Steve Keegan: PORN/SEX/CHAT ROOM ADDICTION;COUPLES/IND COUNSELLING;SEX THERAPY
07740 856328 / Doncaster 01302 278176
Why choose me as a starting point for Therapy?
RELATE TRAINED WITH SEVERAL YEARS EXPERIENCE/POST GRADUATE QUALIFIED/MEMBER OF THE COLLEGE OF SEXUAL AND RELATIONSHIP THERAPISTS (COSRT).
I am based in Cusworth, Doncaster. South Yorkshire.
I am qualified to Post Graduate Diploma level both as a Relationship Counsellor and specialist Psychosexual Therapist with several years experience to date working at Relate, the NHS Substance Misuse team and in private practice.
I also hold a Diploma in Drug and Alcohol Counselling and I am qualified to deliver Behavioural Couples Therapy as recognised in NICE Guidelines and used within the NHS to address drug and alcohol problems within relationships. I am a practitioner in Cognitive Behaviour Therapy (CBT) which is very effective in treating anxiety and depression.
I have attended many courses in addition to my University qualifications to further my knowledge and expertise which enable me to offer a very high level of practice to my clients and I continue to complete on-going professional development to further improve my knowledge and development.
Appointments are available on an evening from 6:15 until 9:15 and on a Saturday morning.
I offer face to face appointments in my comfortable, private therapy room, but also can offer the following for convenience:
Skype or telephone counselling sessions.
Email counselling at £20 per maximum 700 word email which can be very effective and easier for busy people or for people with a limited budget to spend on therapy.
Relationship counselling is a unique style of therapy that should be practiced by therapists that are trained and qualified in this area. I am very well qualified and experienced to deliver relationship therapy due to my extensive training with Relate/Hull University and my experience to date at Relate, the NHS and my private work.
Psychosexual Therapy is very much Cognitive Behaviour Therapy (CBT) based and is an intensive program of work which incorporates CBT based work and couples counselling combined. There is also an element of intensive work to be completed at home by the client in-between sessions. This therapy should only be delivered by a fully trained therapist in this area. I have completed a Post Graduate Diploma in this area of therapy and have many years experience of practice working at Relate and in private practice.
Illicit drug/Legal Highs/Alcohol/Gambling Addictions are very complex behavioural problems that people have learnt, but they can be addressed if someone accepts responsibility for their behaviour and is willing to look at behaviour changes. I have over ten years experience to date mainly when working for the NHS in the Drugs and Alcohol Team as a Senior Practitioner and I am very competent at delivering interventions that enable people to change their addictive behaviours. I have completed many courses to date that enable me to deliver evidence based interventions to assist people to address their addiction issues.
Sex Addiction is often not related to sex at all, but the feelings that people have when they think about or act out the behaviour. There is a need to self sooth and regulate mood/emotion. This is achieved by many people with sex addiction as they have developed this behaviour as a coping mechanism. My experience and qualifications to date in Counselling/Psychosexual Therapy and Addiction work have enabled me to address the issue of sex addiction very successfully to date with many clients.
I have worked at Relate delivering a Primary Care Contract working with patients referred by their GP for issues with anxiety and depression. My qualifications/courses and experience to date at Relate and the NHS enable me to offer a competent program of therapy to address such issues.
I offer a safe, confidential and comfortable counselling space from my office in my own home in Doncaster close to Cusworth Hall and Country Park. my house is a 5 minute drive from the A1M at junction 37.
My style of counselling
My aim within counselling sessions is to help you understand yourself and assist you to work through some of the personal and complex problems you face. Problems that you cannot always resolve through discussion with your partner, friends or family. My style of counselling incorporates CBT, Systemic and Psychodynamic theories.
Within my couple/individual counselling sessions, I work with individuals or couples to explore relationship issues including; communication problems, past relationship difficulties affecting the present; trust and jealousy issues; parenting problems; work difficulties; grief; childhood sexual abuse; loss and affairs.
As a Psychosexual Therapist I look at sexual and intimacy issues with couples or individuals; and I explore how the individuals sexual dysfunction has become a problem for them. I then put together a structured intervention that includes tasks to complete at home and that will help them to overcome the dysfunction.
I also offer a structured program of therapy to treat porn and sex addiction.
I offer sessions to address anxiety/depression which are weekly for six weeks.
I am also very experienced in counselling people with substance misuse problems including drugs and alcohol. This can include Behavioural Couples Therapy(BCT) a high intensity intervention. BCT has a very good evidence base for treating people with drug and alcohol problems. To engage in the therapy you should be prepared to be working towards abstinence from illicit drugs or alcohol abuse during the first couple of weeks of therapy or be illicit drug or alcohol free on commencement of the therapy.
Below is information to help you decide on the right therapy for yourself but please contact me to discuss your specific issues.
Fees: £35 per session for individuals
Fees: £40 per session for couples.
The issues that I address within couple counselling sessions relating to clients' relationships can be extremely varied. Below are some of the issues that we look at within sessions:
- Commitment to the relationship.
- Communication difficulties
- Sexual disagreements
- Trust and jealousy issues
- Affairs and betrayal
- Problems with parenting
- Feelings of loss and despair when the children leave home
- Domestic Violence ( Discreet appointments can be arranged )
- Low self esteem
- Separation and divorce
- Loss of identity
- Problems with sexuality
- Issues with step families
- Retirement concerns
- Work related problems
- Adapting to chronic illness and disability
- Past relationship issues that are affecting the present one.
Of course, this list is not exhaustive. Please feel free to contact me regarding any concerns that you may have within your relationship.
Fees: £40 per session.
Research demonstrates that relationship and environmental factors have an important part to play within cases of sexual dysfunction and that, where possible, the therapist should work with the couple, rather than the individual, as this has proved much more beneficial.
Of course there are occasions when an individual has a dysfunction and they are not in a relationship. On these occasions, it is still possible to work with individuals; so please do not hesitate to ask about the interventions that are available.
The kinds of issues that lead people to contact a sex therapist are wide ranging; and some of these are listed below;
Erectile Problems... which may be an inability to get an erection at all; or a difficulty in sustaining an erection before or during penetration.
Premature Ejaculation … relates to ejaculation before you would like to - sometimes prior to intercourse, and sometimes upon penetration and the feeling that you have no control or choice when ejaculation happens.
Inhibited Ejaculation … ranges from being totally unable to ejaculate in any situation, to being able to ejaculate only with masturbation.
Loss of Desire... An increasing number of people are reporting a loss of desire for sex. This can be a result of stress, busy lifestyle, sexual boredom and childbirth. In addition, some medication can badly affect libido. Problems in the general relationship can also cause a loss of interest in sex; and once the relationship issues are addressed, the sexual desire usually returns.
Vaginismus… inability to have sexual intercourse because the muscles at the entrance to the vagina go into an involuntary spasm when penetration is attempted. This then makes penetration painful and impossible. This is a very common problem that many women refrain from getting help with, due to their embarrassment or fear.
Dyspareunia (painful intercourse)… pain during intercourse can be caused by many things. Because of the pain, a cycle can be set up whereby fear of pain causes anxiety and tension that in turn leads to more pain. Painful intercourse can also lead to loss of desire.
Anorgasmia (unable to reach orgasm) for some people, the inability to reach orgasm is always there, whether it's during intercourse or masturbation. For other people, orgasm doesn't happen during sexual intercourse, but is achieved through masturbation. There are many causes, ranging from lack of knowledge about how the body works, to anxiety and an inability to "let go" and allow orgasm to happen.
Sexual Problems and Ageing
As we age our bodies start to change, both internally and externally. Men can suffer from erectile dysfunction due to an underlying medical condition or because of a prescribed medication they are taking. Women can suffer from vaginal dryness, during and post menopause.
Arthritis or other conditions which cause pain and restrict mobility can impact on people, as can prescribed medications that affect libido.
People’s attitudes and beliefs about age and sexuality linked in with poor body image and low self esteem and depression can also be detrimental.
Sexual Problems following Illness and Disability
As discussed, many illnesses and prescribed medications can have an impact on sexual functioning and desire.
Other illnesses such as Parkinson’s or Cancer and can greatly impact on someone’s sexuality, self esteem and sexual function.
Other people suffer spinal injuries and may have to re- adapt to a different way of life and address the direct physical, psychological and medicinal effects associated with the condition.
All of the above problems can be greatly helped with sex therapy, and whatever your problem, it will be dealt with sensitively. As well as discussing the difficulties, I will formulate a programme of exercises for you to do in the privacy of your own home.
Illicit drug/Legal Highs/Alcohol/Gambling Addictions
Fees: £40 per session.
Assessment review and formulation: £100 one off fee.
Addictive behaviour could be explained as any behaviour that gives temporary or short term pleasure and also provides relief from discomfort although there may be long term adverse effects.
Addiction is generally described as dependence on any drug and results from substance abuse. Any drug or alcohol can produce addiction as can other things such as the internet, gambling, mobile phones , chocolates etc. However the physical and psychological effects of drugs and alcohol are detrimental and actually result in loss of productivity, withdrawal and physical dependence and lack of attention and such other conditions. The primary feature of addiction is dependence as an individual shows increased psychological and physiological dependence on the substance he is addicted to and without the addictive substance the person is unable to return to normal life.
Thinking about and participating in our chosen addictive behaviour stimulates and releases the pleasure inducing neurotransmitters in the brain. The dependence on this feeling of pleasure leads to more such pleasure seeking behaviour and this can spiral out of control and doesn't remain within the control of the individual, who then is completely controlled by their addiction rather than the other way round. This would be the time when someone realises that they have a problem and they would start to contemplate contacting a therapist.
Fees: £50 per session.
Assessment review and formulation: £100 one off fee.
Sexual addiction, as with any addiction, is a pattern of behaviour that preoccupies an individual, affecting both their physical and their psychological wellbeing. The individual experiences himself/herself as out of control and unable to stop his/her behaviour despite negative consequences. Examples of this might be:
- Spending too much time on the pursuit
- Stress and depression
- Denial of there actually being a problem
- Loss of interest in hobbies or social life
- Feelings of anxiety and irritability if unable to engage in the behaviour
- Engaging in the harmful behaviour
- Spending more money than you can afford to.
- The behaviour taking precedence over personal relationships and work commitments
- Having to lie to family, friends and colleagues about whereabouts and finances
- Concealing the amount of money spent on funding a problematic behaviour.
- Stealing money or borrowing money, but having difficulty repaying the debt.
Here are some questions that you may want to think about:
Why did the behaviour develop?
When did the behaviour start and what was going on at the time?
What stressors and problems are you trying to avoid?
People who are addicted to sex are found in every social class, every religion, and every profession. Sexual addiction can take many forms:
Having little control over the use of internet pornography
Consistent use of internet chat lines
Having numerous one-night stands
Using prostitutes on a regular basis
Feeling compelled to take part in sexual encounters, e.g. dogging.
Sex addiction is similar to other addictions such, for example, drugs or alcohol, in that the behaviour is used to manage painful feelings. People with addiction issues can often identify a pattern or a cycle that they get into. Once emotional pain is triggered; this may be sadness, anger, fear, shame, frustration, core loneliness, etc, the person distances and disassociates himself/herself from the emotion and moves into a trance-like state where he/she pursues the sexual behaviour.
At this stage there is no awareness of negative consequences, and there may be a sense of euphoria at the thought of the sexual behaviour. The sexual behaviour is "acted out" and can be, but not necessarily, followed by feelings of guilt or shame. The cycle starts again when emotional pain is triggered.
In treating addictive behaviour, it is important to understand the triggers, because this is where the cycle can be broken. It can also be useful to explore the roots of the behaviour in family background. This can give an understanding of the emotional triggers which can start the cycle.
I worked for the NHS in Doncaster for ten years until 2014 as a Senior Drugs/Alcohol Practitioner working with patients using a range of psychological and psychosocial interventions to address various issues including;
Illegal drug use
Legal high use
I worked at Relate for eight years until 2015 practicing as am Individual/Couples Counsellor and as a specialist Psychosexual Therapist. Within this role I worked with a range of clients who presented with relationship issues or complex sexual problems that required specialist knowledge and training in the psychosexual field. I also focused on delivering a Primary Care contract for two years in which I dealt with G.P referrals for patients that presented mainly with anxiety and depression issues. I have recently left Relate to focus on developing my own counselling business.
Doncaster Metropolitan Borough Council
My current role is that of a Domestic Abuse Officer with Doncaster Council. I work with a diverse range of victims and their families and also with the perpetrator of the abuse should the couple wish to remain within the relationship and address the abuse/violence. Within my current role I work to explore and address many issues including the following;
Safety of client and any children by completing DASH Risk Assessment.
The dynamics of domestic abuse/violence
The cycle of domestic abuse/violence
Cultural influences on abusive relationships
Male victim support
The psychological affects of domestic abuse/violence on both the victim and the child
Educating people about some of the early more subtle signs of power and control that are often exhibited by a future perpetrator of domestic abuse/violence.
Assisting people to access specialist support and refuge
Referring people on to courses that educate them further about abusive relationships and the effects on children.
Informing people of relevant criminal law powers and civil law powers that they can have put in place to protect them and their children from abuse.
Enabling people to live as safely as possible in their own home by completing a risk assessment and providing window/door alarms and personal alarms or escalating the case to MARAC level where an IDVA can provide further protection for the client and their children.
Work with victim and perpetrator where appropriate to prevent further incidents of abuse.
Training, qualifications & experience
I am a qualified Couples Counsellor with an Advanced Diploma from Hull University and a qualified Relationship and Psychosexual Therapist with a Post Graduate Diploma from Hull University.
I also hold a Diploma in Drug and Alcohol Counselling and a Certificate in Health and Social Care from the Open University.
OTHER QUALIFICATIONS AND PROFESSIONAL DEVELOPMENT
Communication Skills using Neuro Linguistic Programming (NLP) (Public Health)
Stalking and Harrassment, How to provide an effective response to victims (CAADA Accredited)
Domestic Violence and Same Sex Relationships (NHS)
Certificate in the Management of Drug Misuse (Part 1/ The Royal College of Practitioners)
Advanced Drugs Awareness (Level 3/OCN)
Counselling skills for Drug and Alcohol Workers (Level 3/OCN)
Safeguarding Children (Level 3) (RDASH)
Safeguarding Children/Supervisors Training (APT) NHS
Providing Good Clinical Supervision Training (APT) NHS
Adult Survivors of Sexual abuse (Relate)
Domestic Violence and abuse: Assessment and Intervention (Relate)
Mental Health and Couple Counselling (Relate)
Certificate in Bereavement Counselling (Cruse)
Certificate in Sudden and Traumatic Death (Cruse)
Certificate of Attendance – Erectile Dysfunction – Performance and Pitfalls
Counselling with a Sexual Focus (Relate)
Working Systemically with Individuals and Couples (Including Men and affairs) (Relate)
Sexuality after illness and disability (Relate)
Depressive Conditions: Working with the impact on relationships and family networks (Relate)
Understanding Rape and Sexual Violence (South Yorkshire Police)
Sexual Addiction and Couples (Relate)
Working with suicidal clients ( Relate)
Working with clients who self harm ( Relate)
Integrating a non medical view of sexual problems in clinical practice (PIPS Conference)
Use of Transactional Analysis concepts in resolving couple difficulties ( Relate)
Thinking about sex, arousal and aging ( Relate)
Equality and Diversity ( NHS)
Safeguarding Adults (NHS)
Domestice Abuse- Identification and Prevention/Safeguarding Children (NHS)
Transgender Awareness (NHS)
Behavioral Couples Therapy ( APT) NHS
Cognitive Behavioural Therapy with Post Traumatic stress Disorder (APT) NHS
Motivational Interviewing and the stages of change (APT) NHS
Data Protection Training (Relate)
I am a member of the College of Sexual and Relationship Therapists (COSRT)
My professional COSRT membership ensures that I work within their ethical framework and that I am subject to their professional guidelines. I work strictly to their code of ethics and principles, therefore ensuring a safe, professional service.
As a member of COSRT I have to undertake monthly supervision with a qualified supervisor who ensures that I am working within the guidelines of the professional body. All members have to undertake thirty hours of ongoing professional development each year to retain their membership and are accountable to the bodies’ complaints procedure. My details are listed on the official COSRT website.
As a professional therapist, I am fully insured by a Professional Liability Insurance policy.
Areas of counselling I deal with
- Affairs and betrayals
- Anorexia nervosa
- Binge-eating disorder
- Bipolar disorder/Manic depression
- Bulimia nervosa
- Child related issues
- Drug abuse
- Eating disorders
- Emotional abuse
- Family issues
- Gender dysphoria
- Generalised anxiety disorder
- Internet addiction
- Low self-confidence
- Low self-esteem
- Obsessive compulsive disorder (OCD)
- Panic disorder
- Physical abuse
Please contact me to discuss any concerns that you may have and we can explore them together. The initial, brief telephone consultation is free of charge and will give you the opportunity to ask any questions that you may have. We can then assess whether the therapies that I offer are best suited to overcome your difficulties.
All appointments are held in my comfortable, confidential counselling room at my home in Doncaster.
N.B. All fees are payable in advance by cash or via internet banking.
Missed appointments are charged at the full rate if 24 hours notice is not given.
Psychosexual Therapy sessions are charged at £40 per session.
Individual counselling sessions are charged at £35 per counselling session.
Couples counselling sessions are charged at £40 per counselling session.
Porn/Sex addiction therapy sessions are charged at £50 per counselling session.
Illicit drug/legal highs addiction therapy sessions are charged at £40 per counselling session,
Alcohol/Gambling addiction therapy sessions are charged at £40 per counselling session.
All addiction work has a £100 one off fee to cover Assessment review and formulation work.
N.B. Saturday morning appointments are available at normal rate.
Maps & Directions
Type of session
|Face to face counselling:||Yes|
Please telephone or email to confirm availability of your chosen day/time. If you need an instant response then please contact me on my mobile number.
Types of client