Psychosexual and Relationship Counselling

What is Psychosexual and Relationship Counselling?

Psychosexual and Relationship Counselling is supportive talking therapy for concerns about intimacy, desire and relationships. Firstly, the counsellor listens to what is troubling you, without judgement. Then, together you explore the feelings and patterns behind it. Because mind, body and relationships are deeply linked, this care looks at the whole picture. In short, it offers a safe, private space to understand yourself, ease worry and build the intimate life you want, at a pace that feels comfortable.

What concerns can it help with?

This counselling can help with a wide range of concerns that many people quietly carry. For example, it supports low desire, difficulty with arousal, performance worry and pain linked to anxiety. It also helps with confidence, communication and conflict in relationships. Because these issues often overlap, the counsellor considers them together. Moreover, concerns tied to identity, coming out or past experiences are welcome. As a result, support is broad, personal and genuinely inclusive. Because so many people assume they must simply cope alone, they carry these worries far longer than needed. In truth, talking things through often brings relief surprisingly quickly, and asking for help is a real strength.

Is my counselling private and confidential?

Yes, your counselling is strictly confidential, and privacy is a core promise. Your records, billing and session details are shared only with your clear consent. Furthermore, sessions happen in a private, quiet room where you can speak freely. Because these topics are personal, the team explains who can see your notes. If confidentiality worries you, please raise it early, and we will reassure you. In every case, your comfort and dignity come first.

Who is this counselling for?

This counselling is for anyone with concerns about intimacy or relationships, whatever their identity. Whether you are lesbian, gay, bisexual, transgender, queer, intersex or questioning, it serves you. Equally, individuals and couples are equally welcome. Because care is inclusive and never assumes your relationships, no label decides who is helped. In short, if intimacy or a relationship is troubling you, this counselling is for you.

Can I come alone or with a partner?

Yes, you can come alone or with a partner, whichever suits you best. For some concerns, individual sessions work well, allowing private reflection. For others, seeing a couple together helps communication and understanding. Because the choice is yours, you can also change format over time. Moreover, partners join only if everyone agrees. In this way, the counselling adapts to your relationship, rather than forcing a single approach. Because comfort grows over time, some people begin alone and later invite a partner, or the other way around.

What happens during a session?

During a session, the counsellor first creates a calm, safe space. Then, you talk about your concerns at your own pace, sharing only what feels right. After that, together you explore patterns and gently set goals. Because progress is a shared effort, practical techniques may be suggested to try between sessions. Finally, you review what helps and adjust the plan. Throughout, nothing is rushed and no topic is judged.

How does it link with physical care?

It links closely with physical care, because intimacy involves both mind and body. Sometimes emotional worries cause physical symptoms, and sometimes physical problems cause distress. Therefore, counselling often works alongside medical treatment. For pain during intimacy, see our sexual pain management service. Because both threads matter, the team coordinates care sensitively. As a result, you are supported fully, rather than having emotions and body treated separately.

Will you judge my relationships or practices?

No, we will never judge your relationships or practices, and this promise underpins the whole service. Because you know your own life best, the counsellor listens with respect and curiosity. Whether your relationship is monogamous, open, new or long standing, it is honoured. Furthermore, your identity and desires are treated as valid. In this way, you can speak honestly without fear. As a result, genuine progress becomes possible, because nothing must be hidden.

How long does counselling take to help?

Counselling often helps over several sessions, though the time varies with each person. For some, a few meetings bring clarity and relief, while others benefit from longer support. Because change is gradual, the counsellor sets realistic expectations from the start. Meanwhile, you may pause or stop whenever you feel ready. Above all, no instant fix is promised, since honest, steady work matters more. With patience, many people notice real improvement.

Is counselling effective for these concerns?

Yes, counselling can be genuinely effective, because understanding and communication ease many intimate difficulties. By exploring feelings and patterns, worries often lose their grip. Furthermore, practical techniques can rebuild confidence and connection. Because results depend on many factors, the counsellor stays honest about what to expect. Still, many people find real benefit. As a result, seeking help is a hopeful, constructive step, not a sign of failure.

How does it fit with a first consultation?

It fits naturally with a first consultation, which is often a gentle way to begin. During that visit, the doctor listens and helps you decide whether counselling suits your needs. For a welcoming start, see our confidential non judgemental consultation within the wider LGBTQ+ Sexual Health service. Because the first step can feel hard, the team makes it easy. As a result, you move into counselling feeling informed and supported.

What does counselling cost?

We do not publish a fixed price, because the number of sessions differs between people. After a first discussion, the team gives a clear written estimate in rupees. Moreover, the estimate reflects individual or couple sessions, so costs stay clear. Because affordability matters, please ask about your options openly. In this way, you can plan your support without added worry and continue for as long as it helps.

How do I arrange Psychosexual and Relationship Counselling?

You arrange Psychosexual and Relationship Counselling by contacting Elegance Clinic in Surat for a private appointment. Simply request a time that suits you, and the staff arrange a discreet slot. Because these concerns can feel hard to raise, the team keeps everything calm and confidential. When you arrive, Dr. Ashutosh Shah and the team listen first, then support you gently. Because you set the pace, nothing is rushed, and you share only what you are ready to share. Whether you come alone or with a partner, you will be met with warmth and respect.

Note: This page is for general information and is not a substitute for a medical consultation. Inclusive sexual health care is individual and confidential, and Dr. Ashutosh Shah and the team will guide you with respect and without judgement.