Specialist Psychosexual & Relationship Therapy
Thank you for considering a referral. If you are supporting a client whose sexual or relationship concerns fall outside your area of expertise - or where physical, psychological and relational factors appear to overlap - I offer specialist psychosexual assessment and therapy for individuals and intimate partners.
I am a Clinical Psychosexologist, Registered Nurse and COSRT-Registered Psychosexual and Relationship Therapist. My background combines specialist psychosexual therapy training with an MSc in Psychology and over 12 years' experience working across sexual health, contraception, gynaecology, urology, triage and elective surgery. This combination allows me to work comfortably at the intersection of medicine, psychology and relationships, particularly where sexual concerns are medically complex or involve multiple contributing factors. My aim is not simply to reduce symptoms, but to help clients understand the factors contributing to their sexual or relational difficulties, enabling meaningful and sustainable change.
Areas of Clinical Practice
I commonly support clients experiencing:
Erectile difficulties
Premature or delayed ejaculation
Difficulties with desire, arousal or orgasm
Pain during sex, including vaginismus, vulvodynia and dyspareunia
Sexual anxiety, avoidance and performance-related distress
Relationship and intimacy difficulties linked to sexual concerns
Communication difficulties around sex and intimacy
Betrayal trauma and rebuilding intimacy following infidelity
Sexual concerns associated with fertility treatment, pregnancy and the postnatal period
Menopause and hormonally related sexual changes
Disability, chronic illness and medically complex sexual concerns
Neurodivergence and sexuality
Sexual and erotic identity exploration
Navigating kink, BDSM and consensual non-monogamy
Typical Referral Scenarios
Pelvic Health Physiotherapy
A client has made good physical progress with pelvic floor rehabilitation, but fear of pain, anticipatory anxiety or avoidance is now maintaining their difficulties with intimacy or penetration.
General Practice
A patient presents with persistent erectile difficulties despite appropriate medical investigation, or where psychological, relational or performance-related factors appear to be contributing alongside any physical causes.
Gynaecology
A client experiences ongoing vulvovaginal pain, vaginismus or dyspareunia, where medical treatment has addressed physical pathology but distress, avoidance or relationship difficulties remain.
Fertility Services
A couple report increasing pressure, avoidance of intimacy or relationship strain during fertility investigations or treatment, or following unsuccessful cycles, pregnancy loss or reproductive trauma.
Menopause Care
A client is struggling with changes in desire, arousal, pain or intimacy associated with perimenopause or menopause, where psychosexual support may complement medical management.
General Counselling or Psychotherapy
A client begins disclosing sexual difficulties, relationship concerns or intimacy issues that fall outside your usual scope of practice, or would benefit from specialist psychosexual intervention alongside the continuation of their work with you.
Urology or Sexual Health
A client experiences persistent ejaculation, orgasm or erectile concerns where emotional, psychological or relational issues appear to be significant factors in maintaining the presentation despite appropriate medical intervention.
Neurodiversity & Disability Services
A client would benefit from support adapting sexual intimacy and communication around neurodivergence, disability, chronic illness or changing physical abilities.
Psychosexual and Relationship Therapy Professionals
You are engaged in long term individual work with a client individually and are unable to transition into partnered work for ethical reasons - but they have expressed recurring partner conflict which is centred on sex, desire discrepancy, communication or emotional disconnection. You would like a professional, collaborative analysis of their relationship in order to enhance your individual work with them.
Many of my referrals occur not because a diagnosis has been missed, but because sexual concerns rarely exist in isolation. Where physical health, psychological wellbeing and relationship dynamics overlap, specialist psychosexual therapy can help clients understand what is happening and move towards meaningful change.
Who I Work With
Individuals
Couples and intimate partners
Consensually non-monogamous relationships and polycules
Clients with medically complex presentations affecting sexual function
My Approach
Collaborative
I often recieve referrals for from other professionals involved in a client’s care, and with the appropriate client consent, have a highly collaborative approach. Integrated working is often particularly valuable where medical, psychological and relational factors are closely interconnected.
Most commonly, clients - especially those who are already positively engaged with therapy work elsewhere - are offered a Clarity Analysis (£100) which consists of a comprehensive online assessment process, an optional video call via Zoom, a full Clarity Report - a formulation type document, outlining some of their concerns, protective and maintaining factors for their difficulties - and a bundle of downloadable resources, exercises and suggestions for their next steps.
The Clarity Report can sometimes extend to 20-30 pages, with clients encouraged to share this with their other healthcare professionals, and often the information contained within this is enough to empower people to start to addressing the concerns without needing to commit to longer term, ongoing psychosexual therapy.
However, if they do have a specific preference for working therapeutically with me - and where the referring professional is supportive of this - it may be included within the recommendations provided, where clinically appropriate.
Holistic
Rather than viewing sexual difficulties in isolation, my expertise, experience and specialist training mean that I am uniquely positioned to consider the complex interaction between biological, psychological, relational, emotional and social factors that may be contributing to a client's experience.
Practical and evidence-based
Depending on the presentation, therapy may include:
Comprehensive psychosexual and relational assessment
Collaborative formulation
Psychoeducation around sexual response, desire and intimacy
Practical therapeutic interventions
Communication and relationship work
Behavioural exercises completed between sessions
Integration of relevant medical, psychological and relational factors
Where appropriate, I have a preference for working within a structured, time-limited framework therapeutically - although longer-term therapy remains available when clinically indicated or specifically desired by clients.
Starting Therapy
As mentioned above, many clients opt to begin with a Clarity Analysis. This structured assessment process provides an opportunity to explore the client's concerns in greater depth before beginning therapy. Depending on the client's needs and preferences, this may include a tailored pre-assessment, written clinical formulation, personalised recommendations and an optional consultation to clarify key themes and observe relational dynamics where appropriate.
Following the Clarity Analysis, clients may be recommended to:
Continue into ongoing specialist psychosexual or relationship therapy
Undertake focused short-term or single-session intervention around a specific concern
Recieve signposting towards a more appropriate service where indicated
Be empowered and resourced to manage the issue themselves, or under the continuing care of other professionals
Clients who already have a clear therapy goal, or where a referrer feels ongoing therapy is the most appropriate pathway, are equally welcome to proceed directly to booking a regular therapy session.
Fees and Financial Accessibility
My current fees for ongoing therapy sessions are £100/50mins. The fee remains the same whether clients attend individually or as a couple. Clarity Analysis is currently priced at an introductory rate of £100.
I believe specialist psychosexual therapy should be as accessible as possible, and so a limited number of reduced-fee appointments are available for individuals who are experiencing financial hardship and would otherwise have genuine difficulty accessing high quality psychosexual intervention. Eligibility and availability are discussed on an individual basis - professionals are very welcome to reach out directly via email, with permission from the client.
Referral Process
Professional referrals are welcomed from healthcare, therapy and allied health professionals including but not limited to:
General Practitioners
Pelvic Health Physiotherapists
Gynaecologists
Urologists
Fertility Specialists
Menopause Services
Clinical Psychologists
Counsellors and Psychotherapists
Sexual Health Services
Other Allied Health Professionals
To refer: Email directly using the details below. A brief summary of the presenting concerns is helpful.
Clients may also self-refer following your recommendation or you may contact me initially to discuss suitability.
If you are unsure whether psychosexual therapy is appropriate, I am always happy to have a brief professional discussion before a referral is made. I aim to respond to professional enquiries within two working days.
Contact
Nia Jane Butler
Clinical Psychosexologist
Registered Nurse (RGN)
COSRT-Registered Psychosexual & Relationship Therapist (Membership No 4234)