Psychosexual therapy, led by a doctor
Psychosexual therapy, led by a doctor
Confidential, doctor-led support for sexual difficulties, from erectile problems and painful sex to low desire and orgasm difficulties. 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
What is psychosexual therapy?
Psychosexual therapy is a talking therapy for sexual difficulties. It looks at how your body, thoughts, feelings and relationships affect your sex life, and helps you make changes at a pace that feels right.
Sexual problems are common, and many people find things improve with the right support. Many people wait years before asking for help because they feel embarrassed or assume nothing can be done. You don’t need to have the right words. A first conversation is simply a chance to explain what’s happening.
Concerns I work with
I see individuals and couples, including people in consensual non-traditional relationships and LGBTQIA+ clients. Common reasons people come to therapy include:
- Erectile difficulties and performance anxiety
- Premature or delayed ejaculation
- Vaginismus and pain during sex
- Low desire or a mismatch in desire between partners
- Arousal and orgasm difficulties
- Sexual changes after surgery, cancer treatment, illness or medication
- Sex and intimacy during and after the menopause
- Intimacy after fertility loss
- Cultural or religious taboos around sex
Why a medical background matters
Sexual difficulties often have both physical and psychological parts. Erectile problems can be linked to blood pressure, diabetes or medication as well as anxiety. Painful sex can involve skin or hormonal changes as well as fear and muscle tension.
As a GP as well as a psychosexual therapist, I can consider both sides from the start. Where it would help, I’ll suggest medical checks to discuss with your own GP, so nothing important is missed and you don’t need to tell your story twice.
What happens in sessions
- Introductory consultation (30 minutes, online). We talk about what’s going on and what you’d like to change, and decide together whether working together feels right.
- Assessment. Over the first sessions I’ll ask about your health, relationships and sexual history, so we can understand what’s keeping the problem going.
- A plan for you. Therapy may include information about how bodies and arousal work, ways to manage anxiety, communication work for couples, and gradual exercises to try at home between sessions.
Sessions are talking only. There is never any physical examination or undressing in therapy. You can attend online from anywhere in the UK, by telephone, or in person at The Ridgeway Hospital in Swindon. Read more about couples and relationship therapy.
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
How many sessions will I need?
It depends on the difficulty and how long it has been going on. Some people notice change within a few sessions; others benefit from a longer course. We will review progress together regularly.
Do I need a referral from my GP?
No. You can book directly. If you would like to share information with your GP, we can discuss that with your consent.
Can I come on my own if the problem affects my relationship?
Yes. Many people start therapy on their own. Partners can join some sessions later if that would help, but it is never required.
Is psychosexual therapy available on the NHS?
Some NHS areas offer psychosexual services, usually with waiting lists. This is a private service, so you can book directly without a referral.
Is it confidential?
Yes. Everything you share is treated with strict confidentiality, within the professional and legal limits explained at your first appointment.
More answers on the FAQ page.
Ready to talk it through?
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