Psychosexual counselling uses structured psychological approaches to explore sexual concerns, relationship dynamics, beliefs, anxiety, shame, communication and behaviours that may contribute to sexual difficulties.
What is psychosexual counselling?
Psychosexual counselling uses structured psychological approaches to explore sexual concerns, relationship dynamics, beliefs, anxiety, shame, communication and behaviours that may contribute to sexual difficulties.
What can it look like?
- concerns about desire, arousal, erection, ejaculation or orgasm
- performance anxiety, fear or self-monitoring during intimacy
- relationship or communication difficulties affecting sexual wellbeing
- distress related to sexual beliefs, body image, previous experiences or trauma
How is it assessed?
Assessment is private and non-judgmental. Depending on the concern, it may cover symptom pattern, sexual or relationship context, mood and anxiety, medicines and substances, relevant medical conditions, and the impact on daily life. Examination or investigations may be advised when clinically indicated.
What treatment may involve
The first step is usually a respectful conversation about the concern, its context and what the person hopes to change. A clinician may consider both psychological and physical contributors and recommend medical evaluation when appropriate.
Treatment may involve psychoeducation, cognitive and behavioural techniques, anxiety reduction, mindfulness-based approaches, communication work and carefully selected behavioural exercises. Couples or partner sessions may be considered when relevant and desired.
Psychosexual care should remain within professional boundaries. Therapy is discussion-based and does not involve sexual contact with the clinician.
When should you seek urgent help?
Seek prompt medical evaluation for sudden severe symptoms, significant genital pain or injury, concerning neurological symptoms, or another acute medical problem. For immediate psychiatric or safety concerns, use the nearest emergency medical service.
Questions to bring to a consultation
- When did you first notice the concern?
- How often does it happen, and in what situations?
- How is it affecting your wellbeing, relationship or daily life?
- Are medicines, substances, physical symptoms or major stressors relevant?
Frequently asked questions
Will psychosexual counselling involve any physical sexual activity?
No. Professional psychosexual therapy is based on conversation, psychological techniques and agreed exercises carried out privately outside the session when appropriate.
Should physical causes also be assessed?
Yes. Sexual difficulties can have both physical and psychological contributors, so assessment should be appropriately broad.
Further reading
These resources are for education and do not replace individualized medical advice.
External resource checked 23 August 2026. Websites may change their page structure or URLs.