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
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“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
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“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
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“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
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“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
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“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
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“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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Facing sexual issues

Sexual issues are common. Sex taps into many different parts of us: the emotional, the physical, the psychological and even the spiritual. The opportunity for something to go wrong in our sexual wiring is great. Most people will experience some kind of sexual dysfunction at some point in…

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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

Therapist Paula Broome
Paula Broome

Paula is a popular integrative therapist who understands that the client-therapist alliance is paramount Providing a place of safety and empowerment, she supports clients living with anxiety and depression, and has extensive training in neurodivergence and disability, including supporting clients with long-term health conditions As well as her private practice, Paula...

Oxford Circus

Therapist Gregory Hamlin
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 Aaron McGuinnes
Aaron McGuinness

Aaron offers a psychodynamic approach to psychotherapy which emphasises the unconscious mind and its influence on clients’ behaviour It often involves exploring past experiences and their impact on present-day thoughts and feelings Aaron creates a safe and supportive environment where clients can express themselves freely without fear of judgment Aaron is open to...

Oxford Circus

Kensington

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

Therapist Jayne Levy
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

Therapist Geraldine Lothian
Geraldine Lothian

Geraldine (she/her) is a psychodynamic psychotherapist who works with individuals Geraldine’s style of therapy is to work collaboratively with her clients and at each client’s pace  It is sometimes difficult to make the decision to start therapy but Geraldine works together with her clients to address any issues that may feel difficult to explore on their own ...

Oxford Circus

Therapist Yussef Ferguson
Yussef Ferguson

Yussef is a psychodynamic psychotherapist who offers both long and short term personal therapy to individuals He has experience of working with a diverse range of clients and can provide a warm, confidential space to explore and gain insight into any past or present personal difficulties and experiences Yussef works with issues such as anxiety, depression, loss,...

Oxford Circus

Therapist Andreea Gligore
Andreea Gligore

Andreea has a wonderful ability to put people at ease Her clients say they feel safe and relaxed with her Those who were anxious about coming to therapy often comment that she made it much more comfortable than they were expecting Her style is integrative-relational What that means is that she pays particular attention to relationships, as that is where most distress...

Oxford Circus

Kensington

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 Ben Brackenbury
Ben Brackenbury

Ben believes that at times we all struggle with the challenges life has to offer and therapy provides a safe, confidential, non-judgemental space to explore this Ben works with individuals to make sense of who they are and how they respond to the world today, and to explore new ways of being Ben is also sensitive to how difficult it might be for a client to talk to a...

Oxford Circus