Psychosexual Therapy

When desire fades, pleasure is replaced by pain, or intimacy feels out of reach, the issue often runs deeper than the bedroom.
Grief, shame, trauma, illness, disconnection, or the slow drift of long-term partnership can all affect your sexual wellbeing — sometimes without you even realising.

Addressing the Root Causes of Sexual Struggles

Our approach is grounded in a biopsychosocial understanding of relationships and sexuality.

We address:

  • The Body: hormonal changes, menopause, pain, cancer recovery, SSRI-related shifts

  • The Mind: anxiety, shame, trauma, and inherited messages about sex

  • The Relationship: mismatched desire, emotional disconnection, conflict, or silence

  • The Symbolic: kinks, fantasies, and unconscious roles shaping erotic life

This means you will:

  • Reconnect with your body after surgery, treatment, or trauma

  • Navigate changes in desire, arousal, or sexual function

  • Rebuild emotional and erotic connection with your partner

  • Explore grief, fear, anger, or identity shifts that often accompany illness

  • Reclaim your right to pleasure, presence, and relational closeness

Our services

 

Psychosexual Therapy for Men

We offer a safe, non-judgmental space for men to explore concerns like low desire, erectile difficulties, premature ejaculation, compulsive porn use, and disconnection from arousal or intimacy.

Sexual challenges can feel isolating, but they often hold deeper emotional and relational roots. Our work goes beyond symptom management — we help you understand what’s happening beneath the surface and support you to rebuild confidence, reconnect with your body, and move toward a more satisfying, secure experience of sex and intimacy.

 

Psychosexual Therapy for Women

We support women in addressing concerns like vaginismus, pain during sex, low arousal, and menopause-related changes in a space that’s safe, respectful, and free of shame.

These challenges are more common than many realise — and they are treatable. With a bold, compassionate approach, we help you reconnect with your body, work through what’s getting in the way of pleasure, and build a more confident, connected sexual self.

Onco-sexology:

Psychosexual Support After Cancer

Illness changes everything — including how you feel in your body, how you relate to touch, and how you experience desire. Whether you're navigating the effects of breast cancer, prostate cancer, or other medical treatment, intimacy can become fraught, confusing, or distant.

At The Fitzroy Practice, our oncosexology support helps you rebuild a new, more compassionate relationship with your body and your sexuality.

In a safe, supportive space, we work with you to gently restore confidence, revive desire, and reconnect with your sensual, vibrant self — on your own terms and in your own time.

 

Multicultural and Faith-Based Couples

We work with couples whose experiences of intimacy, sex, and conception are shaped by cultural or religious values.

In a safe, respectful space, we explore challenges such as unconsummated marriages, shame around desire, or difficulty communicating about sex — all with sensitivity and care.

Our focus is on helping couples build emotional closeness, sexual confidence, and a fulfilling intimate life that honours both their beliefs and their evolving needs.

WE CAN HELP YOU WITH…

  • Erectile Dysfunction (ED)
    Supporting men with challenges in achieving or maintaining an erection by addressing physical, psychological, and lifestyle factors to enhance confidence and intimacy.

    Premature Ejaculation (PE)
    Guiding men to develop techniques for greater control, delayed ejaculation, and increased confidence in intimate moments.

    Delayed or Inhibited Ejaculation
    Exploring physical or emotional factors that hinder ejaculation or orgasm, helping men find ease, satisfaction, and connection.

    Performance Anxiety and Low Self-Esteem
    Helping men overcome fears of sexual performance and feelings of inadequacy, fostering self-confidence and emotional safety in intimate relationships.

    Low Desire After SSRI Use
    Supporting men experiencing reduced libido, arousal, or orgasm due to antidepressants, with strategies to reconnect with desire and pleasure.

    Shame or Anxiety Around Fetishes or Kinks
    Creating a safe space to explore and embrace erotic preferences, reducing shame and building a confident, healthy sexual identity.

    Sensory Challenges During Intimacy (Neurodiversity-Related)
    Assisting neurodiverse men in managing sensory overload or shutdown during intimacy, fostering comfortable and enjoyable experiences.

    Emotional Withdrawal or Avoidance of Intimacy
    Helping men who feel disconnected or avoid intimacy to rebuild trust, emotional connection, and openness in relationships.

    Sexual Function After Prostate Cancer
    Supporting men navigating changes in erection, orgasm, or self-image post-treatment, with a focus on restoring pleasure and connection.

  • Vaginismus
    Support for involuntary vaginal muscle spasms that make penetration painful or impossible, addressing both psychological and physical contributors with sensitivity and care.

    Dyspareunia (Pain During Intercourse)
    Therapeutic guidance to ease persistent pain during sex by exploring physical causes, emotional responses, and relational dynamics.

    Orgasmic Difficulty or Anorgasmia
    Support for individuals struggling to reach orgasm, identifying emotional blocks, physiological factors, and deepening sexual connection.

    Low Desire After Illness or Hormonal Changes
    Specialist support for diminished libido following illness, menopause, or hormonal shifts, with a focus on restoring connection to self and partner.

    Post-Cancer & Gynaecological Surgeries
    Tailored care following breast cancer, hysterectomy, or oophorectomy, supporting identity, intimacy, and arousal in the aftermath of medical treatment.

    Arousal and Lubrication Challenges
    Addressing changes in arousal and lubrication related to menopause, SSRI use, or other medical factors—supporting comfort, confidence, and pleasure.

    Shame or Guilt Around Sexual Desire
    Compassionate space to explore internalised shame or guilt around desire, fostering self-acceptance, erotic confidence, and emotional clarity.

    Infertility, Trauma & Relationship Strain
    Helping couples process the emotional and sexual toll of infertility or reproductive trauma, restoring connection and understanding.

    Touch Sensitivities & Overstimulation (Neurodivergence)
    Support for neurodivergent women navigating sensory sensitivities during intimacy, with affirming, adaptive strategies that honour diverse needs.