psychosexual therapy combines structured behavioural work, psychological formulation and psychotherapy to support accountability, reduce harm and build sustainable change.

Simon Wilson


What Happens During a Forensic Psychosexual Assessment?
A clear guide to what happens during a forensic psychosexual assessment, from the initial instruction and consent through interviews, formulation and reporting.

Simon Wilson


Therapy, Assessment or Court Report: Which Service Do I Need?
Forensic psychosexual therapy, independent assessment and reports for legal proceedings serve different purposes. This guide explains which route may be appropriate and why the roles must remain clearly separated.

Simon Wilson


What is Forensic Psychosexual Assessment?
Forensic psychosexual assessment sits at the intersection of sexology, psychosexual psychotherapy, forensic disciplines including psychology, criminology and the legal system. It is concerned not only with understanding sexual behaviour, but with evaluating risk, responsibility, and the conditions under which harm may occur (Craig, Browne and Beech, 2008). In contrast to therapeutic work, which is collaborative and exploratory, forensic assessment has a different task. It i

Simon Wilson


Understanding Compulsive Sexual Behaviour Disorder
Compulsive sexual behaviour is often described as a sense of being “out of control” in relation to sexual thoughts, urges, or actions. In recent years, it has been formally recognised within the International Classification of Diseases (ICD-11), reflecting a growing clinical and research interest in this area. However, despite this recognition, there remains significant confusion, both in public discourse and clinical settings, about what compulsive sexual behaviour actuall

Simon Wilson


Am I dissociating? 6 signs you need to know
Having associations with mental health conditions such as post-traumatic stress disorder, depression, anxiety, and obsessive-compulsive disorder, dissociation can occur to a wide range of people. But what is dissociation, and how is it treated? Read on to find out. What is Dissociation? Dissociation is one way in which the body copes with too much stress, such as from a traumatic event. For many, dissociation is a natural response to trauma that is uncontrollable. It can be f

Simon Wilson


What is psychological trauma?
We all have heard the term trauma, but what does it actually mean? Trauma can be defined as the aftermath of distressing experiences or events that have lasting effects and impact your ability to cope. Trauma comes in many forms: it may come from the aftermath of domestic violence, war, sexual abuse, assault, natural disasters, having a miscarriage, or going through challenging times with family members, for example. Trauma can have different degrees of severity and is not al

Simon Wilson
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