What is Psychosexual Therapy?
Let's talk about something that affects many of us, but we don't always feel comfortable discussing: sexual difficulties. Psychosexual therapy is a form of talking therapy that helps with sexual problems, relationship issues, and intimacy concerns. It recognises that sexual wellbeing is a crucial part of our overall health – and when things aren't going well in this area, it can affect everything from our relationships to how we feel about ourselves.
What exactly is psychosexual therapy?
Psychosexual therapy is a specialised therapeutic approach that focuses specifically on sexual functioning, sexual relationships, and how we feel about our sexual selves. It's sometimes called sex therapy, and it addresses both the physical and psychological aspects of sexual health.
Unlike general counselling, psychosexual therapy directly explores the intimate aspects of your life and provides tailored strategies for sexual concerns. The therapist creates a safe space where you can discuss matters that might feel embarrassing or difficult to talk about elsewhere.
What makes psychosexual therapy different is its focus on the whole person – not just the sexual problem itself. Your therapist will consider how your past experiences, current relationships, body image, cultural background, and belief systems all influence your sexual wellbeing. This holistic approach means looking at the complete picture rather than treating symptoms in isolation.
Psychosexual therapy isn't about telling you what's "normal" or prescribing a one-size-fits-all solution. Instead, it's about helping you discover what feels right and fulfilling for you and your partner(s), addressing any barriers that might be getting in the way.
Psychosexual therapy blends psychological approaches with practical strategies to help individuals and couples work through sexual challenges. Unlike some other therapies where sex might be mentioned in passing, psychosexual therapy puts these concerns front and centre.
The reality is that sexual difficulties rarely have just one cause. While there might be physical factors at play, our thoughts, emotions, past experiences, and relationship dynamics often have just as much influence on our sexual wellbeing.
When might you need psychosexual therapy?
People come to us for all sorts of reasons:
Not feeling interested in sex anymore
Trouble getting aroused or reaching orgasm
Pain during sex that's getting in the way
Difficulties with erections
Coming too quickly
Vaginismus (when vaginal muscles tighten involuntarily)
Changes in sexual function after having children, going through menopause, or illness
Working through sexual trauma
Exploring your sexual identity
Feeling disconnected from your partner
Worries about sexual behaviours that feel out of control
What happens in psychosexual therapy?
Psychosexual Therapists create a relaxed, judgment-free zone where you can talk openly about intimate concerns. Here's what you can expect:
Your Therapist will start by getting to know you and understanding your situation. This isn't about ticking boxes – it's about hearing your story and what brings you to therapy now.
Through conversations, you will explore your feelings about sex, look at experiences that might be influencing current difficulties, and spot patterns in your relationships.
Sometimes, simply having accurate information about how our bodies work sexually can make a huge difference.
For couples, your Therapist might suggest some structured touching exercises to try at home. These help rebuild physical connection gradually, without any pressure to "perform."
Your Therapist may also help you identify and challenge unhelpful thoughts about sex, developing healthier attitudes and approaches instead.
Of course not every therapist works that way, so its a good idea to ask your therapist any questions you may have about what you can expect and how they work, so that you feel more comfortable before starting.How can psychosexual therapy help?
Good psychosexual therapy can help you:
Talk more openly with your partner about what you each want and need
Develop a healthier relationship with sex and intimacy
Feel less anxious about sexual performance
Address specific sexual problems
Feel more satisfied in your relationship overall
Feel more confident about your sexual identity and expression
Convenient therapy in Southeast London
Our psychosexual therapists are friendly professionals with specialist training in this field. We understand that sexual difficulties involve a mix of psychological, physical, relationship and cultural factors.
Conveniently located in the heart of Blackheath Village, we are easily accessible for in-person psychosexual therapy sessions if you're based in the Greenwich, Lewisham, or Bexleyheath boroughs. If you're further afield or prefer the flexibility of remote support, we also offer online therapy to suit your lifestyle and preferences.
Ready to take that first step?
We know it can feel awkward talking about sexual difficulties – many of our clients tell us they put off seeking help because they felt embarrassed. But starting the conversation is the hardest part, and our therapists are experts at making this comfortable for you.
Whether you're looking for couples therapy in Southeast London or individual support, we're here to help. Get in touch with Heathwell today to arrange an informal chat about how psychosexual therapy might work for you.
