What Is Psychosexual Therapy, And How Can It Help?

What is Psychosexual Therapy

Sexual well-being often exists in the shadows of our conversations, tucked away as if it were something to be ashamed of. Yet, our sexuality is inextricably woven into our identity, influencing our relationships and our sense of self in profound ways. When our sexual experiences don’t align with our expectations or desires, it can leave us feeling disconnected, anxious, or even distressed. In a world where sexual content is more accessible than ever, the complexities surrounding our sexual lives have multiplied, leaving many of us grappling with questions we never expected to face.

This is where psychosexual therapy steps in—a space where individuals and couples can explore their sexual and intimacy issues without fear of judgment, with the guidance of someone trained to help manoeuvre these often-treacherous waters. This specialised form of counselling helps individuals and couples work through sexual and intimacy issues in a supportive, non-judgmental, and confidential environment.

What is Psychosexual Therapy

Psychosexual therapy is not just about sex; it’s about understanding the deeper emotional and psychological currents that flow beneath the surface of our sexual lives. It can address a wide spectrum of concerns, such as:

Erectile dysfunction
Difficulty achieving orgasm
A waning or absent libido
Pornography addiction
Painful intercourse
Questions about sexual identity or orientation
The aftermath of trauma on sexual function

These challenges don’t arise in a vacuum—they are often the result of involved interplays between our past experiences, current stressors, and mental health. An experienced psychosexual therapist acts as a guide, helping to untangle these threads and empowering you with the knowledge and tools to reclaim your sexual well-being.

What does the Process of Psychosexual Therapy Involve?

The thought of seeking help for such personal issues might feel intimidating. However, psychosexual therapy offers a sanctuary—a place where you can safely explore and address your concerns confidentiality. Here’s how the process typically unfolds:

Initial Assessment (does not involve physical examination):

The therapy process begins with a comprehensive conversation. Together with your therapist, you will discuss your related sexual history, current concerns, and any related emotional or psychological issues. This step is important as it allows the therapist to personalise therapy to your unique situation and identify any underlying causes that need attention.

Therapeutic Process

The approach your therapist takes will depend on your specific needs. It may include:

Talking, developing awareness and understanding: To explore, challenge, gain insights and make changes
Exercises and Homework: Practical tasks to be completed at home, either solo or with a partner, designed to enhance your sexual experience and mental processes.
Information and Education: Gaining a better understanding of anatomy and sexual function can demystify sex, reduce anxiety, and clear up misconceptions.
Exploring Emotional and Psychological Factors: A deep dive into how your emotions, past experiences, and current life circumstances are influencing your sexual health.

Couples Therapy

When sexual issues affect a relationship, psychosexual therapy may include sessions with a partner. involving your partner in therapy can be incredibly beneficial. This aspect of psychosexual therapy focuses on improving communication, resolving mismatched sexual desires, and developing a deeper, more intimate connection.

How Can Psychosexual Therapy Help?

The impact of psychosexual therapy can be transformative, touching every facet of your life:

Breaking the Silence So many of us suffer in silence, feeling too ashamed or embarrassed to speak up. Therapy offers a space to voice your concerns without fear of judgment.

Gaining Insight By unravelling the complexities of your sexual difficulties, you gain a deeper understanding of yourself and your relationships. This insight is the key to making empowered choices that enhance your sexual health, mental well-being, and relationships.

Improvement to Sexual Function and Satisfaction Addressing sexual issues can alleviate distress and boost self-esteem, leading to a more satisfying and confident sexual experience.

Improving Relationships Sexual difficulties can strain even the most solid relationships. By working through these issues in therapy, you can improve communication, deepen mutual understanding, and rekindle the intimacy that brought you together.

Is Psychosexual Therapy Right for You?

If you or your partner are facing sexual difficulties, psychosexual therapy could be a powerful step toward reclaiming your sexual health and well-being. Seeking help might feel vulnerable, but it’s also an act of profound self-care. The challenges you’re experiencing are more common than you might think, and with the right support, you can overcome them, leading to a more fulfilling and connected sexual life.

At Leone Centre, our experienced therapists are here to support you—in person or online—in a safe and confidential environment. Remember, your sexual well-being is an essential part of your overall mental health, deserving of the care and attention it needs.

About the Author
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Cristina Vrech

Co-founder and director of Leone Centre, 20+ years of experience supporting people, and offering valuable knowledge through Couples Counselling and Individual Counselling. Before becoming a therapist, I worked in the financial sector.