Sex and Relationships

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 medication.

Psychosexual therapy is a branch of psychotherapy that deals with all issues regarding sex, sexuality and human relationships. As well as understanding the psychological issues relating to sex, psychosexual therapists usually have a greater understanding of physical issues relating to sex.

Some sexual dysfunction may be due to psychological problems such as anxiety, depression or other mental health problems. Emotional difficulties, such as unresolved grief or unhappiness due to other problems in a relationship, can also have an impact on sexual function. Sometimes symptoms are situational, which means that they only happen under certain circumstances.

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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 he or his partner would like).
  • Retarded ejaculation (inability to ejaculate, or delay in achieving ejaculation during sexual activity).
  • Vaginismus (when the muscles around the vagina tighten involuntarily whenever there is an attempt to penetrate it).

For more details on psychosexual issues please click here.

Sex addiction

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 sex 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. Turning to a psychosexual therapist can help addicts address the issues which have led to the addictive behaviour and identify ways of bringing intimacy back into their lives.

How psychosexual and relationship therapy can help

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 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 support you.

Psychosexual and relationship therapy can help adults of all ages, whether heterosexual, bisexual, lesbian or gay, single people and couples who are married or in long-term relationships. 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.


Low Cost Counselling: £20 – £35 for 50 minutes at TAC Clapham. We have an opening offer at our Tooting branch, with low cost counselling at £10-£25 for up to 12 sessions.

Private Counselling: £50 – £130 for 50 minutes (some therapists are a private healthcare provider)

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 our Clapham Branch or Tooting Branch We are open seven days a week.

Our Therapy Services

The Awareness Centre also offers Addiction CounsellingAnger Management TherapyBereavement CounsellingChild & Adolescent CounsellingEating Disorders Therapy, LGBT Counselling and Multilingual Counselling.

Psychosexual & Relationship Therapists

Our counsellors, psychotherapists and psychologists are accredited or registered with one or more of the following professional bodies: