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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Counselling for individuals

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

Nina Jacobson - Therapist
Nina Jacobson

Nina is an integrative psychotherapist who creates a safe, non-judgmental space in which clients feel comfortable to explore their thoughts, feelings and patterns of behaviour Nina recognises that it can be useful to talk to someone outside your circle of friends and family to gain an understanding of your challenges and emotions She helps clients think about their...

Oxford Circus

Damla Ciftcioglu - Therapist
Berrak Damla Çiftcioğlu

Damla offers psychodynamic psychotherapy in a supportive and confidential environment where you can explore the emotions, behaviours and challenges shaping your life Her approach focuses on understanding the deeper, often unconscious factors influencing your thoughts and experiences Whether you’re navigating a specific situation or grappling with long-standing personal...

Oxford Circus

Lara Vasey

Lara is an integrative therapist who offers short- and longer-term therapy to individuals Starting therapy can feel daunting, but Lara’s warm demeanour helps her clients feel more comfortable She creates a confidential and non-judgemental environment, which enables her clients to open up about their thoughts, feelings and experiences With empathy and curiosity, her...

Kensington / Notting Hill

Gregory Hamlin - Therapist
Gregory Hamlin

Gregory is a psychodynamic therapist offering both short-term and long -term therapy to individuals He appreciates how difficult it can be to seek help and therefore places great importance on creating a warm, empathic and safe space for clients to explore whatever is on their minds Gregory helps individuals uncover and understand the underlying patterns that shape...

Oxford Circus

Therapist Michelle Taylor
Michelle Taylor

Michelle is an accredited psychodynamic therapist providing a calm and confidential space to allow her clients to unravel their deepest anxieties whilst feeling understood Michelle has particular experience working with adults experiencing bereavement and loss, anxiety, and depression Michelle also works with clients with work related issues, relationship issues and those...

Oxford Circus

Therapist Antonella Bonetti
Antonella Bonetti

Antonella is a psychodynamic therapist offering short- and long-term therapy to adults She also sees couples facing issues within their relationship Since obtaining her Master’s degree in Psychodynamic Counselling and Psychotherapy, Antonella has worked in different organisational settings (charities, NHS and university counselling services) helping people from...

Bloomsbury

Therapist Asma Gharbi
Asma Gharbi

Asma offers psychodynamic, humanistic and integrative therapies to individuals and couples She tailors her approach to meet the needs and preferences of her clients She offers short and long term therapy Asma provides a non-judgemental space for her clients, where they can feel safe to explore their feelings, make sense of their experiences and forge deep lasting...

Oxford Circus

Kensington / Notting Hill

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

Therapist Shelly Klein
Shelley Klein

As a psychodynamic therapist Shelley brings a wealth of experience to her work and supports her patients to talk about those aspects of their lives they are finding painful, upsetting or difficult to deal with, in a confidential, non-judgmental and peaceful setting Shelley is particularly interested in working with those who are experiencing depression, bereavement, high...

Bloomsbury

Jayne Levy - Therapist
Jayne Levy

Jayne has a gentle and empathic approach, allowing clients to feel comfortable and relaxed as they begin therapy She offers a non-judgmental and confidential space where clients are safe to express their feelings and thoughts and explore some of the difficulties and challenges they may be experiencing As a humanistic integrative therapist, Jayne is guided by her...

Oxford Circus