Common Presenting Concerns

Most people will have difficulty with sexual expression at some stage of their lives. When this becomes a persistent problem it can interfere with sexual intimacy and emotional connection. Often it results in reduction of affectionate touch, sexual frequency and avoidance of sexual activity or relationships.

For many people, sex is the only part of their relationship with which they struggle. For others, sex may be part of a larger problem with intimacy and trust.  You do not need to suffer in silence. There are effective treatments for many types of sexual problems.

In a relatively short period of time I can help you understand and manage problems with: 

  • Low or no desire for sex
  • Lack of arousal; lubrication
  • Premature ejaculation
  • Erection problems
  • Painful sex (dyspareunia, vestibulitis/vulvodynia) Pain related to Lichen Sclerosis, Endometriosis, Phimosis
  • Orgasm; never had one, used to and now can’t, or faking orgasm
  • Sexual compulsions “addiction”; ADHD sexual impulse control problems
  • Excessive porn use, porn addiction
  • Difficulty or impossible vaginal penetration (Vaginismus): Unconsummated marriage
  • Delayed ejaculation or no ejaculation (anejacualtion)
  • ADHD and distraction during sex
  • PTSD: Sexual assault
  • Child Sexual Abuse
  • Sexual Problems related to mental illness, medications
  • Infertility and sexual distress
  • OCD and sexual obsessions (HOCD; POCD)
  • Kink
  • Negotiating polyamory
  • (a)Sexuality 
  • Gender identity, non-binary identity
  • Sex Workers and Clients of the Sex Industry
  • Sexual boredom
  • Infidelity
  • Lack of trust of sexual partners
  • Shame around sexual fetish
  • Sexual guilt
  • Sexual problems related to substance use
  • Sexual Problems with Cancer, Physical Illness, Chronic Pain
  • Paraphilia
  • Sex Offender Register Support