Concerns related to sexual function, intimacy and sexuality are common, yet they often feel misunderstood, minimised or difficult to talk about.

Whether your difficulties have developed recently or have been present for many years, psychosexual therapy can provide a confidential, non-judgemental space to understand what may be contributing to your experiences and explore meaningful ways forward.

I work with individuals and couples across a broad range of psychosexual concerns, combining my specialist psychosexual therapy training with a background in nursing and sexual healthcare to provide medically informed, evidence-based support.

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What Can Psychosexual Therapy Help With?

Sexual difficulties rarely fit neatly into one category. Many people experience a combination of physical symptoms, emotional responses and relationship changes, which is why therapy with me begins by trying to understand the whole picture, rather than zooming in on one specific symptom in isolation.

Below are some of the presenting concerns that people commonly seek my support with. Click on any topic to learn more about my approach, and some of the factors that might be underlying the concern.

Sexual Function

• Difficulty obtaining or maintaining erections

• Performance anxiety

• Premature ejaculation

• Delayed ejaculation

• Anorgasmia or difficulty reaching orgasm

• Changes in arousal

• Reduced genital sensation

• Ejaculatory changes following surgery or illness

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Sexual Desire & Intimacy

• Low or discrepant sexual desire

• Loss of, or disconnection from, sexual interest and intimacy

• Difficulty initiating sex

• Changes in desire following a fertility journey, pregnancy, parenthood or involuntary childlessness

• Sexual ‘boredom’ or loss of novelty

• Rebuilding desire, intimacy and sexual confidence after relationship difficulties

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Pain & Penetration Difficulties

• Pain during sex, penetration or intimate medical examination

• Vaginismus and pelvic floor-related sexual difficulties

• Vulvodynia, vestibulodynia and clitorodynia

• Fear or anxiety around penetration

• Difficulties or pain following childbirth, surgery or medical treatment

Explore Pain & Penetration Difficulties →

Health, Hormones & Life Stages

• Sexuality in menopause and perimenopause

• Sexual changes following cancer treatment

• Fertility treatment and IVF

• Navigating sexual function with gynaecological diagnoses such as endometriosis, adenomyosis, fibroids and PCOS

• Chronic pain, long-term health conditions

• Medication-related sexual side effects

• Impacts of endocrine, cardiovascular and neurological conditions

• Disability, neurodiversity and sexuality

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Sexual Confidence & Wellbeing

• Sexual confidence

• Body image and low self-esteem

• Sexual anxiety, shame or embarrassment

• Difficulties communicating about sex

• Exploring sexual preferences and erotic expression

• Changes in sexuality across the lifespan

• Reconnecting with sexuality following difficult and traumatic experiences

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Diverse Sexualities & Relationship Styles

• LGBTQ+ sexuality and relationships

• BDSM, kink and consensual power exchange relationship dynamics

• Consensual non-monogamy, polyamory and other non-traditional relationship models

• Constructing and navigating relationship agreements

• Sexual identity exploration

• Relationship transitions

Explore Diverse Relationships & Sexuality →

My Approach

Every sexual concern has its own story.

I begin by developing a comprehensive understanding of the factors that may be influencing your experiences. Together, we’ll explore how your physical health, emotional wellbeing, relationships and wider life circumstances interact to create and maintain the difficulties you are experiencing.

This formulation then guides our work together, allowing therapy to be tailored to your individual circumstances rather than relying on generic advice or symptom-focused coaching-style interventions.

My work is informed by a biopsychosocial and relational framework, considering the interaction between:

• Biological factors – including health conditions, injuries or illnesses, neurodiversity, medication and medical treatments, pain, fatigue

• Psychological factors – including thoughts, emotions, beliefs, anxiety, confidence, body image, stress, trauma and coping strategies.

• Relational factors – including communication, attachment, intimacy, trust, sexual scripts, relationship dynamics and wider social influences.

While I may draw on a range of different therapeutic models and interventions depending on your circumstances, situation and needs - my work tends to be generally solution-focused and goal-oriented. This means that we’ll focus on understanding what is happening, identifying the factors that are maintaining the difficulty, and working collaboratively towards practical, meaningful change.

Why Choose a Specialist?

Sexual function concerns sit at the intersection of medicine, psychology and relationships. Addressing one area in isolation often fails to capture the full complexity of what people are experiencing.

Alongside my specialist training in psychosexual and relationship therapy and an MSc in Psychology, I bring over a decade of experience as a Registered Nurse, including work within sexual health, contraception, gynaecology, endocrinology, orthopaedics, gastroenterology and urology. This enables me to integrate medical understanding, knowledge and experience, with psychological formulation skills and relational expertise when supporting clients.

My aim is not simply to make your symptoms ‘go away’, but to also help you understand the wider picture, make sense of your experiences and support you to develop lasting confidence in your sexuality and relationships.

Read more about Nia