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.

Our therapists are now offering face-to-face therapy at our centres in Clapham and Tooting and many of our private counsellors, psychotherapists and psychologists also offer telephone and online counselling. 

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

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. When your perception of sex and intimacy impacts your relationship, couples counselling can be a viable solutions to improve your response to intimacy.

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.


To make an appointment to see one of our Psychosexual & Relationship therapists, please call the Front of house team on 020 8673 4545 or email appointmen[email protected]. We are open seven days a week. Some therapists offer online and telephone counselling.


Low Cost £35

Private Therapy £50 – £130.

Some therapists are registered private health care providers.


Appointments are available seven days a week. Book online or call the Front of house team on 020 8673 4545 to be matched with the right therapist for you.

Our Psychosexual & Relationship Therapists

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


Call our Front of house team on 020 8673 4545 or book an appointment online.

From the blog