All conditions

    Conditions we treat

    Relationship & Psychosexual Concerns

    Care for the parts of life most people never talk about.

    Relationship difficulties, intimacy concerns and psychosexual issues, handled with discretion.

    Calming illustration representing Relationship & Psychosexual Concerns, a condition treated by Dr. Simran Doria at MindNest Neuropsychiatry Clinic

    An overview

    Understanding relationship & psychosexual concerns

    Relationship distress and sexual concerns are among the most common, and most under-discussed, drivers of long-term unhappiness. They sit at the intersection of mood, anxiety, hormones, medication side-effects, past experiences and the quiet daily friction of life with another person. People often hesitate to bring these issues up with their family doctor or therapist, and live for years with concerns that are actually very treatable. Whether the question is about communication, intimacy, desire, function, painful sex, identity or the after-effects of past experiences, you'll find a private, respectful and entirely non-judgemental space here. Where useful, partners are welcomed into part of the care, and where preferred, the work stays completely individual.

    Common signs

    • Persistent conflict, distance or distress in a relationship
    • Low desire, performance concerns or pain
    • Distress related to identity, orientation or past experiences
    • Difficulty trusting, communicating or being vulnerable

    What contributes

    • Stress, depression, anxiety and untreated trauma
    • Medical and hormonal contributors
    • Relationship dynamics and communication patterns
    • Side-effects of antidepressants and other medications
    • Pornography use, performance anxiety and unrealistic expectations
    • Cultural pressure, shame and lack of accurate information

    How we treat

    • Psychoeducation and supportive therapy
    • Targeted medical treatment where appropriate
    • Couple-friendly approach where helpful
    • Adjustment of medications affecting libido or function
    • Skills-based work on communication and intimacy
    • Coordination with gynaecology, urology or endocrinology where needed

    When to seek help

    • Persistent conflict or emotional distance in a relationship
    • Low desire, performance concerns or pain during intimacy
    • Distress related to identity, orientation or past experiences
    • Difficulty trusting, communicating or being vulnerable
    • Relationship strain linked to anxiety, depression or substance use
    • Concerns you've felt too embarrassed to bring up elsewhere

    Who can benefit

    • Individuals and couples in long-term relationships
    • Young adults navigating early relationship and intimacy concerns
    • Patients with sexual concerns linked to medication or medical illness
    • Anyone wanting a private, non-judgemental space to talk

    Not sure if this fits you?

    A single confidential consultation can help you understand what's going on and what to do next.

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    Educational disclaimer: This page is for general information only and is not a diagnosis or a substitute for evaluation by a qualified clinician.