I qualified as a Specialty Doctor in Sexual Health in 1995 and in recognition of my longstanding contribution to this Specialty
I have been awarded the Fellowship of the Faculty of Sexual and Reproductive Healthcare.
The sexual wellbeing of my patients has been at the core of my work ever since I started, which made it a necessity for me to be able to address not only the physical side but also the emotional aspects of sexual wellbeing; I began training with the Institute of Psychosexual Medicine in 1999, completed my Membership in 2002, and expanded
my training in 2013. I currently hold the Postgraduate Diploma in Psychosexual Therapy, and I am accredited by the College
of Sexual and Relationship Therapists (COSRT).
Clinical Experience in Body-Mind Medicine
I see patients with sexual health problems, be it physical
or psychosexual, within my NHS work, and I have an
independent relationship and psychosexual therapy practice.
This means that when I am consulted by an individual or a couple presenting with a sexual difficulty, which often presents as physical in nature, I have the knowledge and the experience to be able to understand fully what the causes are and help untangle the knot of physical, emotional, and socio-cultural factors at play.
I am qualified to treat both the physical and psychological aspects
of sexual difficulties.
I am also qualified to help with relationship difficulties; therapy can help couples attain more loving, supportive and deeply satisfying relationships.
I am a fully licensed medical practitioner revalidated by the General Medical Council.
I subscribe to the COSRT code of ethics and conduct procedures. My annual appraisal ensures that I am externally held to account
to maintain my accreditations, reflect on my practice, and keep up to date.
My experience also ensures a safe, professional service, where I work only within the limits of my expertise, and may suggest working collaboratively with other healthcare professionals depending on client's needs.
My work is regularly supervised.
My practice promotes equality, diversity
BM FFSRH DFCASA MIPM PGDipPST
Who is it for?
Equality, Diversity and Inclusion
Relationship and/or psychosexual therapy is for anyone, over
the age of 16, with a sexual and/or relationship problem,
regardless of whether they are single, married, separated,
divorced, heterosexual, gay, bisexual, transgender, or just uncertain.
My practice promotes equality, diversity and inclusion.
Physical and/or Psychological Cause
I can help you with your sexual difficulty if it is caused by a physical problem, or a psychological one, or a mixture of the two.
Click on Relationship Therapy for more information about how this works.
Click on Psychosexual Therapy for a list of some of the sexual difficulties that I can help you with. It may be that your concern is not listed, or you are unsure which difficulty you have. This is not unusual and I can still be of help; our sessions can clarify things for you very quickly.
It is also common to feel nervous, embarrassed or ashamed when discussing personal matters. Every person I see has overcome many barriers to attend, and has taken an extremely brave step; it is my responsibility not to let you down.
“There is no greater agony than bearing an untold story inside you.”
What I Offer – Physical Treatments and/or Sex and Relationship Therapy
Sexual Wellbeing and You
Treating sexual problems is important because your sexual
health can have a huge impact on your general
wellbeing and your personal relationships.
Below is a list of some of the sexual difficulties that can be helped.
Sexual difficulties experienced by men:
Loss of interest in sex
Premature ejaculation (coming very quickly)
Delayed ejaculation (coming after a long time/not at all)
Concerns regarding sexuality and/or gender
Sex Addiction (Level 1)
Sexual difficulties experienced by women:
Loss of interest in sex
sexuality and/or gender
Sex Addiction (Level 1)
Physical and/or Psychological Therapy
Being medically qualified I can work closely with your GP (with your consent) if diagnostic/screening blood tests or other investigations are required in order to fully assess your problem and make an accurate diagnosis.
There is a range of physical treatments available for some of the listed conditions such as erectile dysfunction, premature ejaculation, and vulval pain. I am able to prescribe treatments that may help
e.g., tablets, injections, and pumps for erectile difficulties.
For other problems the treatment may be purely psychological and managed solely with Sex and Relationship Therapy.
Sometimes combinations of physical and psychological interventions are successful.
An Integrated Approach
The type of Psychosexual therapy that I offer is an integrated approach. Cognitive-Behavioural Therapy (CBT) forms the core, and other approaches, such as Systemic, Psychodynamic, and Medical therapies, are also employed, as appropriate.
CBT involves recognizing negative automatic thoughts, managing anxiety, and following a series of homework exercises individually and/or with your partner, if you have one. Even if the cause of your sexual difficulty is physical, any secondary anxiety can result in a host of problems such as a worsening of the problem, reduced arousal, low
self-esteem, relationship conflict, and poor emotional intimacy.
If you are in an intimate relationship, any conflict may be causing or compounding your problem; conversely, a sexual difficulty can cause emotional conflict between you and your partner. Attending therapy will aim to address any relationship problems you may have and may help prevent an irretrievable breakdown in your relationship.
What to expect
During the initial sessions I conduct a comprehensive assessment of your issues. This will help you to unravel and deepen your understanding of the factors contributing to and maintaining your challenges. For example, if you have a physical problem, like erectile dysfunction, affecting your sex life, it may be caused by psychological issues in much the same way as a migraine might be caused by stress; or we may discover that the tightening of your vagina is not due to stress, but is in fact secondary to an undiagnosed physical problem.
We would work together in a goal-orientated fashion in order to create an agreed treatment plan that suits your particular needs and circumstances.
The Therapeutic Relationship
The therapeutic relationship that we build within the sessions will provide you with a safe, empathic and confidential environment within which to explore and address the factors that maintain your difficulties. These factors often sit within the present, and an exploration of the past will occur only if directed by you and relevant to your concerns.
Individual or Couple Therapy
You can be seen individually or with your partner; if you are in a relationship the latter is encouraged, as the success rate is much higher if both partners attend. If you attend with your partner you will have opportunities to talk separately and in complete confidence. If your partner doesn’t want to attend, or you are currently single, it can still be useful to attend therapy.
Length and Frequency of Sessions
Each session lasts 50 minutes for individuals, 1 hour for couples. A longer session of 1.5 hours is usually needed for the initial history taking. The number of times you need to attend will depend on the nature of your difficulties. Some problems are resolved more quickly than others; you may need only a couple of visits, or choose to remain in therapy for an extended period of time. I will review your progress regularly with you and I will strive to work within the limitations of your budget.
On average clients need between 10 and 20 sessions.
The frequency of sessions is also variable, ranging from weekly to monthly. I most frequently see clients on a fortnightly basis.
I currently see clients in a consultation room, or from my own home, depending on availability to suit you, and the nature of your problem.
Click here for the address and map location of my
Consultation Room in Midhurst, West Sussex
The ideal – The ordeal – The real deal
We fall in love and our world is filled with colour, intimacy, and excitement. Inevitably, 12-18 months later, as the honeymoon period draws to a close, what were once the calm, romantic shores of coupledom dark storm clouds of old patterns may appear.
We find ourselves seeking shelter from the driving rain of negative emotions our partners project onto us; it is uncomfortable yet
familiar as the ghosts from the past blow through our souls.
When old patterns re-emerge a once easy communication between us can become fraught with incorrect mindreading and defensive responses.
Where did my best friend go? How can we find each other again and face the challenges that life throws at us together with the added strength that support and empathy can bestow? Therapy can provide a safe place to really understand the emotional processes playing out in your relationship, explore repeated patterns, improve communication, view things in a different light, be more empathic to your partner, discover healing and forgiveness after major transgressions, or simply manage the influences of external factors more effectively.
Wherever you and your partner find yourselves be it battered by the tornado of conflict, on the cold shores of stonewalling, or simply lacking the romance and lust of the early days, relationship therapy can help you attain more loving, supportive and deeply satisfying relationships.
Individual or Couples work
Individuals can find themselves benefiting from relationship therapy too in order to explore sexuality, work through relationship patterns, heal after break ups, work out what is the best way forward, and above all to strengthen their intimacy with themselves which is vital in creating the healthy balance of togetherness and separateness within couples.
An Integrated Approach
The type of Relationship therapy that I offer is an integrated approach. Imago theory forms the core, and other approaches such as CBT, Systemic and Psychodynamic are employed as appropriate. Psychosexual therapy can be woven in if required.
If you attend with your partner you will have opportunities to talk separately and in complete confidence. Longer sessions of several hours can be arranged to cover more ground or for added convenience if you are travelling to attend. Daytime, evening and Saturday appointments are available to suit.
“For the two of us, home isn't a place. It is a person. And we are finally home.” – Stephanie Perkins, Anna and the French Kiss
“Let there be spaces in your togetherness, and let the winds of
the heavens dance between you. Love one another, but make
not a bond of love: let it rather be a moving sea between the shores of your souls.” – Kahil Gibran: The Prophet
Individuals £65 per session
Couples £80 per session
All appointments can be paid for at each session by cash or cheque, or if you prefer by bank transfer.
Cancellations notified with less than 24 hours' notice
will be charged at the full rate.
Every effort is made to reschedule, space permitting.
You are welcome to
contact me on my mobile
or via email listed below.
I will endeavour to return any messages within 24 hours, and I would be delighted to answer any questions you may have.
Telephone: 07931 074614
South Downs Counselling and Mediation
Public car parks are situated in North Street, the New Grange Centre and Grange Road.
Frequently Asked Questions
Why should I come to see you?
Being qualified and experienced in three domains; relationship therapy and the psychological and physical aspects of sexual issues qualifies me to offer a unique and complete approach to the problems you may be facing. In addition, my service will bypass a long waiting list and I can offer flexible hours to suit your availability.
How will I know you are the right therapist for me?
The therapeutic relationship we build within the sessions will provide you with a safe, empathic and confidential environment within which to explore and address the factors that maintain your difficulties. These factors often sit within the present, and an exploration of the past will occur only if directed by you and relevant to your concerns.
What is Psychosexual Therapy?
Psychosexual therapy is treatment by a qualified practitioner, which addresses a sexual dysfunction, or emotional block within a relationship. It has a proven success rate, looking at physical, emotional, and socio-cultural aspects, which are causing distress. Sexual difficulties as a result of only physical causes may also benefit. Click on the Sex Therapy page for further details.
Is therapy the right choice?
Therapy isn’t suitable for every person and every problem, and our first session is to assess whether therapy is the right way to address the difficulties you’re experiencing. If the answer to this is ‘No,’ then we can explore medical options or I can help you find alternative support.
Will therapy work?
My role is to assess your difficulties and then support, challenge and explore with you the factors that are maintaining them, using medical, behavioural and/or psychological approaches.
The goals of therapy may change as we progress and I will
take account of this as a part of our reviews.
How long does Relationship and/or Psychosexual
This may vary from 1 to 20 sessions, depending on your needs.
The frequency of sessions is also variable, ranging from weekly to monthly. You can end the therapy at any time; I just ask for as much notice as possible to cancel a session, to avoid having to charge you.
Please give a minimum of 24 hours' notice.
Can I be seen without a partner?
It’s entirely up to you. If you attend with your partner you will have opportunities to talk separately and in complete confidence. If your partner doesn’t want to attend, or you are currently single, it can still be useful to attend therapy.
Is the therapy confidential?
Yes. It is only in extreme circumstances that I would seek your
agreement to break confidentiality.