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Psychosexual Therapy Services

Whether you are facing difficulties with sexual function, navigating questions about identity, gender, arousal or attraction, or seeking support for your relationship, psychosexual therapy offers a confidential space to explore what matters to you. Whatever has brought you here, you can expect a non-judgemental, informed approach tailored to your particular circumstances.

Sexual Response & Arousal

Difficulties in engaging in sexual intimacy are common themes in therapy.  They can affect anyone, regardless of age, gender, or relationship status. They may have physical origins, psychological roots, or a combination of both. Concerns I regularly work with include:

Sexual Anxiety

Performance pressure, fear of intimacy, or avoidance of sexual situations

Rapid or Delayed Ejaculation

 ejaculating sooner than desired, or finding it difficult to reach orgasm or ejaculate

Arousal Difficulties

Challenges with physical arousal or feeling mentally disconnected during sex


Painful Sex
 

Including vaginismus, dyspareunia, and other forms of genital or pelvic pain

Low Sexual Desire

Reduced interest in sex, or a significant difference in desire between partners

 

Difficulty Reaching Orgasm

Anorgasmia or inconsistent orgasmic response

Erectile Difficulties

trouble achieving or maintaining erections, or anxiety about sexual performance

Psychosexual therapy combines talking therapy with practical, evidence-based approaches. We work together to understand your experience, address your questions, and identify strategies to engage sexually in a way that is comfortable and positive for you.

Sexual Orientation

Sexual orientation is a term that includes a broad range of what we find sexually arousing.  Sexual orientation may stay consistent through your life, or may change at some point. For some, what we find arousing may be hidden, confusing, worrisome, uncertain, or even distressing. In therapy we explore:

Intertwined gender symbols and figures for sex and relationships.

Make sense of what you've experienced without minimising or catastrophising

Sex and relationship specialist consultation

Navigating disclosure to partners, family, or others

Relationship communication and conflict icon

Coming to terms with an orientation that differs from our earlier assumptions or may be in conflict with what we, our families, society, culture, or religion find as acceptable.

Two figures on a seesaw, symbolizing relationship balance

Processing experiences of rejection, discrimination, or minority stress

 

Client selection for Sex and Relationship Specialist

Managing the impact of internalised stigma or negative messages about sexuality

 

Male and female symbols with question mark, representing sex and relationship issues

Seeking space to reflect on sexuality later in life, and/or a change in sexual orientation

Therapy is not about arriving at a particular answer. It is about creating room to understand your own experience more clearly and to live in greater alignment with who you are.

Gender Identity

Questions about gender can emerge at any stage of life. Some people have a clear sense from early childhood; others begin to question their gender identity in adolescence, midlife, or later. I offer support for:

Gender symbols, question mark, for a Sex and Relationship Specialist

Understanding the difference between gender identity, gender expression, and sexuality

Compass icon

Navigating relationships and disclosure during periods of exploration

Balance scale

Considering social, medical, or legal aspects of gender

 

Two figures on a seesaw showing relationship imbalance

Processing experiences of discrimination, rejection, or loss related to gender identity

Hands supporting male and female symbols, Sex and Relationship Specialist

Managing the emotional impact of gender-related distress

 

My role is to support your process—not to assess or direct you toward any particular outcome. You are the expert on your own experience.  Where gender transition is desired or in-process, we can discuss additional supports and specialists.

Sex & Relationship Diversity

Difficulties in engaging in sexual intimacy are common themes in therapy.  They can affect anyone, regardless of age, gender, or relationship status. They may have physical origins, psychological roots, or a combination of both. Concerns I regularly work with include:

Non-Monogamy and Polyamory

Ethical non-monogamous arrangements, open relationships, and polyamorous structures

Asexuality and Aromanticism

navigating identity, relationships, and societal expectations when sexual or romantic attraction is absent or limited

Kink and BDSM

consensual power exchange, fetish, and other forms of alternative sexual expression

Relationship Configuration questions

considering changes to relationship structure, or communicating boundaries

Therapy in this context is not about judging or pathologising the way you live. It is about addressing the specific challenges you face—whether those arise from within your relationships, from external pressures, or from reconciling your desires with other parts of your life.

Therapy

What to Expect

Psychosexual therapy typically begins with an initial consultation where we discuss what has brought you to therapy and what you hope to achieve. From there, we work collaboratively at a pace that suits you.

Sessions are confidential and grounded in respect for your autonomy. I draw on established therapeutic approaches and stay current with research and professional practice in this specialist field.

You do not need to have a clear sense of the problem before making contact. Many people arrive with questions rather than answers, and that is a perfectly valid place to begin.

Where appropriate, we may discuss additional resources and specialists to support your goals.

Taking the First Step

If you are considering psychosexual therapy, I would be pleased to hear from you. An initial conversation can help clarify whether this approach might be helpful and whether we would be a good fit to work together.

You are welcome to get in touch to ask questions or to book a consultation. There is no obligation, and all enquiries are treated with confidentiality.

Spiral Wooden Stairs

Contact me today

28 Claremont Road

Surbiton, Surrey

KT6 4RF

England, UK

Voicemail 07500 772498

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Cecily Criminale, registered as a limited company in England and Wales under company Number: 09852525 Registered Company Address: Suite 2 28 Claremont Road, Surbiton, England, KT6 4RF

 

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