Therapy available in English, Portuguese and Spanish.
Therapy available in English, Portuguese and Spanish.
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I specialise in treating clients with lifelong or acquired, persistent or situational sexual problems.
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.
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.
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.
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.
My goal is to support individuals in improving their sexual well-being and overall quality of life.
Low sexual drive
Excessive sexual drive
Sexual aversion/avoidance
Absent or oscillating sexual desire
Performance anxiety
Anticipation of failure
Female sexual arousal difficulties
Lubrication problems
Erectile dysfunction:
- No erection
- Poor/soft erection
- Situational erectile difficulties
Rapid ejaculation
Delayed ejaculation
Retrograde ejaculation
Painful ejaculation
Post-Orgasmic Pain
Female orgasmic concerns
Absence of orgasm (male and female)
Vaginal/Pelvic pain
Vulval pain
Penile pain
Anal pain
Vaginal penetration difficulties
Anal penetration difficulties
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
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
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.
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.
+44 (0)75 8885 7685 - call / Text Message contact@pdanieltherapy.com

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