Desire is not a switch
A lot of women arrive believing something is broken in them because desire is low, slow, or gone. Usually nothing is broken. Desire is responsive, not automatic. It answers to context: stress, exhaustion, resentment, history, how safe you feel, how you feel about your own body. When those shift, it shifts. Therapy is where we look at the context honestly instead of treating you as the fault.
What I work with
- Low or absent desire, and desire that has changed over time
- Difficulty reaching orgasm, or arousal that does not arrive
- Sexual confidence and body image
- Reclaiming desire after years of disconnection or going through the motions
- Changes around childbirth, perimenopause, and menopause
- The way past trauma can shut intimacy down, and how it slowly reopens
- Shame: the quiet belief that what you want is too much, or not allowed
Shame is usually the real problem
Many women learned early to treat their own desire as evidence against them: something to manage, hide, or apologise for. That belief does more damage than any single symptom. The work is not about pushing you to want more. It is about removing what has been pressing down on what is already there.
One honest note: pain during sex, and some arousal problems, can have physical causes. If you have pain or a sudden physical change, see your GP or a gynaecologist alongside this work.
How the work goes
Audio-only sessions, weekly or every other week. No camera. The audio-only format makes it easier to say things you would dodge face-to-face. We work in a clear framework, at your pace, without judgement.
Who this is for
Women who want to understand what happened to their desire or confidence, and who would rather do that with someone calm and direct than be handed a checklist of techniques.
If it sits between you and a partner, see also Sexual Issues in Relationships and the main sex therapy page.
Common Questions
Is low desire something therapy can actually help?+
Often, yes: when desire is low because of stress, history, shame, or relationship context rather than a physical cause. We work on what is pressing on your desire, not on forcing it.
Do I have to be on camera?+
No. Sessions are audio-only. Most women find it far easier to talk openly about this without a camera on.
I have pain during sex. Is this the right place?+
Therapy can help with the fear, avoidance, and history around it, but pain can have physical causes. Please see your GP or a gynaecologist as well, so we are not missing something physical.
Is everything confidential?+
Yes. Sessions are private, one-to-one, and confidential. Your data is protected under GDPR.
Start Your Therapy Journey“I had carried shame around my body and what I wanted for years.
— “M.,” 36, UK
Tidal did not try to make it inspirational. Thank God.
He helped me see that I wasn't broken. I had just learned to treat desire like evidence against me. Audio-only made it easier to say things I would probably have dodged on camera.”
Audio-only. Confidential. BDP-accredited, with two decades of clinical practice.




