Mary Waldron - Counsellor and Psychosexual Therapist

Psychosexual Therapy

Psychosexual Therapy

What is Psychosexual Therapy?

Sometimes people experience difficulties in their sexual relationships and they need to seek professional help as these difficulties often cause great anxiety and unhappiness. Psychosexual therapy offers you the opportunity to talk about what you are experiencing thus enabling you to gain insight and understanding into the difficulties.

It helps you to understand and get to know your body better thus building up your confidence. Through communication exercises your communications skills can be enhanced which helps you to move forward towards a more fulfilling love life. It is a combination of exploring issues in the therapy session and undertaking homework based on activities in the privacy of your own home.



Psychosexual Therapy

How does therapy help?

After the initial assessment, which is quite detailed, a treatment programme will be designed especially for you. The programme offers a combination of counselling, (which explores hidden feelings i.e. disappointment, anxiety and resentment) learning and relearning about attitudes and beliefs you may hold. A large part of the relearning process is done through specific tasks done at home. It also helps with understanding how communication can be improved not only within your sexual relationship but also your relationship in general.

Therapy works best for people who are really committed. Making time between the sessions to think about what you have learned and try out new ideas enables you to make the changes you want.

It really is like a new beginning i.e. learning how to be close to your partner in a more loving, sensual and sexual way. It brings a sense of confidence and adds adventure and excitement into both your love making and your relationship


Psychosexual Therapy

Who is psychosexual therapy for?

Anyone who is distressed by a sexual problem, it is for both individuals and couples. The following are common sexual problems:

  • Vaginismus: difficult or impossible penetration of the vagina, because the muscles in the vagina have tightened.
  • Dyspareunia: pain during or after intercourse, it can affect both men and women.
  • Anorgasmia: (Inability to reach orgasm) The inability to reach orgasm is always there for some women, whether it's during intercourse or masturbation. For other women, orgasm doesn't happen during sexual intercourse, but is achieved through masturbation.
  • Erectile Dysfunction: Erectile dysfunction (ED), sometimes known as impotence. This may be an inability to get an erection at all, or difficulty maintaining an erection to the completion of sex. Erectile dysfunction may also be present when masturbating. This problem may occur quickly or develop over a long period of time and may be intermittent.
  • Premature Ejaculation: Premature ejaculation (PE) is a condition in which a man ejaculates earlier than his partner would like him to. This can be prior to intercourse or soon after penetration.
  • Inhibited Male Orgasm: Either the inability to ejaculate at all or finding ejaculation takes a very long time to achieve. Typically men with delayed ejaculation can ejaculate on their own but struggle when having sex with a partner. However, for some men, ejaculation may not occur under any circumstance.
  • Loss of Desire or Sex Drive: the absence or diminished feelings of sexual interest, desire, sexual thoughts and fantasies. Many people experience a loss of desire in sex both men and women. This can be due to stress, busy lifestyles, life events, sexual boredom or problems within the relationship. When relationship issues are addressed the sexual desire usually returns.
  • Female Sexual Arousal Disorder: (FSAD), is a disorder characterized by a persistent or recurrent inability to attain sexual arousal or to maintain arousal until the completion of a sexual activity.
  • Sexual Aversion and phobias: An intense aversion to sexual contact or related experiences, for example seeing a penis, a vagina, seeing sperm or being touched. If the sexual problem is impacting on you or the quality of your relationship then seeing a sex therapist can help you to overcome the difficulty.
  • Sexual Addiction / Compulsivity: People who are addicted to sex are found in every social class, every religion, and every profession. It can affect both their physical and psychological wellbeing. Having no control over their sexual cravings and spending too much time being sexual is what most people complain about. This may result in spending hours seeking sex in many different ways from engaging with pornography to seeking out sex with prostitutes. People experiencing sexual addiction generally complain of disengaging from their relationship and not being able to focus on their work.


Psychosexual Therapy

How long does psychosexual therapy take?

This varies. It depends on the sexual difficulty and your commitment to the programme. Most couples attend on average between 10-14 times. Reviews are frequently offered to enable you to see your progress and look at any issues that may be hindering progress. Ultimately you decide how long you want sex therapy for.

How long is a therapy session?

Each session lasts for up to 55 minutes and is called a therapy hour.

How often do I have sessions?

It is usual for people to have a therapy session every week; however, after the first few sessions a two weekly appointment may be appropriate.

Will I have to do anything sexual during my sex therapy appointment?

No. You will never be asked to do anything sexual as part of your therapy session. You may be given homework tasks and these will be undertaken in the privacy of your own home.


What you say to me is confidential. The only time that would be broken is if it was considered that there was substantial risk of harm to you or someone else, or if there was a child protection issue. In such circumstances you would be made aware of my intentions.

Get in touch Couple Counselling Counselling