Understanding Sexual Fantasy

The exploration of sexual preference and fantasy in therapy can be a portal to our inner psychological landscape. Unlocking the unconscious logic of sexual fantasy is one way of casting a light on our internal world and of understanding the emotional and psychological difficulties that may have prompted us to seek therapy in the first…

What is Andropause and what happens to men when their testosterone levels decline?

Schools will soon have menopause on the curriculum. Largely due to the efforts of psychotherapist Diane Danzebrink and her #MakeMenopauseMatter campaign. In 2019 Education Secretary Damian Hinds confirmed menopause will become part of the Sex and Relationships curriculum for teenagers in the UK in Autumn 2020 alongside periods and pregnancy. With the recognition that menopause…

What is it like being in a Psychotherapy Group? Case study – Joe

In my experience, when exploring joining a therapy group, people often ask what it will be like. I thought it might be helpful to write a fictional narrative to give a flavour of the therapeutic experience of being in a group. This ‘case’ is not based on a real individual although some of the conflicts…

Love in the time of Covid

I admit the shameless plagiarising of the title of Gabriel Garcia Marquez’ – ‘Love in the Time of Cholera’ as it fits as a Segway into considering the tresses and strains of both finding love, and holding onto in, in the current pandemic. The statistics Disturbing statistics are emerging of surging rates of domestic violence,…

Viagra for women? Medical treatment for women’s sexual problems focuses on the brain rather than the genitals

The medical definition of sexual dysfunction in women is hypoactive sexual desire disorder (HSDD) that is low or no libido. Like men, women’s desire for sex is effected by all sorts of factors such as relationship issues, bereavement, physical illness and the side effects of medication, job loss or work stress, depression and anxiety, recreational…

Men, Sex and Aging in Relationships

I have previously written about women and the menopause, I am now turning my attention to men, sex and aging in a heterosexual context. Research indicates sexual activity declines with age however as we see older people being portrayed as healthy, attractive and vigorous, we are more likely to acknowledge this age group as sexually…

A Couple State of Mind  

This is the first in a series of blog posts about couples therapy. In this post I want to talk about what Mary Morgan from Tavistock Relationships calls a ‘couple state of mind’. Why if our partner is ‘right’ for us don’t they understand us completely? There are limits to how much we can ever…

Couples Therapy In Practice

Couples can often get into familiar and fixed patterns of relating which can be deeply unsatisfying to both parties. This style of relating is one which can eventually seriously threaten the health and longevity of a relationship. In this brief blog, I open a window onto a session which explores a particular dynamic which I frequently encounter…

The Menopause: Women of a Certain Age

For many women in the 21st century, the menopause leads to a sense of freedom, independence and creativity. Of course, I want to celebrate this, but I also want to talk about less welcome aspects. Culturally, the menopause is still somewhat feared and is something of a taboo. It is also open to derision and…

50 years on, how free are we from homophobia?

This year has marked the 50th anniversary of the (partial) decriminalisation of male homosexuality in the UK. This has been responded to with a slew of television and radio programmes exploring current and past personal and political experiences of LGBT individuals and communities in the UK and elsewhere. This output has been matched by a…

A couple walking along a sandy beach

Aims and Goals of Couples’ Therapy

Often, couples get into a loop where they employ unhelpful behavioural patterns (or survival strategies) to mask their vulnerability. This triggers a similar response in their partner, who then becomes defensive and so on. For example, one person may feel abandoned or rejected, becoming reactive and critical as a result. In response, their partner feels…

Couples

Relationship Issues

Apparently January is the month when more couples file for divorce than any other. The reason given for this? After what is often a stressful festive period, couples spending extra time together suddenly realise that they don’t have nearly as much in common as they once did. Whilst this may well be true, I wonder…