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Pedro Daniel Therapy
Pedro Daniel Therapy
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Psychotherapy in person in North London and Online

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Addressing Sexual Concerns - Psychosexual (Sex) Therapy

Specialism

I specialise in treating clients with lifelong or acquired, persistent or situational sexual problems. 


Multifactorial causes

I provide assessment and treatment for individuals and couples experiencing difficulties with their sexual functioning, where the primary cause is physical, psychological, relational, or psychosexual issues that have developed due to physical medical conditions. 


Sexual Vs Relational

Relationship problems can often contribute to sexual dysfunction, or vice versa. I work to integrate these different areas when needed, which may mean that partner(s) find it helpful to attend as well. 


Prescribing

I am also an independent prescriber, which means I can recommend and prescribe specific therapies or medicines to support resolving sexual concerns or generalised mental health symptoms.

 

Sexual problems as a consequence

I have a long-standing history of providing psychological treatment for persistent issues related to sex. I can help those experiencing significant distress that impacts their sexual well-being, including individuals dealing with co-morbid depression or anxiety and unstable chronic medical conditions, such as cancer, diabetes, hypertension, thyroid dysregulation, and others. 


Ultimate goal

My goal is to support individuals in improving their sexual well-being and overall quality of life. 


I address a broad range of Psychosexual concerns

Sexual desire difficulties

Sexual desire difficulties

Sexual desire difficulties


Low sexual drive


Excessive sexual drive


Sexual aversion/avoidance


Absent or oscillating sexual desire


Arousal difficulties

Sexual desire difficulties

Sexual desire difficulties

Performance anxiety


Anticipation of failure


Female sexual arousal difficulties


Lubrication problems


Erectile dysfunction:

- No erection

- Poor/soft erection

- Situational erectile difficulties

Orgasm difficulties

Sexual desire difficulties

Orgasm difficulties

Rapid ejaculation


Delayed ejaculation


Retrograde ejaculation


Painful ejaculation


Post-Orgasmic Pain


Female orgasmic concerns


Absence of orgasm (male and female)

Sexual pain

Sexual pain

Orgasm difficulties

Vaginal/Pelvic pain


Vulval pain


Penile pain


Anal pain


Vaginal penetration difficulties


Anal penetration difficulties

Sexual pain

Sexual satisfaction difficulties


Differentiation between physical and psychological triggers of sexual concern


Influence of medical conditions/events, surgeries and medication on sex


Psychosexual education


Insecurities in sexual role


Sexual expectations


Sexual fantasies


Sexual beliefs


Menopause

Sexual pain

Random sexual failure


Ageing and sex


Fear of intimacy


Kinks


BDSM


Pornography


Sexual orientation – fluidity, dysphoria, support with disclosing


Gender – role, fluidity, dysphoria, transition


Sex and cultural aspects


Sex and religious aspects 



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Initial Assessment


The initial assessment will explore predisposing, precipitating, and/or maintaining factors that might have contributed to the sexual concern.


This will help us understand your specific situation and needs.


Based on the assessment, we will develop a personalised clinical formulation and treatment plan.


If both parties agree, we will then work together to address and resolve the sexual issue.


I may suggest a minimum number of sessions, but we will review this as we progress.

  

When therapy ends

    

After therapy concludes, I will recommend a follow-up session in six months and again after one year.


I am available for one-off or a few situational sessions after therapy concludes, focused on specific concerns or issues that have arisen in the meantime. 


  

Book Your Appointment

Any concern, please contact me

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+44 (0)75 8885 7685 - call / Text Message contact@pdanieltherapy.com

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