Focused sex therapy for men

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Sexual difficulties range from sexual worries (the concerns we all have about sex and sexuality), to sexual problems (urges, thoughts and behaviours feeling out of control), to sexual disorders (erectile, orgasm, ejaculatory, or associated with health conditions). 

Together we'll get curious, and figure out the "functions" of these difficulties: the effects they have, or what they achieve, in a particular situation. Then, we’ll put our heads together and try to come up with a plan to make things better. Sometimes people develop a strong plan, go out and do it, and they don’t come back. Other times, people return to learn new skills and further develop their plan. 

Our work is guided by a set of sexual health principles* of: consent - the right to give & take away at anytime for any reason; non-exploitation - living free from power & control of others; protection - balancing pleasure & safety; shared values - knowing yours & respecting others; honesty - as a choice; & mutual pleasure - individualised & important to communicate. (*Braun-Harvey & Vigorito 2016)

I am a UK, professionally qualified, registered and accredited Psychosexual (Sex) & Relationship Therapist (AccCOSRT), and Certified Problem Sexual Behaviour Therapist (certified by Sexual Health Alliance, USA).

Sex | porn addiction it is not an actual diagnosis. Disease classification systems exclude it on scientific grounds. Evidence even suggests that for some men, self-identifying as a sex | porn addict likely increases pain and suffering over time. Compulsive Sexual Behaviour Disorder (CSBD) is included in the World Health Organisation International Classification of Diseases, as an impulse disorder NOT an addiction, but CSBD is not an interchangeable term with sex | porn addiction.  

I prefer the term problem sexual behaviours. This may be problematic pornography use, drug-linked sexual behaviours, moral or ethical conflicts over types of sex, breaking of relationship boundaries, or resulting legal and financial problems. I do not work within the sex addiction model. Instead, I offer a more holistic, evidence-based, sexual health approach to problem sexual behaviours. If your sexual urges, thoughts or behaviours feel out of control, I invite you to connect to hear more about how we could work together. 

** COFRA 121 **

COFRA 121, is a therapeutic rehabilitation programme to help men manage sexual risk and to live more pro-social, satisfying lives. COFRA 121 consists of sixteen 90-minute sessions, is evidence-informed and brings together compassionate mindfulness, CBT and strengths-focused approaches. Please email for more information and cost.