Couples and relationship therapy
Couples and relationship therapy
A structured, confidential space to work through intimacy, communication and trust, together or on your own. Online across the UK, or in person in Swindon.
- GMC Registered Doctor (MBBS, MRCGP)
- COSRT Registered Psychosexual Therapist (No. 4539)
- Online across the UK, or in person in Swindon
When relationship therapy helps
Relationships go through difficult stretches. Therapy can help when you keep having the same argument, feel more like housemates than partners, or something has shaken the trust between you. Common reasons couples come to therapy include:
- Communication breakdowns and recurring conflict
- Trust, affairs and infidelity
- Mismatched desire, or sex that has dwindled or stopped
- Intimacy after children, illness, fertility loss or the menopause
- Cross-cultural or interfaith differences, and family expectations
- Questions about the future of the relationship
I work with couples of all backgrounds, including LGBTQIA+ couples and people in consensual non-traditional relationships.
Relationship therapy with a sexual focus
Many couples counsellors focus on communication alone. As a COSRT-registered psychosexual and relationship therapist, I can also work directly with the sexual side of a relationship, which is often where tension shows up first.
Because I’m also a GP, I can consider whether physical health, medication or hormonal changes might be affecting desire or sexual function for either of you.
How couples sessions work
- Introductory consultation. A 30-minute online conversation to understand what’s happening and what you both hope for.
- Assessment. Joint sessions, and sometimes one individual session each, to understand each person’s view.
- Working together. Practical tools for communication, rebuilding trust and closeness, and, where relevant, gradual exercises such as sensate focus to rebuild physical intimacy without pressure.
Couples sessions last 50 minutes. You can also start on your own with individual psychosexual therapy, and a partner can join later.
Session fees
Start with a short, confidential conversation
The introductory consultation lets us talk about what brings you here before you commit to ongoing sessions.
Appointments cancelled or rescheduled with less than 48 hours’ notice may be charged in full. A limited number of reduced-fee spaces may be available; please email to discuss this confidentially.
Frequently asked questions
What if my partner does not want to come?
You can start on your own. Individual sessions can still help you understand the relationship and what you want, and a partner can join later if they choose.
Will you take sides?
No. My role is to help both of you be heard and to understand the patterns between you, not to decide who is right.
Can therapy help after an affair?
Yes. Therapy can help you both understand what happened, manage the hurt, and decide together how you want to move forward.
Can we have sessions online from different locations?
Online sessions usually work best when you join from the same private space, but we can discuss what is practical for you.
How much does couples therapy cost?
Couples sessions are £150 for 50 minutes. Everyone starts with a £60 introductory consultation.
More answers on the FAQ page.
Start with one honest conversation
A confidential 30-minute online conversation for £60, with no commitment to ongoing sessions.
Book Your Introductory ConsultationRelated support
Written by Dr Kahverry Rajeswaran MBBS, MRCGP, GMC-registered GP and COSRT-registered psychosexual therapist. Last reviewed: 22 October 2026