Sex Therapy

Sex therapy supports individuals and couples with sexual difficulties and intimacy concerns.

It is confidential, non-judgemental and focused on practical change.

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Sex therapy addresses psychological, relational and emotional factors affecting sexual wellbeing. Therapists may also recommend medical assessment when appropriate.

What happens in sex therapy?

Sessions involve discussion, education and practical exercises to try at home. There is no sexual activity during sessions.

What can sex therapy help with?

Low desire or libido concerns
Erectile or arousal difficulties
Pain during sex

Confidentiality and safety

Choose a properly trained psychosexual therapist. Seek medical advice for pain, bleeding or sudden changes.

History of Sex Therapy

Sex therapy developed from psychology, counselling and sexual health disciplines. In the UK it is delivered by practitioners with specialist training and ethical standards.

Typical conditions that use Sex Therapy

Condition	Evidence	Notes
Intimacy difficulties	strong	Communication and relational patterns are central.
Sexual difficulties	strong	Core scope; assess psychological + relational + physical factors.
Erectile dysfunction	strong	Often needs medical assessment alongside therapy work.
Low libido	strong	Common presentation; explore stress, relationship, hormones/meds.
Painful sex (dyspareunia)	moderate	Often multidisciplinary with pelvic health/medical input.
Premature ejaculation	strong	Behavioural + anxiety reduction approaches commonly used.
Vaginismus	moderate	Often multidisciplinary; consent, pacing and safety essential.
Difficulty reaching orgasm	moderate	Education + anxiety reduction + communication work.
Performance anxiety	moderate	Often overlaps with sexual confidence and arousal issues.
Anxiety	moderate	Address anxiety as contributing factor when relevant.

Frequently asked questions

Do I attend alone or with a partner?

Both options exist. Decide with your practitioner based on goals and comfort.

Will I be given exercises?

Often communication tasks or practical strategies are suggested between sessions.

Is medical input involved?

It can be. Liaison with your GP or specialist is encouraged where relevant.