Trish Riley
Trish Riley is a registered Psychosexual & Relationship Psychotherapist who works with a wide range of presentations, including low or loss of sexual desire and relationship or communication difficulties, particularly those shaped by cultural and religious diversity.
She has a particular interest in working with diverse communities, offering culturally sensitive support and working with LGBTQIA+ individuals, as well as engaging in outreach with BAME communities.
Trish is also experienced in supporting individuals who are currently in, or recovering from, narcissistic abuse. Her work includes helping clients rebuild self-worth and navigate the psychological impact of these relationships. In addition, she offers support around grief and loss, recognising how complex and isolating these experiences can be.
Professional registration: ISSM, MESSM, BPS and COSRT
Languages spoken: English, Nigerian pidgin, Igbo
Availability: Blackheath, Online
Fees: Individuals - £95, Couples - £130
Trish has some concession slots for online sessions, depending on availability. She also offers longer sessions for individuals and couples.
Trish takes an integrative approach to therapy, drawing from different therapeutic modalities to tailor her work to each client’s unique needs and circumstances.
She has a particular focus on Psychosexual Therapy, supporting individuals and couples in addressing concerns such as erectile difficulties, low or lost desire, vaginismus, dyspareunia, and orgasm issues through both psychological and practical interventions.
Trish also works extensively with clients who are experiencing or recovering from narcissistic abuse. She understands the deep psychological wounding that can result from these relationships and offers a validating, trauma-informed space to process the manipulation, gaslighting, and emotional confusion that often characterise these dynamics. Her work focuses on rebuilding self-trust, reducing shame, and supporting clients to reclaim a sense of identity and agency.
In addition, Trish supports individuals navigating grief and loss, whether related to bereavement, relationship breakdowns, or identity transitions. She recognises that grief can manifest in complex ways, and works relationally to help clients move through these experiences with compassion and stability.
She is committed to a culturally sensitive and inclusive practice, placing strong emphasis on diversity and working with clients from various cultural and religious backgrounds, as well as LGBTQIA+ and BAME communities.
Trish’s approach integrates techniques that address the physical, emotional, and psychological aspects of sexual and relational well-being, offering holistic support. She is client-centred, helping individuals and couples build confidence, improve communication, and enhance their relationships and sex lives.
She specialises in a wide range of presentations, including sexual difficulties, depression, sex-related anxiety, attachment wounds, and relationship struggles shaped by cultural or religious expectations.
With experience across both the mental health and psychosexual fields, Trish applies evidence-based tools and therapeutic insight to support her clients. She has worked in private practice, charitable organisations, and psychosexual clinics within the NHS.
Trish offers counselling and psychotherapy to couples and individuals from our Blackheath clinic and online.
Qualifications
Certificate in Counselling & Psychotherapy /2021
Psychology with Counselling (BSc) / 2011
PG Dip. Psychosexual & Relationship
Psychotherapy/2024 PG Dip.
Couple/Relationship Psychotherapy/In Training
