What is Psychosexual and Relationship Therapy?

Sexual difficulties can make us feel very alone. Some people feel so fearful, self-conscious or ashamed of their sexual problem that they suffer for months or even years without discussing their worries with anyone, even their partner. And yet sexual difficulties are very common and can have many causes. Their origins may be physical as a result of illness, accident, surgery, disability or medications.

Some sexual dysfunction may be due to psychological problems such as anxiety, depression or other mental health problems, or, emotional problems, such as unresolved grief or unhappiness due to other problems in a relationship. Sometimes they are situational, which means that they only happen under certain circumstances. For example, erectile dysfunction during intercourse with a new or long term partner may be due to performance anxiety, where the penis is unable to hold an erection during penetrative sex. But at the same time a man experiencing this difficulty may well be able to hold an erection while masturbating alone. This can be a situational issue, where a man feels emasculated within their sexual relationship with their partner.

Psychosexual Issues

There are a number of sexual problems that may affect you; Anorgasmia (the inability to achieve orgasm), Dyspareunia (pain during sexual intercourse), erection problems (inability to keep an erection), lack of intimacy (the inability to form an intimate relationship), loss of libido (decline in sex drive), premature ejaculation (when a man ejaculates sooner during sexual intercourse than they or their partner would like),  retarded ejaculation (inability or delay in achieving ejaculation during sexual activity) or Vaginismus (when the muscles around your vagina tighten involuntarily whenever there is an attempt to penetrate it). For more details on psychosexual issues please click here.

People may also be experiencing sex addiction (hypersexuality) issues and avoid intimate relationships. For example a man can be preoccupied with pornography and spend hours on the internet looking at sexual images and masturbating to achieve a high but avoid having a sexual relationship with a partner.

Hypersexuality, or sexual addiction is best described as a progressive intimacy disorder characterised by compulsive sexual thoughts and acts. Like all addictions, its negative impact on the addict and on family members’ increases as the disorder progresses. Over time, the addict usually has to intensify the addictive behaviour to achieve the same results.

Sex is a complex subject in our society. People can carry a lot of shame or secrets as a result of their experience of sex, especially if someone has either been sexually exploited or abused. It can take time to understand the art of intimacy, communication, attachment, touch, love, care, maturity and that is where our psychosexual and relationship therapists can help support you.

Psychosexual & Relationship therapy can help adults of all ages, whether heterosexual, bisexual, lesbian or gay; single people and couples who are married. Our therapists can help support you with a wide range of issues.

The Awareness Centre has professional psychosexual therapists who are specially trained to support clients with all kinds of sexual difficulties, whatever the cause.


£65 – £130 for 50 Minutes

Make an Appointment

To make an appointment to see one of our Psychosexual & Relationship therapists, please call the reception team on 020 8673 4545 or email We are open seven days a week.

The Awareness Centre also provides a Multilingual Counselling ServiceLGBT Counselling Service and Child & Adolescent Counselling Service within the NHSLow Cost and Private Counselling Services.

Call us on 020 8673 4545

Our Services


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The Awareness Centre offers disabled access

What people say

I have suffered from depression and anxiety attacks for many years. I began seeing Pinar about 18 months ago and talking therapy has been extremely helpful. I have found her practice to be caring and very professional. For me the process has been sometimes subtle and sometimes hard but I have definitely experienced progress and improvement, interspersed with moments of joyful breakthroughs. I feel much better equipped to deal with my condition and have a better feeling of awareness as a result…
Peter Zek

Psychosexual & Relationship Therapists