1. health and fitness
2. disorders

ORGASM / SEXUAL ADDICTION / GENDER DYSPHORIA / OTHER DIFFICULTIE
ULATION / SEXUAL PAIN / DIFFICULTIES WITH ORGASM / SEXUAL ADDICTION
E DYSFUNCTION / PREMATURE OR DELAYED EJACULATION / SEXUAL PAIN
SEXUAL DESIRE / SEXUAL AVERSION / ERECTILE DYSFUNCTION / PREMATUR
SEXUALITY OR SEXUAL FUNCTIONING / LACK OF SEXUAL DESIRE / SEXUA
/ GENDER DYSPHORIA / OTHER DIFFICULTIES WITH SEXUALITY OR SEXUA
DIFFICULTIES WITH ORGASM / SEXUAL ADDICTION / GENDER DYSPHORIA
RE OR DELAYED EJACULATION / SEXUAL PAIN / DIFFICULTIES WITH ORGASM
ERSION / ERECTILE DYSFUNCTION / PREMATURE OR DELAYED EJACULATION
ING / LACK OF SEXUAL DESIRE / SEXUAL AVERSION / ERECTILE DYSFUNCTION
LTIES WITH SEXUALITY OR SEXUAL FUNCTIONING / LACK OF SEXUAL DESIR
DDICTION / GENDER DYSPHORIA / OTHER DIFFICULTIES WITH SEXUALITY O
N / DIFFICULTIES WITH ORGASM / SEXUAL ADDICTION / GENDER DYSPHORIA
URE OR DELAYED EJACULATION / SEXUAL PAIN / DIFFICULTIES WITH ORGASM
ERSION / ERECTILE DYSFUNCTION / PREMATURE OR DELAYED EJACULATION
ING / LACK OF SEXUAL DESIRE / SEXUAL AVERSION / ERECTILE DYSFUNCTION
LTIES WITH SEXUALITY OR SEXUAL FUNCTIONING / LACK OF SEXUAL DESIR
DDICTION / GENDER DYSPHORIA / OTHER DIFFICULTIES WITH SEXUALITY O
N / DIFFICULTIES WITH ORGASM / SEXUAL ADDICTION / GENDER DYSPHORIA
URE OR DELAYED EJACULATION / SEXUAL PAIN / DIFFICULTIES WITH ORGASM
ERSION / ERECTILE DYSFUNCTION / PREMATURE OR DELAYED EJACULATION
ING / LACK OF SEXUAL DESIRE / SEXUAL AVERSION / ERECTILE DYSFUNCTION
TIES WITH SEXUALITY OR SEXUAL FUNCTIONING / LACK OF SEXUAL DESIRE
For more information on referrals visit
ON / GENDER DYSPHORIA / OTHER DIFFICULTIES WITH SEXUALITY OR SEXUA
national.slam.nhs.uk/psychosexual
CULTIES WITH ORGASM / SEXUAL ADDICTION / GENDER DYSPHORIA / OTHE
ELAYED EJACULATION / SEXUAL PAIN / DIFFICULTIES WITH ORGASM / SEXUA
CTILE DYSFUNCTION / PREMATURE OR DELAYED EJACULATION / SEXUAL PAIN
DO ANY OF
YOUR PATIENTS
HAVE A
SEXUAL
DIFFICULTY?
South London and Maudsley NHS Foundation Trust
Psychosexual Service
Overview
Our service has been helping people overcome their sexual problems
for more than 20 years.
We are experts in dealing with psychosexual problems of all levels of complexity, but
our expertise is helping patients with complex and enduring sexual problems, where
counselling or medication alone have been insufficient.
We specialise in treating people with:
›› Lack of sexual desire
›› Sexual aversion
›› Erectile dysfunction
›› Premature, retarded ejaculation and non-ejaculation
›› Sexual pain (vaginismus and dyspareunia)
›› Anorgasmia
›› Hypersexual disorder / sexual addiction
›› Paraphilias
›› Gender dysphoria
›› Other disorders related to sexuality and sexual functioning
Psychosexual combination treatment brings together medical, psychiatric and
psychological interventions in a brief single course of therapy, usually lasting up
to 20 sessions.
As we are a specialist service, funding for assessment and
treatment would need to be agreed by the local clinical
commissioning group (CCG). Please do not hesitate to contact
us for any assistance with obtaining funding.
South London and Maudsley NHS Foundation Trust
Psychosexual Service
Programme
Our treatment programme is based on a comprehensive specialist
assessment that is tailored individually for every patient and is likely
to include several medical, psychiatric and psychological interventions
from the boxes below:
For the specialist assessment and treatment of sexual
dysfunction, paraphilias and gender dysphoria
Assessment
›› Assessment with a view to clarifying diagnosis
›› Assessment of physical causes (including medical investigations and physical
examinations) if needed
›› Assessment of underlying psychological causes
›› Psychosexual psychometric evaluation
›› Psychiatric assessment for paraphilias, including risk assessment where necessary
›› Comprehensive formulation which takes into account biological, psychological
and social factors
Treatment
›› Medication review and recommendations in cases of iatrogenic sexual dysfunction.
›› Specialist prescribing for
1. Erectile dysfunction
2. Premature ejaculation
3. Treatment resistant hypoactive sexual desire disorder
4. Hypersexual disorder (sexual addiction)
5. Low libido (complicated by co morbid depression, dysthymia, anxiety or
personality disorder)
›› Treatment of co-morbid psychiatric conditions
›› Specialist psychosexual CBT, psychodynamic and behavioural systems
psychological therapy
›› Behavioural regimes (e.g. vaginal dilators and pelvic floor exercises for women;
relaxation and ejaculatory control programmes for men)
South London and Maudsley NHS Foundation Trust
Psychosexual Service
Criteria
Our clinic offers assessment and treatment to patients suffering from
sexual dysfunction, paraphilias and gender dysphoria.
Eligibility
›› Individuals, couples (18+years)
›› Male, female, trans-gender
›› Complex and persistent sexual dysfunction with mixed physical, psychiatric
and psychological aetiology, associated with severe psychological distress,
partner dissatisfaction, relationship disharmony, significant reduction in
well-being and quality of life
›› Problems, physical or psychological, with sexual functioning following sexual
abuse or violence
›› Problematic sexual behaviours that could result or have caused injury, illness,
or emotional damage to patient and/or their sexual partner(s)
Exclusion
›› The primary problem is very recent or is a relationship issue that does not
impact on sexual function
›› Primary or secondary care treatment options have not been explored
›› Severe personality disorder requiring treatment in its own right
›› Alcohol or substance dependence requiring treatment in its own right
›› Other factors which may impact on our ability to offer treatment. Each case
will be assessed to determine suitability
For referrals or queries, please contact
For more information visit
dmitri.popelyuk@slam.nhs.uk
national.slam.nhs.uk/psychosexual
Dr Dmitri Popelyuk, Consultant Psychiatrist in Psychosexual Medicine
1st Floor, Mapother House, Maudsley Hospital, De Crispigny Park, London SE5 8AZ
T +44 (0)20 3228 2458 F +44 (0)20 3228 5074