Across this training, we explore psychosexual work through a
biopsychosocial and relational lens, integrating current UK practice
standards aligned with COSRT, alongside relational models informed by
Esther Perel, Terry Real, and contemporary psychosexual practitioners.
You will learn how to:
Understand sexual desire as both a biological and relational experience
Work with low desire, mismatched desire, and absent arousal
Explore how stress, trauma, medication, and life context impact sexual
functioning
Support clients in navigating infidelity, betrayal, and trust rupture
Work safely and ethically with sexual histories, shame, and identity
Assess and formulate psychosexual presentations using structured frameworks
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Understanding Different Types of Sexual and Relationship Structures
A central part of modern psychosexual work is recognising that
relationships are not one-size-fits-all. Therapists need confidence
working across a wide spectrum of relational and sexual identities,
without pathologising difference while still maintaining ethical awareness.
This course explores:
Monogamous relationships – including long-term desire changes,
routine, and attachment security
Consensual non-monogamy (CNM) – including open relationships,
polyamory, and relationship agreements
Polyamorous and multi-partner systems – including triads and quads,
and how attachment and jealousy function across multiple bonds
Relationship anarchy – where traditional hierarchies and rules may be rejected
Asexual and low-desire partnerships – including differences between
identity and difficulty
Kink, fetish, and BDSM relationships – understanding consent, power
exchange, and when dynamics are healthy vs when they may reflect
coercion
We explore the clinical question:
Is this a problem of difference, or a problem of distress, harm, or
misattunement?
Capacity for consent and ongoing consent
Power dynamics vs coercive control
Alignment or misalignment between partners’ relational expectations
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Desire: More Than Just Libido
A core focus of this course is understanding desire beyond
surface-level presentations.
We explore:
Spontaneous vs responsive desire
Contextual desire (stress, fatigue, parenting, illness)
Relational desire (trust, resentment, emotional safety)
You will develop the ability to help clients understand why desire has
changed, rather than simply trying to “fix” it particularly across
different relationship structures where desire may function
differently.
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Infidelity and Betrayal Work
Infidelity does not sit outside relationship structure it is defined within it.
This course helps therapists understand:
How infidelity is defined differently across monogamous and
non-monogamous systems
The difference between agreed non-monogamy vs betrayal of agreement
The impact of secrecy, deception, and attachment rupture
You will learn how to work with:
Discovery shock and nervous system dysregulation
Meaning of the affair vs the behaviour itself
Supporting both individual accountability and relational repair.
Drawing on the work of Esther Perel, we explore how affairs can
reflect deeper dynamics around identity, desire, loss, and unmet
needs, while maintaining a grounded, ethical therapeutic stance.
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A Dual-Track Approach to Treatment
You will be introduced to a dual-track clinical model, where
therapists learn to work with:
1. Individual Sexual and Emotional Processing
Desire patterns
Shame and identity
Compulsive or avoidant sexual behaviours
2. Couple and Relational Repair
Communication cycles
Trust rebuilding
Erotic reconnection and safety
This ensures that therapy does not collapse into either individual
pathology or relational blame, but holds both with
clarity particularly important when working with diverse relationship
systems.
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Clinical Frameworks You Will Learn
This course integrates structured models used in UK psychosexual
practice, including:
PLISSIT Model
SENATE-informed assessment
Attachment-based formulation
Trauma and nervous system integration (polyvagal-informed)