Overview

I work as a Clinical Psychosexologist (a Registered Nurse and qualified Psychosexual and Relationship Therapist) - supporting adults and couples who are experiencing sexual function and relational difficulties, including but not limited to those with complex medical, psychological and identity-related factors.

My work integrates psychosexual assessment, relational formulation and evidence-informed therapeutic intervention. I also work closely with professionals across pelvic health, gynaecology, fertility services, primary care and mental health.

This page is intended to support clear and appropriate referrals.

Areas of Clinical Work

I commonly support clients who are experiencing:

  • Sexual pain and penetration-related difficulties (including vaginismus, vulvodynia and dyspareunia presentations)

  • Low sexual desire or arousal concerns

  • Erectile and orgasm-related difficulties

  • Sexual anxiety, avoidance cycles and performance-related distress

  • Relationship and intimacy breakdown linked to sexual concerns

  • Sexual shame, trauma-related sexual difficulties and avoidance patterns

  • Sexual concerns linked to fertility, pregnancy, postpartum or parenting transitions

  • Sexual identity, kink and consensual non-monogamy related exploration or conflict

  • Medical, disability and neurodivergence-related impacts on intimacy and sexual communication

Who I Work With

I work with:

  • Individuals

  • Couples (including non-monogamous relationship systems)

  • Clients with medically complex presentations affecting sexual function

  • Clients who are navigating psychological, relational, or identity-related sexual concerns

Where appropriate, I may also work alongside other professionals involved in a client’s care.

When to Refer

Referral may be appropriate when a client is experiencing:

  • Persistent vulvovaginal pain impacting intimacy, examinations or daily wellbeing

  • Ongoing avoidance of sexual or intimate contact due to distress, fear or anxiety

  • Relationship distress linked to mismatched desire or sexual communication difficulties

  • Erectile, arousal or orgasm difficulties where psychological or relational factors may be present

  • Sexual concerns emerging alongside fertility treatment, hormonal changes or medical conditions

  • Identity-related distress or confusion affecting sexual or relational wellbeing

  • Repetitive cycles of sexual pressure, shutdown or disconnection within relationships

Clients do not need any formal diagnosis to be appropriate for referral.

How I Work

My approach is structured, collaborative, solution-focused and tailored to the presenting difficulty.

This typically involves:

  • A clear psychosexual and relational assessment

  • Identification of potential maintaining cycles (psychological, relational and physiological factors)

  • Psychoeducation to help support understanding of sexual response and distress patterns

  • Practical and therapeutic interventions to reduce avoidance, pressure and anxiety cycles

  • Integration of medical, psychological and relational influences where relevant

Work may be a one-off appointment, short-term work or ongoing longer-term therapy where appropriate.

Referral Pathway

Referrals are welcome from professionals across healthcare and therapy settings.

How to refer:

  • Referrals can be made directly via email

  • A brief summary of concerns is helpful but not essential

  • Clients are usually offered an initial Clarity Session as a starting point, but it is possible to proceed straight into ongoing therapy, if the Clarity process does not feel like a good fit for them.

I respond to professional enquiries within 48 hours.

Working in Collaboration

I welcome collaborative work where appropriate and assuming client consent, can liaise with:

  • Pelvic health physiotherapists

  • Gynaecology and urology services

  • Fertility clinics

  • GPs and primary care teams

  • Mental health professionals

This is particularly useful in cases where sexual difficulties are medically and psychologically interconnected.

Low Cost / Accessibility Options

Where appropriate, I am able to offer limited reduced-fee spaces. Eligibility and availability may vary, and can be discussed at point of enquiry.

Contact

Professional referrals and enquiries can be made via email:

Nia@NiaJane.com

If you are unsure whether a referral is appropriate, you are very welcome to get in touch briefly for clinical clarification before referring.