Low desire means that you don’t feel like or aren’t willing to engage in sex. It can be the loss of desire, short or long term, or perhaps you feel that you experience desire differently to others. There can be many reasons including menopause, body image issues, medication, lack of understanding or communication about what your sexual needs are, orientation, parenting and more. Low desire can feel confusing, frustrating, and isolating and affect your sexual identity internally and within relationships.

With focus on bodies coming from imposed social, cultural values, and social media, this negative messaging can cause shame, embarrassment, and unrealistic expectations. This can affect how we perceive our worth, attractiveness and comfort within our own bodies, often leading to low self-esteem, self-consciousness, and compare and despair, particularly when dating and engaging in solo or partnered sexual activity.

Couples etc, casual partners. Communication, mismatched desire, infidelity, conscious uncoupling, parenting, domestic violence, previous trauma and cross-cultural relationships. From navigating dating, new to long term partners, Relationship Therapy can promote the growth of your knowledge, behaviours and skills to live in satisfying and pleasurable relationships.

Fear, worry, and anxiety related to sexual activity can create unhelpful thinking habits and difficulty communicating desires and needs with sexual partners. This can be caused by faith-based values, cultural norms, a lack of sex education and/or sexual experiences, a previous negative experience and more.

Living in a heteronormative world can mean that LGBTQIA+ folks experience more vulnerabilities with mental health issues. Sometimes self-identifying can be overwhelming, perhaps you’re concerned about coming out, or you’re experiencing internalised queerphobia. As a Queer person herself, Mardi can support you towards celebrating pride and authenticity.

Painful penetration is when you’re experiencing persistent vaginal, vulva or pelvic pain during intercourse or penetration attempts, or tensing or tightening of the pelvic floor. Some of the names include Vaginismus, Vulvodynia and Dyspareunia. You do not need a medical diagnosis to receive Sex Therapy.

Kinks, fetishes, and sexual preferences refer to consensual sexual practices that are unconventional. Kink-positive and affirming Sex Therapy can support you to overcoming shame and stigma to enhance pleasurable sex.

Anorgasmia is when an orgasm is absent, delayed, infrequent or are less intense. Premature Ejaculation, which is a persistent or recurrent pattern of ejaculating in around under 1 minute or before the person wishes it. Delayed ejaculation can be situational, or in all contexts, without the person desiring delay and can result in infrequency or absence of ejaculation.

Erection function issues can be difficulty maintain erection during or until completion sexual activity, or a decrease in erectile rigidity. This is a very common issue, that knows no age, although can become more prevalent with ageing.

CSB is characterised by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. CSB can cause distress or significant impairment in the personal, family, social, educational, or occupational or other important areas of functioning. This can include the use of porn, chat rooms, DMs, sex workers and more. Mardi does not support so-called ‘sex addiction’ models due to lack of evidence.