Sexual problems

Sexual problems affect many people, but we don't tend to talk about them. They are often experienced as isolating and very distressing.

Sex is complex. It has biological, psychological and emotional components. Some sexual problems are purely physical, resulting from a disability, an illness or side effects from medication, for example. Your GP can discuss options for treatment of these types of sexual problems.

However, most sexual problems are psychological.

Why is sex difficult for many people?

Sexual problems are typically caused by one or more of:

  • growing up hearing negative messages about sex, for example that it is dirty or immoral
  • poor sex education
  • past sexual trauma
  • hormonal changes, for example during pregnancy or menopause
  • previous negative sexual encounters
  • relationship issues
  • low self-confidence
  • anxiety
  • difficulty relaxing

Anxiety plays a large part in sexual problems. It is very hard to have enjoyable, satisfying sex if you are anxious. For this reason, sexual problems tend to be cyclical. Once you have a bad sexual experience, anxiety about it happening again can make it harder to relax and enjoy your next sexual experience.

Another key factor is the fact that sex and sexual problems are not openly discussed in our society. People experiencing sexual problems often don’t realise just how many other people are going through the same thing, or that sexual problems can be successfully treated. 

In relationships, discussing sex can feel awkward and scary. People will often avoid sex rather than discuss it. This allows problems to fester and worsen with time.

When two people with differing libidos and sexual preferences come together in a relationship, there are bound to be some points of friction. One partner may want to try sexual acts that the other isn’t comfortable with. One may want to open up the relationship while the other prefers monogamy. Or one partner may simply want sex more often than the other. Sometimes these differences can be worked out, but sometimes they cause the sexual relationship to break down.

Our clients have reported great results!

Mr K
“I was attending sessions at One Therapy practice for about 1 1/2 years. I am very happy with the result, sessions there really helped me. I am really grateful to my therapist. Someone recommended him to me as a high professional and it proved right, thank you.”
Mrs M
“I can only provide positive comments on my sessions with (my therapist). This was my first experience with a therapist, and she managed to make me feel comfortable. And I must say that the sessions were helpful and efficient.”
Mrs E
“My therapist was extremely helpful, considerate and understanding. I felt she properly understood what the issues I had were, and their underlying causes, and I feel I benefited considerably from the sessions with her.”
Mrs N
“I immediately felt completely at ease as they were very professional while showing genuine care and interest in helping me. I was able to confront many issues which I had so far chosen to ignore despite their negative effects on my personal relationships and happiness. I would have no hesitation in recommending (One Therapy) to anyone looking to improve their relationships and self-esteem.”
Mrs L
“I learned a lot about myself and about the relationships I make with other people. I was able to see where I was going wrong and I now make better personal choices. Thank you, again.”
Mrs R
“I can’t thank you enough for the help and support I got from my appointments. I would highly recommend therapy to anyone now. Therapy helped me in more ways than I could have imagined. Please tell (my therapist) how grateful I am for her help.”

Counselling for sexual problems

Counselling for sexual problems can be undertaken on your own or with your partner. It can be with a psychotherapist, a relationship therapist or a psychosexual therapist. Psychosexual therapists have had further training in sexual issues and are knowledgeable in how to treat particular sexual issues. These include:

  • loss of desire
  • premature ejaculation
  • painful sex
  • erectile problems
  • vaginismus
  • inability to orgasm.
Whichever therapist you see, you will be treated with respect, empathy and warmth. Our therapists won’t judge you for your sexual preferences, your sexual experience (or lack of) or anything else. We are experienced in working with a wide range of sexual practices, including gay and straight, kink and polyamory. If you prefer to speak to a male or female therapist, just let us know when setting up your first appointment.

The thought of discussing sex with a stranger may be off-putting. Experienced therapists are used to these sensitive conversations. They use straightforward, culturally-appropriate language and quickly put you at ease. Most clients are surprised by how quickly their initial anxiety is alleviated. Counselling sessions are always confidential.

To take the next step, please contact us.

You need not suffer with your sexual problem alone – let us help

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Personal counselling can be about anything that is on your mind.

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Couples counselling

Couples counselling provides space for couples to discuss problems in their relationship and find solutions.

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Our therapists

We have over 30 qualified and experienced therapists to choose from.

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One Therapy London

Counselling, psychotherapy, couples counselling in London since 2006

Geraldine Abberton - Therapist
Geraldine Abberton

Geraldine is an integrative therapist who draws on a range of therapeutic approaches including person-centred, CBT and psychodynamic modalities, to meet each client’s unique needs She believes in her clients’ innate resilience and capacity for growth, and helps them make sense of current challenges and past experiences, to gain the insight and self-understanding...

Oxford Circus

Annabelle Hird - Therapist
Annabelle Hird

Annabelle is a skilled and compassionate therapist offering support for individuals and couples in Kensington/Notting Hill Her approach is centred around creating a non-judgemental space for clients to explore their thoughts, feelings and relationships It is her belief that with greater understanding comes agency, and this is when powerful change occurs Annabelle works...

Kensington / Notting Hill

Annabel Lear - Therapist
Annabel Lear

Annabel is an integrative therapist offering both short- and long-term therapy Acknowledging that beginning therapy can feel daunting, Annabel establishes a secure and collaborative therapeutic relationship grounded in trust, empathy and genuine understanding Working from a humanistic-integrative perspective, Annabel believes every person has an innate capacity for...

Oxford Circus

Melinda Shalet - Therapist
Melinda Shalet

Melinda offers both short-term and long-term therapy in a calm, attuned environment where clients can speak freely, make meaningful connections and gently explore the areas of life that feel stuck With a warm, collaborative approach, she encourages clients to slow down, listen inwardly and begin the process of healing Drawing from humanistic, Gestalt and psychodynamic...

Oxford Circus

Prachi Vij - Therapist
Prachi Vij

As a psychodynamic therapist, Prachi provides a warm and secure space for her clients to explore their world She works collaboratively with clients to uncover the unconscious patterns that shape their feelings, thoughts, and behaviours By making connections between past experiences and current life, clients can gain valuable insights and develop more authentic ways of...

Oxford Circus

Therapist Yussef Ferguson
Yussef Ferguson

Yussef offers a warm and confidential space to explore life’s challenges He is a psychodynamic therapist and works in a way that explores how past experiences and hidden patterns may shape your present thoughts, feelings and relationships In meetings with Yussef, you can speak freely about whatever feelings, memories or experiences are important to you You will begin...

Oxford Circus

Therapist Stamatia Lorentzou
Stamatia Lorentzou

A senior therapist, Stamatia has been with One Therapy London for many years She holds a doctorate in counselling psychology and is a registered psychotherapist Stamatia knows it can be difficult to understand or cope with the strong feelings that life’s experiences can sometimes bring Talking with an experienced therapist is a way of thinking things through and...

Bloomsbury

James Eve - Therapist
James Eve

James is a psychosexual and relationship therapist who has been in private practice for five years He works with individuals and couples on sexual and relationship difficulties, understanding that these can be significant causes of distress in one's life Prior to working in private practice, James worked for the psychosexual team at Croydon University Hospital He is a...

Oxford Circus

Therapist Tom Leonard
Tom Leonard

Tom works with both couples and individuals  His approach integrates different styles of therapy to help find the best way to assist you  Therapy is often a self-exploration, with the therapist supporting you in seeking to reach a better understanding of and connection to your needs, feelings and behaviour and the ways in which they affect your relationships and...

Oxford Circus

Damla Ciftcioglu - Therapist
Berrak Damla Çiftcioğlu

Damla offers a warm, supportive and confidential space where you can talk openly — perhaps for the first time — about the thoughts, emotions and challenges shaping your life She provides psychodynamic psychotherapy, gently exploring the deeper, often unconscious, roots of emotional difficulties Whether you're feeling overwhelmed, stuck in unhelpful patterns, or...

Oxford Circus