I work with individuals and couples experiencing a range of sexual difficulties and concerns, including:

• Low sexual desire and differences in desire between partners
• Difficulties with sexual arousal or orgasm
• Erectile difficulties and ejaculation concerns
• Painful sex, penetration difficulties and vaginismus
• Sexual anxiety, performance pressure and confidence
• Changes in sexuality and intimacy following illness, treatment, childbirth or menopause
• Sexual shame, distress and difficulties with intimacy

You do not need to have a diagnosis or know exactly what is contributing to the difficulty before seeking support.

Sexual difficulties rarely exist in isolation. Our bodies, emotions, beliefs, experiences and relationships can all influence sexual wellbeing.

My approach is integrative, which means I draw on different therapeutic approaches according to your circumstances and needs.

Depending on what we are exploring, therapy may include psychological understanding, psychoeducation, communication, body awareness and structured exercises designed to support greater understanding and confidence.

Where appropriate, I may also recommend medical assessment or collaborative care alongside psychological therapy.

Therapy begins with an opportunity to understand your concerns, experiences and what you hope to gain from our work.

We will explore relevant aspects of your sexual, relational and personal history at a pace appropriate to you.

Psychosexual therapy is a talking therapy. There is no sexual contact or physical examination during sessions.

Where exercises are suggested, these are explained beforehand, adapted to your needs and undertaken privately between sessions if you choose.

You can attend individually or with a partner, depending on your circumstances.

Couples come to therapy for many reasons. Some are experiencing a particular difficulty, while others recognise that something in their relationship needs attention.

Areas we may explore include:

• Communication difficulties, misunderstandings and recurring arguments
• Emotional distance, loneliness and loss of connection
• Trust, infidelity, betrayal and rebuilding after relationship injuries
• Differences in expectations, needs, values and expressions of love
• Intimacy, sexual connection and differences in sexual desire
• Attachment patterns, emotional responses and relationship insecurity
• Cultural, family, religious and intergenerational influences
• Parenting, life transitions, changing roles and responsibilities
• Navigating uncertainty about the future of a relationship

Therapy is not only for relationships in crisis. It can also provide an opportunity to strengthen understanding and connection before difficulties become more entrenched.

Relationship difficulties are rarely explained by one person's behaviour alone. Often, couples become caught in patterns of interaction that neither person intended, but both find difficult to change.

My role is not to decide who is right or wrong, or to take sides. Instead, we work to understand what happens between you, including how each person's experiences, beliefs, emotional needs and expectations influence the relationship.

Drawing on an integrative range of therapeutic approaches, our work may involve exploring communication, emotional responses, attachment patterns, intimacy, boundaries and ways of responding differently to one another.

The aim is not to make you agree about everything, but to support greater understanding, more constructive communication and meaningful choices about your relationship.

Our initial sessions provide an opportunity to understand your relationship, the concerns bringing you to therapy and what each of you hopes might change.

We may explore your relationship history, significant experiences, recurring patterns and the ways you currently manage difficulties, connection and intimacy.

Sessions offer a structured, confidential environment where both partners have an opportunity to be heard and where difficult conversations can be approached with care and curiosity.

Depending on your needs, I may introduce reflective exercises, communication practices or activities to explore privately between sessions.

Therapy does not require you to have all the answers or to agree about what needs to change before beginning. We can explore those questions together.

Individual therapy can offer support when you're seeking a deeper understanding of yourself, your experiences and the ways you relate to others.

Areas we may explore include:

• Recurring relationship patterns, attachment and emotional connection
• Self-worth, confidence, identity and personal authenticity
• Difficulties expressing needs, setting boundaries or managing expectations
• Sexual identity, sexuality, intimacy and sexual self-understanding
• Shame, guilt, internalised beliefs and experiences that affect self-acceptance
• The influence of family, upbringing, culture, faith and social expectations
• Emotional regulation, vulnerability and patterns of avoidance or self-protection
• Relationship loss, rejection, betrayal and significant life transitions
• Navigating uncertainty, personal choices and changes in your sense of self

You do not need to be in a relationship, experiencing a crisis or have a particular diagnosis to benefit from exploring these concerns.

Many of the ways we think, feel and respond to ourselves and others develop through our experiences, relationships and the meanings we have learned to attach to them.

Therapy provides an opportunity to become more aware of these influences, recognise patterns that may no longer serve you and explore alternative ways of understanding and responding.

My integrative approach draws on different therapeutic perspectives to consider your emotional experiences, beliefs, relationship history, identity and personal circumstances.

Depending on your needs, our work may include reflection, practical strategies, emotional awareness, exploring personal narratives and developing greater confidence in making choices that reflect your own needs and values.

The aim is not to tell you who you should become, but to support you in understanding yourself more fully and deciding what change means for you.

We begin by exploring what has brought you to therapy, the experiences you would like to understand and what you hope to gain from our work.

You will have space to talk openly about your concerns, without needing to have everything clearly understood or neatly organised beforehand.

As therapy develops, we may explore patterns, beliefs, emotional responses and significant experiences that help us understand what is happening for you.

Where helpful, I may introduce reflective exercises or practical activities for you to consider between sessions.

Our work is collaborative, with the pace and focus guided by your needs, circumstances and goals.