Men’s Sexual Health & Psychosexual Therapy in London and Online

Sexual difficulties can affect confidence, intimacy and relationships, and may feel difficult to talk about. I offer specialist psychosexual therapy for men experiencing concerns about erections, ejaculation, desire or sexual confidence, including where these difficulties are connected with anxiety, trauma or relationship experiences.

​

I work particularly with men, while also supporting individuals and intimate partners across different sexual identities and relationship structures. You do not need to know exactly what is causing the difficulty before seeking help.

​

Sexual difficulties I work with

• Erectile difficulties, including difficulty getting or maintaining an erection

• Premature or rapid ejaculation

• Delayed ejaculation or difficulty reaching orgasm

• Low sexual desire or libido, and differences in desire between partners

• Performance anxiety and loss of sexual confidence

• Sexual shame, avoidance and difficulties with intimacy

• The effects of trauma on sexuality and intimacy

• Sexual difficulties following illness, medication or major life changes

• Intimacy difficulties connected to compulsive sexual behaviour, secrecy or betrayal

 

 

 

Clinical Sexology, often referred to as Psychosexual Psychotherapy or Sex Therapy, focuses on the assessment and treatment of sexual difficulties within a biopsychosocial framework. This includes presentations such as difficulties with desire, arousal, erection, ejaculation, orgasm, and pain, including vaginismus, dyspareunia, and other forms of pelvic pain or pain associated with penetration. It also includes work relating to sexual confidence, identity, and intimacy within relational contexts.

 

Work in this area may be undertaken with individuals or with intimate partners, and spans a wide range of sexual identities, relationship structures, and stages of the lifespan. Sexual concerns are understood not only in terms of dysfunction, but in relation to broader questions of meaning, identity, relational experience, and the development of a satisfying and sustainable sexual life.

 

Choosing the appropriate specialist service

Clinical sexology is usually appropriate when the main concern involves sexual function, desire, pain, confidence, pleasure or intimacy.

 

Compulsive Sexual Behaviour therapy focuses more specifically on sexual behaviour that feels repetitive, difficult to control or harmful, including problematic pornography use, secrecy and repeated infidelity.

 

Relationship Therapy focuses primarily on communication, conflict, attachment, betrayal and recurring patterns between partners.

 

Forensic Sexology is relevant when sexual behaviour or interests involve potential harm, risk, safeguarding concerns or legal questions. Formal forensic assessment is provided separately from an ongoing therapeutic relationship.

​

Practice in this area involves working at the interface of medical and psychological understanding. Sexual difficulties are considered in relation to physiological processes, including hormonal, neurological, and medication-related factors, alongside psychological experiences such as anxiety, trauma, shame, and avoidance, and the relational dynamics in which these difficulties are expressed and maintained.

 

Medical considerations

Sexual difficulties can sometimes be influenced by medication, hormonal changes, physical health conditions or neurological and cardiovascular factors. Where appropriate, I may recommend consultation with a GP or relevant medical specialist. Clinical sexology complements—but does not replace—medical assessment and treatment.

​

My approach draws on established psychosexual models, including behavioural and sensate focus-based interventions, alongside psychodynamic and attachment-informed perspectives. This allows for work that can move between structured, task-based interventions and more exploratory approaches, depending on the nature of the difficulty and the context in which it occurs. Alongside addressing specific difficulties, the work may also focus on enhancing sexual wellbeing, pleasure, and overall quality of life.

 

Professional experience

I am a COSRT-accredited psychosexual and relationship psychotherapist and clinical sexologist, with senior clinical and service-leadership experience. For more than a decade, I have also contributed to the teaching and development of psychosexual therapy and specialist professional training.

​

A confidential and non-shaming approach

Sexual concerns are approached with sensitivity, openness and respect for sexual and relationship diversity. The work is confidential and non-shaming, while maintaining clear attention to consent, personal responsibility, wellbeing and the potential impact of behaviour on partners or others.

​​

Practical information

Sessions are available in Central London and online. Individual sessions normally last 50 minutes and cost £120. If you are attending with a partner, the appropriate session length and fee will be confirmed before booking.

 

An initial consultation provides an opportunity to discuss the difficulty, consider what you would like to change and decide whether clinical sexology—or another form of specialist support—is most appropriate.