Psychosexual Therapy: Sex Therapy

Most people have difficulties with sex at some point in their lives and, like relationship issues, this is natural.

It may feel unclear as to whether the sexual difficulties, in and of themselves, are the main cause of relationship tensions, or whether, in fact there are further deep seated issues that need addressing before positive sexual contact can re-start. Often partners view this question differently, so it becomes important to gain some clarity and calmness before moving forward. Sometimes simply being able to talk frankly and freely about sex in an informed, non-judgmental and non-shaming space can be very beneficial for couples or individuals. It maybe that a few sessions of reflective and open discussion is all thats needed, where as for others a more structured and specific approach is most useful.

The beauty, flexibility and creativity of sex therapy is that we can work together to address the particular challenges you, or both of you, are facing.  

What often compounds sexual problems is the difficulty in actually asking for help; it might feel too private or simply embarrassing. We can feel ashamed to admit to sexual problems when we live in what appears to be a sex-obsessed society, and experience a sense of inadequacy in not being able to sort out our own problems ourselves. Social media and comparing yourselves to others is often very unhelpful here. 

But you have got as far as reading this, which suggests to me that, a/ you have probably already struggled to tackle the problem by yourselves in some way, and b/ it's simply felt too stressful and challenging to get started alone. 

So many of the problems listed below can be effectively treated in Sex Therapy and many of these difficulties come about because of the way we think about sex and sexuality. That is why there is a psycho-sexual element to my practice. 

The way you think matters. 

So what are the most common issues people bring to sex therapy?

  • Sex has become routine and is always the same.
  • I feel I have no desire for sex. It's just gone. This is confusing and upsetting.
  • To avoid sex we’ve started going to bed at different times, are not really kissing, are now anxious about inviting intimacy into our relationship.
  • There may be erectile difficulties; losing erections, coming too quickly or too slowly.
  • There are difficulties with orgasm; reaching them, coming too quickly then losing interest.
  • Maybe there are body image issues and sexual confidence issues.
  • You may be questioning your sexual identity, wanting to explore new or different things causing divergence from your partner.
  • There may be vaginal discomfort or painful sex.

People bring these and other concerns to psychosexual therapy.

If you can relate to some of what is listed, or you just want to find out more, please do contact me on

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North London

T: 07909 910 624

E: karen@karenaramtherapy.co.uk