London Psychosexual Therapy Blog

Psychosexual Therapy: Enhancing Intimacy and Sexual Wellbeing

Psychosexual therapy explores the deep connection between sexuality, intimacy and emotional wellbeing. Rooted in psychological theory, including Freud’s stages of psychosexual development, this therapeutic approach supports individuals and couples in overcoming sexual difficulties, enhancing communication and building stronger, healthier relationships. Whether addressing sexual dysfunction, intimacy issues or the impact of past experiences, psychosexual therapy provides a safe and confidential space to heal and grow, fostering greater sexual wellbeing and more fulfilling connections.

September 10, 2025

Psychosexual therapy is a specialised form of psychotherapy that focuses on the emotional, psychological and relational aspects of sexuality. At London Psychosexual Therapy we understand that sexual health is deeply connected to relationships, intimacy, self-esteem and overall wellbeing. This therapeutic approach supports both individuals and couples in overcoming sexual challenges and building stronger, more fulfilling connections.

What Is Psychosexual Therapy?

Psychosexual therapy addresses sexual concerns, anxieties and dysfunctions that may impact an individual’s quality of life or create difficulties within a relationship. Whether you are experiencing erectile dysfunction, vaginismus, premature ejaculation, changes in desire or intimacy challenges, therapy offers a safe and confidential space to explore these experiences.

Psychosexual therapy combines relationship counselling, couples therapy and sexual health expertise to help you make sense of difficulties, improve communication and move towards a healthier, more connected sexual life.

Key Areas of Focus

Psychosexual therapy may help with:

  • Sexual dysfunction (erectile difficulties, premature ejaculation, vaginismus, painful sex, loss of libido, absence of orgasm)
  • Intimacy issues and relationship challenges
  • Anxiety, shame or guilt connected with sexuality
  • Exploration of sexual orientation and identity
  • Healing from sexual trauma
  • Improving communication and rebuilding trust in relationships

Therapeutic Approaches in Psychosexual Counselling

A range of approaches used to tailor your needs, including:

  • Talk Therapy and Relationship Counselling: Exploring sexual feelings, past experiences and relationship dynamics
  • Cognitive Behavioural Therapy ( CBT): Addressing unhelpful thoughts about sex and intimacy while supporting healthier beliefs and behaviours
  • Mindfulness and Relaxation: Reducing anxiety around sexual performance and deepening present-moment awareness
  • Sex Education: Providing accurate, non-judgemental information and dispelling harmful myths

The Goals of Psychosexual Therapy

  • Enhance communication between partners about needs and desires
  • Improve sexual functioning with tailored strategies
  • Increase intimacy and strengthen emotional connection
  • Promote sexual wellbeing and healthy attitudes towards sex

When to Consider Psychosexual Therapy

You may benefit from therapy if you are experiencing:

  • Ongoing sexual difficulties
  • Feelings of shame, guilt or anxiety about intimacy
  • Relationship issues linked to sexual incompatibility
  • A loss of desire or changes in sexual function
  • A need for safe, compassionate support to explore sexuality

Book your free 15 minute consultation on www.londonpsychosexualtherapy.co.uk

Influential Theories and Research

The foundations of psychosexual therapy are informed by key figures in the field of human sexuality.

  • Sigmund Freud introduced stages of psychosexual development ( oral, anal, phallic, latency, genital) highlighting how early experiences shape sexuality.
  • Masters and Johnson revolutionised the study of human sexuality in the 20th century, identifying the sexual response cycle ( excitement, plateau, orgasm, resolution) and pioneering approaches to treating sexual dysfunction.

Their work reduced stigma, encouraged open dialogue and laid the foundation for today’s sex therapy and relationship counselling practices.

Taking the First Step

If you or your partner are struggling with intimacy, desire or sexual wellbeing, psychosexual therapy can help. Whether through online therapy or in-person sessions, we are here to support your journey towards healthier intimacy and more connected relationships.

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Answers to Your Questions

Frequently Asked Questions

How to distinguish between sexual and asexual dysfunction?

How to cope with a sexless marriage?

Why do sex therapists focus on relationship issues?

Do sex therapists ever have sex with their clients?

How to become a sex therapist in the UK?

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