Elaine Tarsh MBACP (Accred) Couples Counsellor & Psychosexual Therapist

Elaine Tarsh MBACP (Accred) Couples Counsellor & Psychosexual Therapist

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About me

I am a Relate trained counsellor and psychosexual therapist with a Certificate in Relationship Counselling & Psychosexual Therapy. I am also an accredited member of the British Association for Counselling & Psychotherapy (BACP) and a member of the College of Sexual and Relationship Therapists (COSRT) and the Association for the Treatment of Sexual Addiction and Compulsivity (ATSAC).

I have had many years’ experience working as a counsellor with Relate, and now run a private counselling practice in Radlett, within easy reach of North London, Borehamwood, Bushey, St Albans, Hemel Hempstead, Harpenden and Watford. 

I have listed some of the issues I work with in more detail below, but my main focus is working with relationship issues, sexual and intimacy problems and issues around sexual addiction and compulsivity. 

I offer a professional, flexible and highly confidential service. I am always happy to have a telephone conversation (Tel: 07577 992 918) to answer any queries you may have prior to booking a no-obligation session.

I keep my counselling rates competitive at £40 (telephone counselling), £60 (individual counselling), £70 (couple counselling) and £60 (sex addiction therapy). All counselling sessions are typically 50 minutes, unless by prior arrangement.  Usually, I meet clients on a weekly or fortnightly basis, for a number of weeks or months, but I try to be flexible and, if this is not convenient, I see clients on a session by session basis.

I recognise that the decision to try counselling can be difficult, so I am happy to offer a 50 minute no obligation initial assessment session for £40.  During this session, we can talk about the issues that are troubling you and how I might be able to help you.  You will also have the opportunity to get to know me and understand how we might work together.  You will find my approach non-judgemental, practical, positive and caring.

If you have any questions please call and leave a message and I will get back to you as soon as possible. Please see below for more details of my work and the areas that I have had success in tackling with clients.

Couples Counselling

There are many issues that can cause relationship problems, many stemming from the pressured way we live our lives.  Issues I have worked with include:

  • Abuse
  • Adapting to chronic illness and disability
  • Affairs and betrayal
  • Anxiety
  • Arguments
  • Bereavement
  • Commitment to the relationship
  • Communication difficulties
  • Depression
  • Domestic Violence
  • Feelings of loss when children leave home
  • Issues with stepfamilies
  • Loss of identity
  • Low self-esteem
  • Parenting
  • Past relationship issues that are affecting the present one
  • Retirement concerns
  • Separation and divorce
  • Sexual disagreements
  • Sexuality

I provide a secure, non-judgemental approach, offering both short and long-term counselling, using a range of approaches appropriate to each individual situation.

Counselling offers the opportunity to explore your relationship and think about what you might want to change.  It is not about returning to the early days of your relationship but about what is right for the present and the future.

The end of a relationship is never easy and a relationship breakdown can be both painful and confusing. If your relationship has ended and you are struggling to deal with the fall-out, I can support you throughout this painful time. Counselling offers you a fresh perspective, the chance to constructively manage your separation and successfully move on.

Psychosexual Therapy

Sometimes sexual problems and relationship difficulties are connected, and it is not uncommon for couples to be unhappy with their sexual relationship. By working together, it is possible to understand why these problems have emerged and work towards resolving them. I have worked with clients with a wide range of sexual issues including:

  • Difficulties reaching orgasm (Anorgasmia)
  • Delayed ejaculation
  • Difficulties arising from sexual abuse
  • Erectile difficulties
  • Internet addiction
  • Lack of sexual information
  • Loss of desire or low desire for partner or sex
  • Pain during intercourse (Dyspareunia)
  • Premature ejaculation
  • Vaginismus

Individual Counselling

I have experience working with clients concerned about relationship and intimacy problems, generalised anxiety, social/health anxiety, depression, postnatal depression, abuse, domestic violence and moving on post-divorce or the end of a relationship.

Sex Addiction Therapy

Sex addiction covers any sexual activity that feels ‘out of control’ and causes problems in someone’s life which, despite trying to stop, they find they are unable to do.  It may include a single behaviour or many different types of sexual behaviour.  Some examples are:

  • Compulsive viewing of pornography
  • Chat lines
  • Visiting prostitutes
  • Multiple ongoing affairs
  • Sex cinemas
  • Exhibitionism
  • Voyeurism
  • Compulsive masturbation
  • Fetishes
  • Anonymous sex
  • Telephone sex
  • Illegal sexual practices

Acknowledging that you have a problem is the first step to sorting the problem out.   Many people struggle to deal with these issues alone, even when they are determined to change their behaviour.  If you want to explore how you are going to get the help call me for a no obligation 10-minute chat to see if I may be able to help.

Support for Partners

Discovering that your partner has a problem with out of control sexual behaviour is devastating.  More often than not partners feel isolated and don’t know where to turn.  Their partner may be in denial and they don’t know what to do.  I help partners, both male and female, through this overwhelming experience, often when they don’t know where to turn.  If you think this may describe your situation then call me for a no obligation 10-minute chat to see if I may be able to help.

Telephone Counselling

Would you like to access counselling but find it difficult to access face to face counselling?  Perhaps you travel regularly for work or have an irregular shift pattern.  You may be a carer or lack reliable and affordable childcare.  Or you may have concerns about accessing counselling services because of your location or confidentiality.  Then telephone counselling might suit you!

Telephone counselling is just like face to face counselling offering the same confidential counselling space and non-judgemental support.  Usually, sessions are 50 mins and they are booked (and paid for) in advance. Ongoing half-hour sessions are also possible.

Training, qualifications & experience


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

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.


I have worked as a couple counsellor and psychosexual therapist at Relate for many years.  I have also worked for the Counselling Foundation and the Jewish Marriage Council.

Member organisations

Registered / Accredited


Accredited register membership

Other areas of counselling I deal with

I have a particular interest in working with cultural difference within relationships.  Cultural and religious differences matter less when couples first get together but, as time goes on, different attitudes and beliefs matter more and can become contentious issues.

If you or a member of your family has issues with sexuality, I work with the aim of supporting acceptance and understanding.

My core beliefs incorporate respect, kindness and truthfulness.


Initial Assessment (individual, couple, sex addiction or telephone) - £40

Telephone Counselling - £40

Individual Counselling - £60

Couple Counselling - £70

Sex Addiction Therapy - £60

Payment is by card, bank transfer or cash.

Usually, I meet clients on a weekly or fortnightly basis, but I understand that this is not always convenient, and make every effort to be flexible where possible.

Further information


My practice is based in Radlett, Hertfordshire, a short distance from Radlett Station - 30 minutes from Kings Cross by train.  I cover Radlett, Shenley, Elstree, Borehamwood, St Albans, Bricket Wood, Watford, Bushey, Hemel Hempstead and North London including Stanmore, Mill Hill and Edgware.

Maps & Directions

Radlett, WD7

Type of session

Online counselling: Yes
Telephone counselling: Yes
Face to face counselling: Yes

Practical details

Sign language: No
Other languages: No


Wheelchair access: Unspecified


Monday - Wednesday 8.30 am - 8.30 pm Thursday - 9 am - 7 pm occasional Sunday morning appointments available

Types of client

Older adults
Employee Assistance Programme