Jim Reynolds

For me, empathy is at the centre of effective therapeutic work and so I offer a supportive, warm and respectful environment to all. Sexual and relationship difficulties can be deeply uncomfortable, and even traumatic. But such challenges can be met and explored – and the therapeutic space can be a place to heal, grow, and flourish – whoever we are, and whatever difficulties we face.

Sex and relationship therapy can help us to not only understand our difficulties but also empower us to make better choices on our journey in this world – choices which can support the expression of our authentic, erotic selves.

The challenges of psychosexual and/or relationship therapy are experienced in different ways by every individual client and so my approach has evolved to meet the unique needs of each client or relationship on their own terms. Thus my way of working blends therapeutic principles from psychodynamic, gestalt, existential, and transpersonal modalities, into a whole-person approach, in partnership with the techniques of sex and relationship therapy.

Sex therapy (a.k.a. psychosexual therapy):

difficulties with erections (ED, erectile dysfunction) 
vaginismus (and GPPPD)                                                                                      anxiety related to sex                                                                                      compulsive sexual behaviours (sex " addiction ")
sexual abuse                                                                                                        premature ejaculation
delayed or retarded ejaculation
difficulties having orgasms (anorgasmia)
pain affecting sex (eg dyspareunia, vulvodynia)
cybersex issues
pornography issues (porn " addiction ")
body image and low self-esteem
life transitions
sexual aversion, and/or phobias related to sex
sex and disability
sexual health and illness and traumas affecting sex
chemsex                                                                                                                        low desire, low interest in sex                                                                                sexual identification​                                                                                             

Couples counselling (a.k.a. couples therapy, relationship therapy):

affairs and betrayals, infidelity                                                                            relationship enhancement models
relationship development                                                                                  separation and divorce                                                                                        resolving conflict                                                                                  communication issues
developing trust
mismatched desire
attachment issues
lack of intimacy
suffocating intimacy
sexual dysfunction in relationships
argumentative relationship styles
challenges of power and control
monogamous to non-monogamous lifestyle
bereavement, grief and loss
kink aware couples therapy

£100 for individuals, and £110-£130 for relationships. I work both online and in-person (London, W5 and W1T). I currently have availability for new clients.

Sex therapy works through a carefully constructed treatment plan – a plan which combines therapeutic work on the mental and emotional difficulties around the main sexual issue – and a programme of psychosexual exercises. Such tasks are undertaken by the client between sessions, and results are discussed in the sessions. Sex therapy often means a commitment of more than one hour a week, therefore. The nature and length of treatment varies from client to client.

I begin with a detailed assessment as this allows me to plan the work with the client. Therapy works best when the relationship between client and therapist is effective, and for me that means establishing a collaborative process. Sex therapy is often more structured than other ways of doing therapy, because of the tasks involved between sessions. And the sessions can sometimes be more guided than other ways of working because of the material involved. As is the same with any process, time and trust are also factors, so it’s important to find the right sex therapist for you.

Working with a relationship means (at least) three people will be in the room. The process is similar to conventional therapy. There is an assessment at the beginning, which may involve individual sessions as well. Everyone involved needs to be committed to working on tasks between sessions. But there are differences as well. In couples therapy, the relationship is the client, so the emphasis moves from focusing on individuals, to focusing on a relational system with individuals in it.

A relationship is like any other client – it needs to develop and grow in order to be fulfilled. And like a person, a relationship can get stuck, for many different reasons. Understanding where and how the relationship is stuck is important, therefore, as this tells us how each individual in the system needs to grow in order to resolve relationship issues. As well as work in sessions, this means learning or re-learning skills in relating – whether that be in intimacy, communication, trust, or how to conflict in healthier ways. Every relationship client will have unique goals to work towards. But my aim is always the same – to help resolve relationship issues and help the people in the relationship to grow as individuals and connect as partners.