If you’re considering psychosexual or relationship therapy and want to understand a bit more about what to expect, this page covers the most common questions new clients ask. You’ll find practical information on fees, what happens after you book, and how therapy is structured - alongside details about my background and approach as a Clinical Sexologist.
What is a Clinical Sexologist?
A clinical sexologist is a professional who specialises in the exploration and treatment of sexual and relational concerns or dysfunctions. Often - like myself - they will be a trained sex and relationship therapist, and will sometimes have additional background in healthcare and/or psychology.
The role combines expertise in sexual health, relationships and psychological well-being to provide truly integrated, comprehensive evidence-based support for intimacy and sexual function.
What types of issues can you help with?
I work with concerns including but not limited to:
Sexual function difficulties (e.g., erectile dysfunction, premature ejaculation, low libido, pain during sex)
Relationship challenges (betrayal trauma, desire discrepancy, communication difficulties)
Exploration and navigation of kink, polyamory, and other non-traditional relationship styles
Sexual identity exploration and building your erotic template
Fertility concerns, pregnancy loss, postnatal depression and involuntary childlessness
Intimacy after trauma, assault or abuse
The impact of addiction, illness or disability on sex and interpersonal relationships
I am both neurodivergent and disabled myself, so I strive to create an inclusive space and offer flexibility in how we structure and adapt therapy to best accommodate your individual needs.
How is psychosexual therapy different from other therapy?
Psychosexual therapy (PST) focuses primarily on concerns related to sex, intimacy and relationships (not necessarily just romantic ones!). While other therapies might address broader mental health issues - and these can all certainly intersect with psychosexual presentations and be something we work through as underlying contributors - my work tends to be specialised to where your primary concern falls into one or more of the areas outlined above.
In terms of what the process looks like - typically in PST there is a heavier focus on psychoeducation and with most presentations there are practical exercises to complete between sessions - whilst during appointments we spend time unpacking. Couples are often asked to turn and speak primarily to each other, with the therapist facilitating and structuring conversation. Sometimes my clients comment that PST feels more like coaching than traditional types of therapy.
How do I book a session?
You can book your initial Clinical Consultation directly through my Calendly link - www.calendly.com/NiaJane/clinical-consult or get further guidance by sending me an email at Nia@NiaJane.com. I typically arrange Clinical Consultation calls for Tuesday and Thursday PMs, but I’m happy to discuss alternatives if these days or times aren’t a good fit for you. Following the call, we can decide together how to go forward with sessions. You can find out more about Clinical Consults here
What should I include in my enquiry?
Please include:
An overview of your concerns (give as much detail as you are comfortable with!)
Whether you’re seeking to come to therapy with your partner/s or individually
Your availability (days and times) for online sessions
If you’re seeking low-cost therapy, any relevant information regarding potential eligibility for this
What are your fees? Do you offer low-cost therapy?
Following the initial Clinical Consult (£60/20mins), my standard fees are £120 per session for both individuals and couples/polycules.
I believe my fees are reflective of my experience, expertise and qualifications, and as such are reviewed on a regular basis. However as mentioned above, I also reserve up to 30% of appointments for those who are experiencing financial hardship and would have genuine difficulty accessing high-quality therapy at the full session cost. These are typically daytime weekday appointments, but on occasion I can also accommodate late afternoon or evening slots.
Please provide details in your enquiry if you'd like to be considered for these.
How long are the sessions?
Sessions typically last 50 minutes, though I can offer some flexibility if a longer or shorter session would better meet your needs. This would need to be discussed on an individual basis.
What happens after I book?
Once you’ve booked your Clinical Consultation through Calendly, I’ll create a secure Quenza profile for you. You’ll receive:
An individualised pre-consult flow (including your agreement and a selection of assessment forms tailored to the concerns you have indicated)
Instructions for completing these at least one week before our session
This allows me to build a clear picture of what’s going on for you before we even meet - so we can keep your Clinical Consult focused, efficient and genuinely useful.
Following your consultation, you’ll have 30 days of access to any tailored exercises, psychoeducation and resources we’ve discussed - even if you decide not to continue into therapy.
What is Quenza?
Quenza is a secure online platform where I can provide you with a ‘flow’ of structured, tailored therapy exercises, tasks and resources to read in between sessions. When you book a Clinical Consult, the price includes a 30-day, full-access trial. For continuing clients, Quenza access forms part of your therapy package, and is renewed on a monthly basis going forward.
The activities and resources you have completed on Quenza are yours to download and keep forever - even if you decide not to proceed with therapy following your Clinical Consult. Quenza access is typically activated on the Thursday following your Consult and you will recieve further details in a seperate email.
How often will we meet?
Most clients prefer weekly sessions, and I find that this is usually a good starting point to adjust from as we go. Others may opt for biweekly, monthly or ad hoc appointments from the outset. We’ll find a schedule that works best for you.
What is your cancellation policy?
Although cancellations within 48hrs of the session would typically incur the full session fee, I also understand that life happens, especially for clients with disabilities, caring responsibilities or other circumstances where a bit more flexibility is necessary. If this additional flexibility is something you anticipate would be helpful, we can discuss this in detail during our Consult.
Do you provide letters for benefits assessments?
Yes. As part of my commitment to disability advocacy, I can provide ongoing clients with supporting letters for the PIP or WCA assessment process - if and when appropriate. Please note that these letters will be a truthful and factual reflection of the concerns you have highlighted to me and the work that we are doing on these in therapy - and it therefore would not be appropriate to provide them for one-off clients. There is no additional administrative charge for supporting letters, outside of my usual hourly session fee which covers time spent writing it up.
I can also help with completing your forms to help you to best highlight any difficulties that you have legitimately expressed to me. This service again is chargeable as one or more hourly session fees, depending on depth required.
Depending on the timing, if we are engaged in longer term therapy it is sometimes possible for me to attend a telephone assessment alongside you as a supporter. As the DWP indicate they can take up to 90mins, the fees incurred for this are equal to that of a 2hr appointment.
Can I bring my partner(s) to therapy?
Yes - in fact I prefer to work with all intimate partners wherever possible, even if you believe the issue only affects one of you.
How confidential is therapy?
Confidentiality is a top priority. I adhere to the ethical guidelines of the NMC and COSRT, meaning what we discuss stays between us, unless there is a significant legal or safety concern. I will never send anything to your address or discuss anything with your GP or other healthcare professionals until agreed between us, and even then, only when it is clinically necessary or at your specific request.
What if I’m not sure therapy is right for me?
That’s completely okay. The Clinical Consult is designed to help you figure that out.
Whatever you decide, the post-session guidance and any selected Quenza resources are yours to keep - so you’ll still walk away with a clearer understanding of what’s going on and what next steps might help.
If you have any other questions, feel free to get in touch!