If sex is painful, confusing, or anxiety-provoking, you’re not alone and it’s not “all in your head.” Pain during sex can have many causes, including medical, emotional, and relational factors. Therapy provides a safe, respectful space to understand what’s happening, address fear or tension around intimacy, and move toward greater comfort and confidence.

When sex is accompanied by anxiety, pressure, or fear, it can be hard to enjoy intimacy or feel connected to your body or partner. Anxiety around sex may be linked to past experiences, relationship dynamics, stress, or expectations about how sex “should” be. Therapy helps reduce self-blame, build confidence, and create a more supportive relationship with intimacy.

Support for couples and individuals experiencing communication problems, recurring conflict, emotional distance, trust issues, or uncertainty about the future of a relationship. Therapy can help you better understand patterns and develop more supportive ways of relating.

Difficulties talking openly about feelings, needs, or boundaries can create misunderstanding and tension. Therapy helps create a safer space for honest conversations and improved communication.

Some relationships experience a gradual loss of closeness or affection over time. Therapy can help you understand what may be contributing to distance and support reconnection.

Differences in libido can lead to frustration, pressure, or feelings of rejection. Therapy helps partners talk openly about needs and expectations and find workable ways forward.

Vaginismus involves involuntary tightening of the vaginal muscles that can make penetration difficult or impossible. Therapy can support gradual and gentle progress at a pace that feels safe and manageable.

Ejaculating sooner than desired can cause frustration or anxiety and may affect sexual confidence. Therapy can help address anxiety and develop practical strategies to improve control and enjoyment.

Some people find it difficult or impossible to reach orgasm during sex. Therapy can help explore possible physical and psychological factors and reduce performance pressure.

Low or absent desire can be influenced by stress, relationship factors, health changes, medication, or life circumstances. Therapy offers space to explore these influences without pressure.

Concerns about body image, attractiveness, or sexual performance can make intimacy feel stressful or uncomfortable. Therapy can support a more accepting and confident relationship with your body and sexuality.

Performance anxiety can affect erections, arousal, or enjoyment of sex. Therapy helps reduce pressure and develop a more relaxed approach to intimacy.

Support for people who feel stuck in sexual habits that feel difficult to control, including compulsive pornography use, repeated behaviours, or secrecy. Therapy focuses on understanding patterns and developing greater choice and balance.
Reduced-fee sessions are available for this service as part of my specialist training.

Difficulties relating to pornography use, including concerns about frequency, secrecy, or its impact on relationships and sexual functioning.

A respectful space to explore curiosity about kink, BDSM, fetish interests, or consensual non-monogamy, including polyamory and open relationships.

Support for people exploring questions about sexual orientation or identity in a thoughtful and non-pressured way.

Support for people who struggle with arousal, sensation, or reaching orgasm, including long-standing or recently developed difficulties.

Support around changes such as parenthood, menopause, ageing, illness, or stress, which can affect relationships and sexual wellbeing.