Psychosexual therapy
Online Psychosexual Therapy
A private space to explore sexual concerns, intimacy and the experiences that shape them — for individuals and couples.
Justin David Duwe — psychologist, sexologist and BACP Accredited psychotherapist, with more than twenty-one years of clinical experience.
All genders, sexual orientations and consensual relationship structures are welcome.
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The focus
Sexual concerns, in context.
Sexual difficulties can involve the body, emotions, relationships and personal history. We explore what is happening for you, rather than starting with an expectation of how sex should look or feel.
You may attend individually or with a partner. My psychotherapy and sexology background informs work that considers sexual experiences alongside anxiety, intimacy, meaning and relationship patterns.
What you can bring
Desire, intimacy and sexual experience.
Desire and sexual connection
Desire differences, changes in arousal, erectile difficulties and orgasm concerns. Space to explore experiences without pressure to meet a sexual ideal.
Anxiety, intimacy and shame
Sexual anxiety, difficulty with closeness, sexual shame and the meanings attached to sex. Emotional and physical intimacy may not move at the same pace.
Patterns and choices
Compulsive sexual patterns, conflict between behaviour and personal values, or experiences that feel difficult to manage. These can be explored without assuming an addiction diagnosis.
Kink and identity
Questions about sexuality, gender, kink and identity. Consensual preferences and identities are not treated as problems simply because they differ from convention.
Gay and bisexual men
Sexual concerns between men.
Gay and bisexual men, and male couples, are welcome to explore sexual concerns here without needing to explain or justify their sexuality. These concerns are not unique to men who have sex with men, but they can carry particular meanings and pressures.
Work may include erectile difficulties and performance anxiety, differences in desire between partners, sexual roles and preferences, body image, and shame carried from earlier experiences. It may also include sexual health concerns and the anxiety, shame or relationship difficulties that may accompany them, with appropriate referral for medical assessment or treatment when needed.
Psychosexual therapy focuses on sexual experiences themselves. Where drug use has become connected with sex, Chemsex Therapy is a more specific fit; where the main focus is the relationship, see Couples & Relationships.
Care and suitability
When medical care matters.
Sexual pain deserves to be taken seriously. Pain, changes in sexual function or other physical symptoms may call for medical assessment; they should not automatically be understood as psychological.
Psychosexual therapy is not a substitute for medical diagnosis or treatment. Where appropriate, medical assessment or multidisciplinary care may be needed alongside, or before, therapy. We discuss suitability without promising a particular outcome.
Related work
Finding the right focus.
Psychosexual therapy centres on sexual experiences and concerns. If your main focus is communication, conflict, trust or the future of your relationship, Couples & Relationships may be a closer fit.
For difficulties involving sex in the context of chemsex, explore specialist Chemsex Therapy. Chemsex and chemsex addiction are not interchangeable; seeking support does not imply an addiction.
Appointments
An initial paid session.
Your first appointment is a paid therapy session, not a complimentary consultation. We discuss what has brought you here and whether ongoing therapy is appropriate.
Existing fees apply: individual psychotherapy is £225 / $300 for 50 minutes; couples psychotherapy is £300 / $400 for 50 minutes or £450 / $600 for 90 minutes. Sessions with more than two partners are arranged individually.
Requests are reviewed for availability, suitability and jurisdiction. Sending a request does not confirm an appointment or commit you to payment. Clinical detail is optional in the request.
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Related support
- Couples & Relationships
Communication, trust, intimacy and the future of the relationship.
- Chemsex Therapy
Specialist support where sex and drug use have become connected.
- Individual Therapy
One-to-one psychotherapy.
- About Justin
Clinical background, accreditation and writing.
Written by Justin David Duwe, psychologist, sexologist and BACP Accredited psychotherapist. Last reviewed: .