Gender, Sex & Relationship Therapy

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How I Work

I am experienced in working therapeutically with sex, gender and relationships, including your relationship with yourself.

My work is grounded in a GSRD (Gender, Sexuality and Relationship Diversity) specialism and recognises the many ways people live, love and make sense of who they are.

I work with trans, non-binary, gender diverse, gender non-conforming, LGBQIA+ and heterosexual cisgender clients, both individually and with partners.

You might come to therapy during a period of change or transition - in yourself, your partner or your relationship - or to work with questions around gender, sexuality or relationship dynamics.

Areas we might look at.

Individuals

I offer online therapy for anyone exploring gender, identity or how they see themselves. Looking at what’s important, at your pace and on your terms. You may want support with:

• coming in to yourself and coming out to others
• building confidence and ease with your body
• exploring LGBTQIA+ or straight sexuality
• questioning or exploring gender
• managing gender dysphoria
• exploring options for medical transition
• preparing for gender affirming assessments or surgeries
• social transition and stepping into yourself
• navigating change with family, work or community
• building resilience and a stronger sense of self

Partners

Relationships can change when one or both partners wish to explore gender, sexuality or different relationship models. You may want support with:

• navigating gender or sexuality transition as a couple
• understanding and supporting each other’s experiences
• communicating through change
• rebuilding intimacy and trust
• exploring sexuality and attraction
• adapting roles and expectations
• managing external pressures or family responses
• differences in desire or arousal
• reconnecting with yourself or a partner after change or surgery
• finding new ways to connect and move forward together

Sex, Intimacy & the Body

Alongside gender-focused work, I support clients with the sexual and relational parts of their lives.

This can include desire, arousal, confidence, sexual self-image, pleasure, curiosity and imagination, as well as the impact of past experience.

Some people come wanting to talk about solo sex, kink, open relationships, hook-ups or other aspects of their erotic life.

I also work with clients preparing for or recovering from medical treatments such as gender-affirming procedures, hysterectomy or adult circumcision.

This work can involve reconnecting with your body, exploring intimacy and rebuilding confidence.

I have particular experience supporting individuals and partners after lower surgery, helping them work through fears and desires and find new ways to feel at ease with their body and with each other.

  • “Serge has been an exceptional couple therapist for us, bringing empathy, thoughtfulness and fresh perspective to the challenges around transition and relationships.”

    — Client feedback

  • "The sessions felt grounding and empowering, and we’re very grateful for the support he provided."

    — Client feedback

  • “Having a trans therapist made an enormous difference. I felt genuinely understood and seen in ways that a cis therapist wouldn’t have been able to offer – not out of lack of care, but lived experience"

    — Client feedback

  • "Serge held space with nuance, sensitivity and clarity, and I would highly recommend them to trans and queer people seeking therapy that’s both professional and deeply informed.”

    — Client feedback

Qualifications

  • Post-graduate Diploma in Psychosexual & Relationship Therapy.

    Dip. LDPRT. Accredited by COSRT Middlesex University and the National Counselling and Psychotherapy Society.

  • Diploma in Clinical Supervision

    Awarded by CICS Contemporary Institute of Clinical Sexology.

  • Pink Therapy endorsed GSRD-Aware Trainer.

    Officially endorsed by Pink Therapy, a UK organisation specialising in standards and training around gender, sexuality and relationship diversity.

  • Advanced Diploma in Psychosexual and Relational Psychotherapy

    NAOS Institute. Accredited by the College of Sexual and Relationship Therapists (COSRT) and the Professional Standards Authority.

FAQ

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  • Yes. I offer a free 30-minute online consultation so you can talk things through before committing to sessions.

    It’s a relaxed conversation where you can tell me a bit about what’s bringing you to therapy and ask any questions you might have.

    It’s also a chance for us both to get a sense of how it feels to work together, with no pressure to commit.

  • All sessions are currently online, and I work with clients across the UK.

    This means you can access therapy from wherever you are.

    Many people find that remote sessions make it easier to fit therapy into their lives and talk more freely in familiar surroundings.

    Whether you prefer video or phone, the focus is always on creating a space that feels safe, supportive and fully yours.

  • Yes. I provide trans-affirming and gender-affirming therapy for trans, non-binary and gender-diverse people, alongside my work with clients of all genders and sexualities. My practice is inclusive and non-pathologising.

  • No. While I have specialist experience working with trans and gender-diverse clients, I also work with partners and individuals exploring gender, sexuality and relationships more broadly.

  • Yes. I work with individuals, partners and multi-partner relationships, supporting gender, sexuality and relationship change.

  • Yes, everything we talk about in therapy is treated as confidential.

    There are rare legal and ethical situations where I may need to share information, for example if there is serious risk of harm to you or others. If this ever came up, I would aim to discuss it with you first wherever possible.

    I am registered with the ICO (Information Commissioner’s Office), the UK’s independent authority for data protection and privacy.

    • Individual therapy: £60–£100 per 50-minute session

    • Therapy for couples or partners: £100–£140 per 60-minute session

    • Therapy for polycules or relationship groups: £100–£150 per 60-minute session

    • Group therapy: pricing available on request

      I work with a sliding scale, with fees agreed within these ranges based on your circumstances and what feels manageable.

      Fees are paid by bank transfer at the time of your appointment.

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Get in Touch!

Book A Free Session

Schedule a free introductory session with me to discuss your therapy needs.