Sexual and Relationship Concerns

Sexual difficulties rarely exist in isolation.

Problems with desire, arousal, erections, orgasm, pain, communication, or intimacy often overlap and influence one another. For this reason, the first step is understanding the wider picture rather than focusing on a single symptom.

Below are some of the most common reasons individuals and couples seek support. Click each link to find out more about how I work with a particular issue.

Sexual Function

• Erectile Difficulties

• Premature Ejaculation

• Delayed Ejaculation

• Orgasm Difficulties

• Arousal Difficulties

• Sexual Anxiety and Performance Pressure

Pain and Physical Difficulties

• Pain and Penetration Difficulties

• Sexual Pain in Men

Desire and Intimacy

• Low or Mismatched Desire

• ‘Sexless’ Relationships

• Understanding Your Erotic Patterns and Sexual Response Style

Relationships and Communication

• Communication Difficulties Around Sex

• Post-Betrayal Repair

• Opening a Previously Monogamous Relationship

Health and Medical Factors

• Menopause and Perimenopause

• Sexuality After Childbirth

• Sex After Cancer and Major Medical Treatment

• Ageing and Sexual Function Changes

Identity, Lifestyle and Alternative Relationship Structures

• Neurodivergence, Sexuality and Relationships

• Kink, Power Dynamics and Non-Traditional Relationship Support

Trauma and Behavioural Concerns

• Sexual Trauma and Intimacy Difficulties

• Compulsive Sexual Behaviour and Pornography Concerns

Have multiple concerns and not sure where to start?

You don't need to know what's causing the difficulty.

Many people contact me because they are experiencing a mixture of:

• reduced desire

• erection difficulties

• anxiety

• relationship strain

• avoidance of intimacy

Part of the assessment process is identifying how these factors interact.

If you're unsure where your experience fits, email me directly or complete the written clinical triage form and I can advise on the most appropriate next step.