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Psychosexual Therapy London

Our Psychosexual and Sex Therapy Specialists

Our therapists work with the full range of psychosexual difficulties for all genders and orientations. They bring both clinical expertise and specialized training in sex therapy, creating a shame-free environment where you can discuss intimate concerns openly. They understand that sexual problems are rarely just physical and work to address the psychological, relational, and emotional factors at play. Whether you’re dealing with performance anxiety, pain during sex, trauma-related sexual difficulties, desire discrepancy, or any other psychosexual concern, they provide compassionate, evidence-based treatment that honors the complexity of human sexuality. They work with individuals and couples, adapting their approach to your specific needs and goals.
A woman with light brown hair and a dark blouse sits indoors, smiling with her hands clasped under her chin. A stack of books and a potted plant are on the desk. Olena Edwards-Skadowska, London Trusted Therapy expert, is pictured. Olena Edwards-Skadowska London Trusted Therapy Director

Olena

Individual and Couples Psychotherapist

Tina Foley London Trusted Therapy: Expert Individual and Couples Psychotherapist specializing in EMDR and professional mental health care.

Tina

Individual and Couples Psychotherapist EMDR

Karima El Haddad London Trusted Therapy: Expert Individual, Couples, and Family Psychotherapist providing professional mental health care.

Karima

Individual Couples and Family Psychotherapist

Dmitri Popelyuk London Trusted Therapy: Expert Consultant Psychiatrist providing professional mental health diagnosis and treatment.

Dmitri

Consultant Psychiatrist, Founding CEO of Popelyuk Adult Psychiatry

Sabine Tendas London Trusted Therapy | Counselling Psychologist

Sabine

Counselling Psychologist Individual Couples and Family Psychotherapist

CBT Therapist London | Shuja Hoda

Shuja

Individual Couples and Family Psychotherapist

Dr Saz Guscott HCPC Practitioner Psychologist Neurodiversity Specialist CBT ACT CFT IFS ADHD Autism Support Harley Street and Online

Saz

Counselling Psychologist Individual and Couples Psychotherapist EMDR

Housam Ebrahim Individual Couples Family and Group Psychotherapist EMDR

Housam

Individual Couples Family and Group Psychotherapist EMDR

Dr Emma Corcoran | Clinical Psychologist and Therapist London A woman with straight brown hair and fair skin is smiling at the camera. She is wearing a brown and white patterned jumper and is posed in front of a plain white background.

Emma

Clinical Psychologist Individual and Family Psychotherapist

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Understanding Psychosexual Problems

Maybe you experience erectile difficulties, premature ejaculation, or delayed ejaculation that leaves you feeling inadequate or ashamed. Perhaps penetration is painful or impossible due to vaginismus or other pelvic floor issues, turning what should be pleasurable into something you dread. You might struggle with performance anxiety that becomes a self-fulfilling prophecy, or have difficulty reaching orgasm no matter what you or your partner tries.
For some, past trauma has made sexual experiences triggering or dissociative, creating a disconnect between wanting intimacy and being able to engage in it safely.
Performance anxiety can turn sex into a test you’re terrified of failing, killing spontaneity and pleasure. You might avoid sexual situations entirely, making excuses and withdrawing from your partner, which damages intimacy and breeds resentment on both sides. Shame and embarrassment can make it nearly impossible to talk about what’s happening, leaving both partners feeling confused and alone. Your self-esteem and sense of masculinity or femininity might take a hit.
Partners may internalize the problem, wondering if you’re not attracted to them or if they’re doing something wrong. The silence and avoidance around psychosexual issues often causes more damage than the issues themselves, creating a wall between partners that affects the entire relationship.
These issues often stem from a complex mix of anxiety, past experiences, relationship dynamics, body image concerns, internalized shame about sexuality, or unresolved trauma – and all of these can be addressed.
Treatment focuses on reducing performance pressure, processing underlying emotional issues, improving communication with partners, gradually reintroducing pleasure and intimacy without the pressure of specific outcomes, and sometimes working with the body through mindfulness and somatic approaches. The goal isn’t just to “fix” the sexual problem – it’s to help you develop a healthier, more relaxed relationship with your sexuality and create the conditions where pleasure and connection can naturally unfold.
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What Our Clients Say About Us

4.86 rating based on Doctify, Google and Trustpilot reviews

D E

  • 2025-11-22
Two things stood out working with Karima on psychosexual difficulties I'd never felt able to raise before: patience, and real skill, using an attachment-based approach, which made the difference between coping and actually changing. Nowadays, I'm proud of how far I've come, after everything.

S L

  • 2025-02-26
What I needed was someone who understood psychosexual difficulties I'd never felt able to raise before without judgement, and that's exactly what I got with Saz, using the Gottman Method, which gave practical tools that actually got used. Bit by bit, small wins finally feel like they count.

D M

  • 2025-10-15
Psychosexual difficulties I'd never felt able to raise before used to control my days. Working with Housam, through relational therapy, which was flexible enough to meet the moment, session to session, that's no longer true. Honestly, I don't dread the mornings the way I used to, and I don't take that for granted.
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Three Central London Locations and Online

Harley Street

Pinero House
115A Harley Street
London W1G 6AR
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Harley Street Therapy London
Harley Street Therapy London Transparent therapy fees. Harley Street London. Individual therapy from £180, couples from £260. Insurance accepted. No hidden costs. Book today
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Welbeck Street

30 Welbeck Street
London W1G 8ER
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A bright hallway with white walls, black-and-white hexagonal tile flooring, arched ceiling details, and a large plant at the far end. Open double doors lead to another room, and framed pictures hang on the walls.
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A cosy living room with a grey sofa, wooden coffee table, two bookcases filled with books, a floor lamp, and a soft rug. Natural light streams in as you relax—Contact London Trusted Therapy Harley Street for support.

Chancery Lane

1 Quality Court
Chancery Lane
London WC2A 1HR
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Chancery Lane Therapy London | Legal District | London Trusted Therapy A small stone courtyard with potted plants is surrounded by tall, red-brick and white-trimmed buildings with large windows; a person sits on a bench near the entrance of a building with columns.
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Modern, bright lounge with a spiral staircase, seating areas, vending machines, plants, and a glass ceiling. Hanging lights and large windows add natural light to the open, inviting space.
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Online Therapy

UK-wide
and internationally
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  • No GP referral required. Appointments typically within one week.
  • Trusted by our clients: 4.86 rating on Doctify, Google, and Trustpilot.
  • 95% of our clients say they would return to us or recommend us to family and friends.
  • We accept Bupa, Aviva, Cigna, Vitality, WPA and Allianz.
We are here for you.
Book a confidential consultation today — and take the first step towards lasting change.
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Our Quality Guarantee

Should you feel that your first session did not meet your expectations or that your therapist wasn’t a good fit, we will provide another session completely free of charge with a different practitioner.

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