I work with men experiencing difficulties around sex, sexuality, relationships and intimacy, with a particular focus on compulsive sexual behaviour.
Clients often tell me they want a therapist who will both listen and have something to say. I believe that good connection and two-way communication are essential for therapy to be successful. My therapeutic approach is all about helping you do the work to overcome the obstacles that are getting in the way of the life you want.
I don't see therapy as something where you simply come along, tell me what's wrong and I give you the answers. I think we need to work together to understand what is happening for you and what you want to be different. Sometimes that means looking at things in a different way, and sometimes it means talking about things that might be difficult or uncomfortable. My role is to listen, ask questions and, when I think it might be useful, have something to say.
I specialise in helping clients with problematic sexual behaviours including compulsive sexual behaviour, often referred to as sex or porn addiction. I provide support in understanding where a client's sexual behaviours originate from and in exploring their sexual and relational life. This process helps develop a clearer awareness of your own unique sexual and relational system. Together, we can make sense of sexual urges and desires, needs, wants, and longings.
We also explore values and the foundations of personal integrity. With this deeper insight, you can begin to make changes in different areas of your life that support a fulfilling sex life within stable relationships.
My approach is grounded in respect and sex-positivity. In my clinical experience, this approach can support meaningful and sustainable change over time.
I offer a supportive space to explore issues, such as betrayal, mismatched desire as well as ways of enhancing erotic intimacy. I also work with specific concerns such as disappointing erections, low sexual desire, premature ejaculation, and delayed ejaculation.
I am polyamory and kink informed and friendly. I know these are things both individuals and intimate partners might be curious about and want to explore. This may be part of a client's life, though it is often not the main reason they come to therapy.
I work at your pace and I use a wide variety of approaches, depending on what works best for you.
My Professional Background
I am a sex and relationship therapist and have been awarded the Diploma in Clinical Sexology (psychosexual therapy) and the Diploma in Compulsive Sexual Behaviour, both from the Contemporary Institute of Clinical Sexology.
These Diploma courses are accredited by the College of Sexual and Relationship Therapists (COSRT), meaning they meet the stringent requirements of the UK’s accrediting body for sexual and relationship therapists.
I am a registered member of the College of Sexual and Relationship Therapists (COSRT).
My specialist training and experience allow me to work with a range of sexual and relationship concerns, including problematic sexual behaviour and pornography use, sexual difficulties, fantasies, kink and relationship problems.
Contact Me
If you think counselling might be helpful, I offer a free 30-minute introductory session via Zoom. It is an informal conversation where we can talk about what has been going on for you, you can ask any questions you have and get a sense of how I work.
Email me - keith.fowler1@hotmail.co.uk

