What to expect

A space designed for honest conversation.

Taking the first step to talk about intimacy, relationships, or sexual well-being is an act of courage. It's completely normal to feel anxious or unsure before your first appointment — my priority is a space where you feel entirely safe, heard, and supported.

Ashley Macklin

What is psychosexual therapy?

A specialised, collaborative form of talk therapy dedicated to your intimate well-being. It focuses on the emotional, psychological, and relational aspects of human sexuality. Through guided, compassionate conversation we explore your experiences and challenges in a highly confidential, judgement-free environment.

01

Your first session — getting to know you

Our first meeting is primarily an information-gathering session, and we always go at a pace that feels comfortable for you.

  • Understanding your goals. We discuss what brought you here and what you hope to achieve.
  • Gathering context. Gentle questions about your background, relationships, and current life.
  • Your boundaries. You're always in the driver's seat — share only what you're ready to share.
02

Connecting the dots — building your roadmap

Once I have a good understanding of your history and current concerns, we move into a phase known as case conceptualisation.

This is where we take all the unique pieces of your story — past experiences, current dynamics, thoughts, and physical wellbeing — and connect the dots into a shared, compassionate understanding of why you're experiencing your current challenges.

It's not a one-size-fits-all approach. We build a customised roadmap so we're using the right tools for your situation.

03

Subsequent sessions — doing the work

With our roadmap in place, ongoing sessions focus on insight, education, and actionable growth. In these sessions we might:

  • Explore thought patterns. Identify and gently reshape beliefs or anxieties acting as roadblocks to intimacy.
  • Provide education. Evidence-based information on sexual function, anatomy, and psychological wellbeing.
  • Build communication skills. Practical tools to express needs, desires, and boundaries with a partner.
  • Discuss at-home practices. Tailored exercises to practise privately between sessions, to steadily reach your goals.

Whether you arrive solo or as a couple, my role is the same:

to walk alongside you with empathy, clinical expertise, and unwavering support.

Book a free 15-min call