About me
I’m Elaine Tarsh, a BACP-accredited counsellor and psychosexual therapist offering online couples therapy and individual counselling across the UK and internationally.
People often come to me when something in their relationship or sexual behaviour no longer feels manageable, even if they’re not yet sure how to describe the problem. This may include ongoing conflict, emotional distance, affairs or betrayals, or concerns about porn use or sexual behaviour that feels out of control or at odds with personal values. Some people describe this as porn addiction, others simply know something needs to change. You don’t need to have everything worked out before getting in touch.
I work with couples seeking therapy to understand what’s happening between them and whether things can change, as well as individuals who feel stuck in patterns they’ve tried repeatedly to stop. My approach is non-judgemental and practical, focused on understanding patterns and supporting meaningful change rather than labels or shame. All sessions take place online.
How I can help
A significant part of my work is couples therapy with partners who want to improve their relationship. This may involve ongoing conflict, emotional distance, loss of intimacy, difficulties with trust, or feeling stuck in patterns that keep repeating. Some couples come in crisis, others earlier on. We focus on understanding what’s happening between you and how things might shift.
I also work as a psychosexual therapist with individuals and couples experiencing sexual difficulties. This can include mismatched desire, anxiety around sex, changes in sexual intimacy, or feeling disconnected from yourself or from a partner. I work in a clear, straightforward way, using everyday language rather than clinical terms.
Much of my work now focuses on compulsive sexual behaviours. This includes concerns about porn use and paid-for sexual content that no longer feel in line with your values or relationships. People often describe secrecy, repeated attempts to stop, broken promises to themselves, or the impact on trust within a relationship. My approach is non-judgemental and stigma-free, focused on understanding patterns and supporting meaningful change rather than labels or shame.
How I work
My approach is collaborative and conversational. We’ll look at what’s happening now, how certain patterns developed, and what keeps them going.
Together we’ll work out what needs to change and how to make those changes feel achievable in real life. Sessions are paced and shaped around what you want to get from therapy.
All sessions take place online via a secure video platform. Many clients find this easier to fit around work, family life, or living in different locations.
I offer a free 15-minute introductory call. This isn’t therapy, just a chance to ask questions and see whether working together feels right.
Training, qualifications & experience
Qualifications
- BA (Hons) Social Sciences, Manchester Metropolitan University
- Certificate in Marital & Couple Counselling (Relate)
- Postgraduate Certificate in Relationship Therapy (Psychosexual Therapy), the University of Hull in collaboration with Relate
- Level 5 Diploma in Sex Addiction Counselling
- EMDR Therapist
- I continue to undertake on-going professional development courses.
- All counselling and therapy is strictly confidential and I adhere to the BACP Code of Ethics.
- I hold an enhanced DBS (CRB) check and professional indemnity insurance.
Experience
I have been counselling for 20 years, working for Relate for much of that time and in private practice since 2013.
Member organisations
school Registered / Accredited
Being registered/accredited with a professional body means an individual must have achieved a substantial level of training and experience approved by their member organisation.
BACP is one of the UK’s leading professional bodies for counselling and psychotherapy with around 60,000 members. The Association has several different categories of membership, including Student Member, Individual Member, Registered Member MBACP, Registered Accredited Member MBACP (Accred) and Senior Registered Accredited Member MBACP (Snr Acccred). Registered and accredited members are listed on the BACP Register, which shows that they have demonstrated BACP’s recommended standards for training, proficiency and ethical practice. The BACP Register was the first register of psychological therapists to be accredited by the Professional Standards Authority (PSA). Accredited and senior accredited membership are voluntary categories for members who choose to undertake a rigorous application and assessment process to demonstrate additional standards around practice, training and supervision. Individual members will have completed an appropriate counselling or psychotherapy course and started to practise, but they won’t appear on the BACP Register until they've demonstrated that they meet the standards for registration. Student members are still in the process of completing their training. All members are bound by the BACP Ethical Framework and a Professional Conduct Procedure.
The Association for Treatment of Sexual Addiction and Compulsivity (ATSAC) is the leading UK organisation providing hope, information, support, and treatment options for those affected by sexual addiction and compulsivity.
ATSAC sets standards of practice for qualified therapists and provides accreditation for specialist training courses. A therapist who has gone through ATSAC recognised training will have the knowledge to respect and work with you sensitively to find out how best to support your needs.
Therapy options may include one-to-one sessions, group work, and/or relationship counselling. ATSAC is a not-for-profit organisation.
Accredited register membership
The Accredited Register Scheme was set up in 2013 by the Department of Health (DoH) as a way to recognise organisations that hold voluntary registers which meet certain standards. These standards are set by the Professional Standards Authority (PSA).
This therapist has indicated that they belong to an Accredited Register.
Areas of counselling I deal with
Therapies offered
Photos & videos
Fees
£115.00 - £135.00
Additional information
- Individual Counselling - £115
- Couple Counselling - £135
- Please ask about block bookings
When I work
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Further information
Online Counselling
All sessions take place online via Zoom, a secure video platform. Many clients find this easier to fit around work, family life, or living in different locations.
I offer a free 15-minute introductory call. This isn’t therapy, just a chance to ask questions and see whether working together feels right.
Please get in touch to arrange a 15-minute Zoom consultation. For more information, visit www.radlettcounselling.co.uk or www.pornaddictiontherapy.co.uk
