Talking About Sex in Counselling
Sex and intimacy are important parts of many relationships—but talking about them isn’t always easy. It’s common to feel awkward or unsure about bringing up these topics, even in a counselling setting.
I want you to know that it is okay. In fact, relationship counselling is often the ideal place to explore concerns around sex and intimacy in a safe, non-judgmental environment.
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Why Talk About Sex in Counselling?
When intimacy breaks down—whether due to mismatched desires, physical issues, or emotional disconnection—it can lead to tension, frustration, and hurt. Avoiding the subject only makes things harder.
Counselling gives you the space to talk honestly, rebuild trust, and move toward a more satisfying connection—physically and emotionally.
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Common Concerns I Support
I help individuals and couples with a wide range of intimacy-related challenges, including:
• Differences in sexual desire
• Loss of emotional or physical intimacy
• Trust issues and the impact of infidelity
• Stress or communication problems affecting intimacy
• Life changes such as menopause, parenthood, or illness
If these issues are linked to your relationship dynamics, counselling is often the best first step.
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When Is Sex Therapy the Right Choice?
Some issues require more specialised support which I can help with. You may benefit from this type of specialised therapy if you or your partner are experiencing:
• Pain or discomfort during sex
• Physical difficulties (e.g., erectile dysfunction, vaginismus, inability to orgasm)
• Past trauma, anxiety, or body confidence issues affecting your sex life
• Compulsive sexual behaviours
• Medical conditions or medications impacting sexual function
Sex therapy offers targeted treatment and is more structured than general relationship counselling—but it can be life-changing. Please note that no touch is carried out in the sessions and you will not be expected to share pictures/videos.
Treatment will entail an initial assessment session which may entail two visits if a couple, to form an accurate picture of what is occurring. Sessions will entail behavioural exercises to carry out at home and a feedback session to discuss and review what went well and what needs more exploration. Each therapy session is unique to the couple or individual.
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Should You Speak to a GP First?
It is important to rule out medical causes before starting therapy. I recommend seeing your GP in the first instance if you experience:
• Persistent pain during sex
• Erectile dysfunction
• Vaginismus
• Low libido due to hormonal changes
• Sudden or unexplained changes in sexual response
A medical check-up can help identify any underlying conditions and guide the best course of treatment.
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Feeling Nervous? You’re Not Alone
It’s completely normal to feel uneasy talking about sex. I am a trained professional experienced in handling intimate topics with sensitivity, respect, and confidentiality. You’ll never be pushed to share more than you're comfortable with.
Not sure how to begin? Try saying:
“There’s something personal I’d like to talk about, but I feel a bit nervous.”
“We’ve been struggling with intimacy, and I’m not sure how to bring it up.”
I am here to support you, every step of the way.
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Take the First Step Toward a Healthier Relationship
If sexual concerns are affecting your relationship, you don’t have to face them alone. I can offer you or you and your partner, a supportive, understanding space to work through these challenges.
Get in touch today—because talking about sex can lead to stronger, more connected relationships.
Contact Me to Book an initial Reduced Fee Session