What is Psychosexual Therapy and How Does it Work?
Psychosexual therapy, often referred to as sex therapy, is a specialised form of talk therapy designed to helps individuals and those in relationships explore and resolve the sexual difficulties that may be impacting their quality of life. At its heart, this therapy is about restoring sexual health, communication, and emotional well-being. It can sometimes involves relationship therapy as well as they go hand in hand in ensuring that we create a healthy balance and understanding in all areas of the relationship.
Sexual intimacy is a complex dance between the physical body and the psychological self. Often, a physical symptom is the body’s way of communicating an emotional or psychological block. Conversely, a physical health condition can create emotional ripples of anxiety or a sense of loss within a relationship. We look at these issues through a holistic lens, understanding that sexual dysfunctions are rarely "just" physical or "just" in the mind. By addressing the biopsychosocial factors—the intersection of your biological health, your psychological state, and your social environment—we can help you find a sustainable path to healing. We provide a gentle, expert approach to a wide range of specific concerns, including:
At Reflective Wellbeing, we also offer specialised support for compulsive sexual behaviours, frequently identified as porn, sex, or love addiction. These patterns can create deep fractures in self-esteem and relationship trust. We offer a non-judgmental space to support both the individual navigating the compulsion and their partner, helping to rebuild a foundation of honesty and safety.
At Reflective Wellbeing, we recognise that intimacy and pleasure are as unique as the individuals experiencing them. We provide a Kink-Aware and BDSM-positive environment, offering a space where you can discuss your interests, fantasies, and practices without fear of pathologisation or prejudice. Whether you are navigating power dynamics, exploring new aspects of your identity, or seeking to improve communication and "negotiation" within a specialised relationship, we honour your autonomy. Our focus is on fostering a healthy, consensual, and fulfilling sexual life that aligns with your authentic self, ensuring that your preferences are met with professional understanding rather than judgment.
The goal of psychosexual therapy is not just the resolution of a "problem," but the expansion of intimacy. We provide you with the tools to improve communication, manage anxiety around performance, and rediscover a sense of play and connection.
Our Plymouth-based practice offers a safe, inclusive environment where you can express concerns about your body and your relationships without fear of judgment or discrimination. Whether working individually or as a couple, we move at your pace, ensuring you feel held and respected throughout your journey of discovery.

Please reach us at discovery@reflectivewellbeing.com if you cannot find an answer to your question.
At Reflective Wellbeing, psychosexual therapy is strictly a vocal and emotional process. There are no physical examinations or sexual acts performed during our sessions. We provide a safe, professional space to talk through your concerns. If "homework" or practical exercises are suggested to help you reconnect with your body or your partner, these are always carried out in the privacy of your own home, at a pace that feels comfortable for you.
It is completely natural to feel a sense of hesitation or vulnerability when discussing intimacy. However, our therapists are highly trained professionals who view sexual health as a vital part of overall human wellbeing. We speak about these topics with the same clinical care and openness as any other health concern. Our goal is to create an environment where the "awkwardness" dissolves into understanding and relief.
You are welcome to attend either as an individual or as part of a couple/partnership. If the issue is affecting a relationship, it can be very helpful to work together to improve communication and shared understanding. However, many people find it beneficial to explore their own sexual identity, anxieties, or physical concerns individually first. We honor whichever path feels right for your unique situation.
Because every journey is individual, there is no set number of sessions. Some concerns may be resolved in a short-term capacity through focused communication tools and psycho education. More deep-seated issues or compulsive behaviours may require a longer-term therapeutic relationship. During your initial exploratory session, we will discuss a collaborative plan that respects your needs and goals.
While relationship therapy often focuses on communication, conflict resolution, and emotional bonding, psychosexual therapy looks specifically at the intersection of the physical and the psychological. It addresses the mechanics of sexual function alongside the emotions attached to them. We look at how your history, your health, and your mind all contribute to your current sexual experience.
Yes. We work extensively with compulsive sexual behaviours. We understand the shame and secrecy that often surround these patterns. Our approach is one of empathy and "realness"—we help you understand the root of the compulsion and provide practical tools to reclaim your life and rebuild trust within your partnership.
Sue Johanson
Psychosexual therapy is for everyone and all are welcome! Irrespective of sexuality, sexual identity, gender or relationship choices. We work with all relationships, not just heterosexual, including those that are lesser known, polyamorous and consensual non-monogamy.
Reflective Wellbeing
Call 07730 689450