Drury Therapy

Psychosexual and Relationship Therapy

Intersectionality is Vital

The definition of intersectional is: "the interconnected nature of social categorizations such as race, class, and gender as they apply to a given individual or group, regarded as creating overlapping and interdependent systems of discrimination or disadvantage."
While sex-positive is described as: "having or promoting an open, tolerant, or progressive attitude towards sex and sexuality."
To me, it's about celebrating diverse sexual expressions, practices, and identities.

Understanding that our experiences are individual and multifaceted and to be aware of our biases, views and backgrounds. 
Intersectional and sex-positivity, need to be one and the same. We can't and shouldn't have one without the other. 
Intersectionality is wildly omitted from much of psychology and psychiatry and there is a long way to go. 

Importance of smear tests

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As over 600,000 people have missed their smears since lockdown, and 22% saying they would be less likely to attend, @misspap have decided to use their name for good to hopefully change that number! They have designed a set of underwear that pops off at your vulva so your smear can be carried out with a lot more ease, speed and comfort.

100% of the proceeds go to @eveappeal

I am grateful to hear a company using their name for good with the aim to ease anxiety and stigma. While normalising and creating change surrounding smear tests.

Partnership is about 'our' way, not 'my' way

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Teamwork is vital in relationships, whether it's work, family or friends. It's all about give and take. Most of us have probably been on a team one way or another; being kids on sports teams to our present work teams. However, in intimate relationships we often push back against our partner rather than collaborating, we tend, instead to be focused more on 'my' needs than 'our' needs.

Teamwork requires you to be unselfish and responsive to your spouse’s needs by collaborating, listening and encouraging. True teamwork can bring about a bountiful partnership. It allows you to grow as a person, and as a couple. Take a minute and ask yourself, what are some changes you need to make so ensure that you and your partner operate as a team?

Causes of Erectile Dysfunction

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What causes Erectile Dysfunction? Many people, on occasion will struggle to get or maintain an erection. There are numerous reasons for this, ranging from; stress, tiredness, anxiety (particularly around performance) or too much alcohol. If it happens more often and causing you upset, seek support.
In the first instance I encourage people to attend their GP. Get a full blood test and a physical test carried out. This is to rule out any physiological aspects. Irrespective of the results, Sex Therapists are full qualified to assist you through talking therapy alongside exercises that can be done at home. Erectile issues are nothing to worry or be embarrassed about.

Vulvodynia

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Some #sexeducation for this Friday evening. With #vulvodynia being the todays topic. Vulvodynia means ongoing pain in the vulva  when there is nothing abnormal to see and no known cause for the pain. Whether it is generalised or localised, may be described as provoked, in other words touched, or spontaneous (occurring without touch as a trigger). Many conditions affecting the vulva can be painful (e.g. infections such as thrush or herpes, or eczema). In vulvodynia, pain is felt in the vulva when there is no obvious visible cause for it and other diagnoses have been ruled out by examination and investigation.There is also  localised vulvodynia (also known as Vestibulodynia) which is a term used for pain arising at the entrance of the vagina. This is when any pressure, (touch or friction) is applied. Vulvodynia is not only physically painful but it can disrupt and unhinge intimate relationships and take and emotional and mental toll. In my next post I will be talking about treatment methods for vulvodynia.  

Do you know your projections?

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Projection is a subconscious defence mechanism. It's the tendency to disown the qualities we don’t like about ourselves and attributing them to others. It happens in relationships when we blame others for old or present hurts. Projection holds power when we have the inability to see it. Especially, if there is a high level of intensity, it creates a strong urge to blame.
In relationships, projection hurts our partners by casting them into a false role, and placing your feelings onto them. Its power lies in our inability to see it. Identifying and communicating that your responses are a projection of past relationship incidences, childhood experiences or your own personal issues, is an incredibly courageous act. It provides insight that may be needed to stop your relationship becoming stuck. Projection keeps us from understanding the true source of our pain and being able to tackle it. Blaming your partner keeps you from discovering your part in the dynamic, and it results in an entanglement. To tackle your projections this first thing I suggest is; when you get triggered, stay with the feelings.  Secondly try to ask yourself (in regards to emotions or negative thoughts); "who owns this? Is it mine? Or is it theirs?" This can help give a hand to identifying if this is a projection or the reality. Owning and communicating them is brave and courageous.

Challenge the term 'Good in Bed'

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Movies, TV shows and magazines perpetuate the myth of what being 'good in bed'* means. This burrows into our psyche and puts an incredible amount of pressure on (particularly young) people.
When I wrote this quote I decided to google; 'good in bed'...... I sat with my head in my hands for a while!So I thought I would try bust some of the myths. 
What does being 'good in bed' mean? 
1. Feeling comfortable with your body, including your genitals. This, hopefully, allows you to feel more relaxed and free.
2. Understanding what you enjoy. Therefore being able to communicate them to your partner so that you can both benefit. 
3. Learn about what your partner enjoys. 
4. Sexual give and take! It's not all about one person. 
5. Being respectful. Accepting someones dislikes, or likes without being hurtful or shaming. 
What does being 'good in bed' NOT mean? 
1. Needing a 'perfect' (whatever that means!) body/looks and youth.
2. Knowing every trick and applying them at every opportunity. This reduces sex to a technique. 
3. Lots of past sexual experiences. This may help with your own experience, but everyone is different. What worked with one person, may not work with another. 
4. High sex drive and/or ability to last. These factors don't give sensitivity or knowledge and are part of myths that have perpetuated for years.
5. Not being respectful. You should probably remove yourself from the bed. 
Sexual responses, desires and fantasies are unique and complicated. Assuming someone 'should' know yours, or that you will know theirs probably won't make it very satisfying. Understanding yourself, body, needs and desires alongside your sexual partners. Can ultimately facilitate a satisfying sex life. Being 'good in bed' does not happen like osmosis and takes; consideration, communication and self-understanding.  Feel free to add anything I have missed in the comments below!
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*I also think we need to get rid of the phrase 'good in bed'! Don't take my using it as an endorsement! Rather an aid to bust myths!

Vulvodynia Treatment Methods

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Second part of my posts on #vulvodynia focusing on #treatmentmethods. From my experience and research, the multi-disciplinary approach is the best method. No single treatment is appropriate for individuals with vulvodynia and it may take some time to find a treatment, or combination of treatments, that helps alleviate pain.Some people experience relief with one particular treatment, while others do not respond or experience side effects.  So finding out what works best for you is of upmost importance! 
Firstly I would recommend a Psychosexual Therapist. We are trained to support you as an individual or perhaps as a couple. Receiving a diagnosis of vulvodynia or experiencing it, tends to affect a woman’s sexual relationships and emotional well-being. 
Alongside this vulvodynia treatment may involve visiting a: •gynecologist or vulvovaginal specialist, •dermatologist, •physical therapist.
Current vulvodynia treatments include: ○Medications •Antidepressants ( both SSRIs and Tricyclic) •Anticonvulsians ○ Topical Medications (gels and creams) •Topical Hormonal Creams (e.g., estrogen, testosterone) •Topical Anesthetics •Topical Compounded Formulations (eg; anti-depressants) ○Other treatment options: •Nerve Blocks •Neurostimulation and Spinal Infusion Pump •There may also be some complementary or alternative medicine that would suit you. •Women with provoked vestibulodynia may be candidates for surgery. Success rates for surgery vary from 60% – 90%. Following a diagnosis, take your time finding what suits you for treatment options. We are all different which means what works for one person, may not for the other. Ensure that you have someone to talk to, be it a loved one or a health care professional so that you feel supported.   

Fixing others is not your responsibility

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Repeat after me; "it's not my responsibility to fix others."
It's is not your responsibility to fix, rescue or save anyone. 
Often this habit has started from early childhood. We took on the role as rescuer as a duty and it became innate. Ingraining itself into our relationships. Perhaps you witnessed the importance of supporting someone as a young child, perhaps you were needed to look after others, or perhaps you were directly told. ▪When we believe that we need to 'fix' or 'save', we are saying "I don't trust you to do it yourself". We are removing that person's power and taking their ability away. ▪ Taking on this responsibility may mean that we can wear ourselves out, become stressed and ill, even build resentment. ▪Finally you can enable their behaviour, by taking on responsibility of their struggles and pain. Relinquishing their accountability.
▪It's always a good idea to reflect back and try to learn where this desire to rescue came from. When did it start? Were there messages you got as a child? Are there certain people I always do it with? What is the fear of not fixing or rescuing-do I think something may happen?

What is Dysperunia?

Dyspareunia is pain or discomfort in a woman’s labial, vaginal, or pelvic areas during or after sex.There are many different causes of dyspareunia, resulting in different levels and kinds of pain. One of the main reasons so many cases go untreated is because women feel uncomfortable talking to their GP about this very private issue. If you're worrying about having the conversation try imagine going home knowing that you have taken the first steps towards recovery and how good you'll feel. There are many forums and even Facebook groups  that can help support you. Remember that you are not alone. Contact a Sex Therapist like myself for further assistance.

Drury Therapy

Chronic Fatigue Syndrome and sexual functioning

Today I thought I would do a post on chronic fatigue syndrome and sexual functioning. An area with little research and conversation- which needs needs to drastically change. Over the years I have seen many clients presenting with CFS (in couples and as individuals) struggling with issues around sex. In case you don't know; chronic fatigue syndrome (CFS) is a disorder characterized by extreme fatigue or tiredness that doesn’t go away with rest and can’t be explained by an underlying medical condition. CFS can also be referred to as myalgic encephalomyelitis (ME) which many people refer to it as.



Research has shown that those with CFS have a higher level of avoidance of sex/sexual activity than those without, and all considering....for good reason. 85% of women with CFS reporting sex as negative experience leading to exhaustion. This is mainly due to the adrenaline increase that occurs during sex, creating exhaustion that may last up to 48 hours. Women experiencing chronic fatigue may report sexual pain and dryness and erectile dysfunction is more prevalent for men with CFS. Alongside this, depression and anxiety are also common for those diagnosed with CFS. With that in mind medications such as a low dose of antidepressants may be administered for not only mood disorders but for pain management too, as many people with CFS struggle with joint pains, sensitive lymph nodes and headaches. So some of these medications mean that side-effects can impact sexual functioning. This may all sound overwhelming but research trials that have occurred show that one of the best forms of support to assist people struggling with CFS and sexual functioning is psychosexual therapy, with couple therapy being the best option for those in a relationship. •


Our sex lives are full of twists and turns as it evolves and changes across our life span. Chronic fatigue should be looked at the same way as any other issue that arises. Getting support from a therapist is a great way to assist in adapting and integrating changes so that those with CFS can have a happy, healthy sex life.

The inner critical voice

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The critical inner voice represents an internal enemy and may be thought of as a threat to self-actualization and self-fulfilment. It tends to encourage inwardness, doubt, self-criticism, self-denial and inadequacy. But this voice tends to originate from early life experiences that are internalized and carried, as ways we think about ourselves. Frequently, many of these negative voices derive from our parents or carers, as children we collect the negative attitudes that parents not only have towards their children but also project about themselves and the world around them.
Once you recognise that the voice(s) you have in your head, is not your voice you can gain clarity. Recognising instead that these attacks are derived from childhood experience. If you can identify your voice you can gain an incredible amount of strength and release some of the power it may hold over you.

How can sex aid a good nights sleep?

Struggling with your sleep? Here is a bit of research I did about how orgasms can assist with getting a good nights kip: One of the reasons why sexual activity may assist a good night sleep is due to the hormones that are released following climax. Endorphins are released during orgasms and have been found to work as relaxants. These hormones are a combination of Oxytocin (the love hormone) and Prolactin (the relaxation hormone) alongside the inhibition of Cortisol (the stress hormone) following climax. Research that has been done states that 70% of people report an increase in sleep quality of sleep with 62% increase the onset of sleep after achieving orgasm with a partner. While 54% of participants perceived orgasm following masturbation increased sleep quality with 47% reporting improved sleep onset (this is for men and women, though when broken down there is a discrepancy....that's for another post!)Only 3–6% of participants in studies done indicated that they felt they slept worse following sex that involved a partner and an orgasm. So if you are struggling to sleep, perhaps this can be a novel way of helping!

Our shadow self

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As individuals we are complex and multifaceted. We are not one entity. We are made up of multiple parts. Loving yourself means all parts of yourself. This includes parts that are connected with shame, disgust or hatred surrounding ourselves. In psychology we tend to refer to this as our "shadow-self"; Carl Jung spoke openly about it. The shadow part can lie in the unconscious, it's often a part that we dismiss or minimise about ourselves. Parts we perhaps perceive as being dark and weak. When we hide or deny parts of ourselves, they do not disappear, instead they grow stronger. As a result we allow low self-esteem and self-worth to prosper, ultimately resulting in projection and blame. Learning to show acceptance, compassion and forgiveness are really wonderful ways to heal and begin the journey to self-love.

Covert Abuse

With the recent ramping up of lockdowns and self-isolating, never has there been a time where victims of domestic violence are at such a high risk. One of the forms of abuse I wanted to talk about, is one that is not well understood or known: Covert Abuse. #covertabuse is sometimes also referred to as stealth abuse or ambient abuse. It is emotional and psychological abuse that doesn’t include obvious abusive behaviours, such as threatening or rage. It is systemic, quieter abuse that emotionally manipulates the other through evasions, blame-shifting, twisting words and gaslighting. The abuse may also include subtle physical behaviours; staring down, defensive or challenging body language.
What these covert aggressions do is make it difficult for the victim to clearly describe, interpret or tackle the abusive behaviour. As a result, the victim believes that they are at fault and are the cause of the issue.
This abuse often happens over time through planting seeds of self-doubt and making someone feel inferior. It is subtle, which makes it easy to ignore, deny, and minimize. The abuser attempts to wear down the identity of the victim, creates an environment of trepidation, shame and control.

Covert abuse is multifaceted and not easy to pin down. If you have found yourself questioning your sanity, feeling that you are walking on egg-shells, that you can’t trust your partner but you don’t know why, that you feel like you are diminishing inside, these could be signs of covert abuse.
Write out conversations and try to identify abuse and all the tactics used. Abuse like manipulation, is traumatic and can severely damage your self-worth over time. Show yourself compassion and care, reach out to a friend, a support service or seek a therapist. Perspective, support and gentleness is an important factor in this journey to bring clarity and help repair.

Critical thoughts

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Yesterday my sister and I had a conversation around self-critical thoughts this was due to how earlier in the day I'd caught myself stating:
"You have achieved nothing today" just as I was walking into the room she was in.

It hit me quite hard and I stopped in my tracks, cup of tea in hand and reframed that narrative!! Comments like that, if they were said to a friend, sister, partner etc, would be not only cruel but abusive.
Every moment we choose to nurture ourselves, demonstrate compassion, feel the pain, sit just sit, are moments of accomplishments too. So, when you can capture the moment of a self-critical thought, be aware of it, and even for a fleeting second see if you can reframe.

Introducing sex toys

Sales data for sex toy brand Womanizer show sales numbers are well above projections, with global data year to date showing more than a 50% surge on original forecasts. So
I thought I'd talk a little bit about bringing sex toys into a relationship. Sex toys are a great way to explore your body and what it enjoys. Toys can help you learn what you want from a partner. The process of understanding how you can bring your body pleasure is an incredibly empowering experience. They can facilitate you to uncover a lot more than your fingers allow, while also, playing into fantasies. Sex toys present novel ways of being intimate. The toys can facilitate a wider way of connecting sexually. They also can provide some fun and excitement that may be different and fresh. In order to avoid conflict its vital to talk things through before purchasing. Conflict tends to occur depending on the nature of openness and communication between partners. So it is imperative that clear and effective communication can greatly enhance the experience. Respect and non-judgement is the first part of communicating sexual desires. I always suggest having an open, honest and sober(!) conversation.
Don’t bring a toy home as a surprise if you have not had that conversation and ascertained you are on the same wavelength.
If you decide to bring toys in, bring them in together. Go to a shop together or there are plenty online @sexsiopa is a great place to get anything you need and Shawna is incredibly helpful. @jo.divine is also brilliant with @samtalkssex especially knowledgeable in the area of menopause. So when you're buying your first toy try to remember a few things; consent and communication, buying from a reputable company and try to make it a fun and connecting experience!

Sexual comparison

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The last few weeks there have been a mammoth number of articles, tweets, posts and conversations around a possibility of a baby boom. But I know that many of you are really struggling with anxiety and the idea of sex/masturbation may be overwhelming. Yes, of course we can enjoy this time and get in touch with our sexual self and with our partner. But it’s important to recognise that this may not be how everyone is feeling. We are in the midst of a pandemic; the fear of the unknown, the uncertainty; can create anxiety and stress. These are two factors that greatly impede on sexual arousal and desire.
Anxious feelings can impede on your sex drive in a number of ways. Those overwhelming feelings we get when anxiety ramps up, empty those sexy thoughts out of our brains, inhibiting from being in the mood. There are also physiological effects of anxiety and worry, escalating the production of stress hormones like adrenaline and cortisol that make you feel on edge. This means the body can't physically unwind and basking in sexual sensations alongside climaxing tends to be a lot more difficult.
It’s ok not to feel desire, it’s ok not to want to have sex. This is a time of crisis, most of us are in a state of fear. @sexualwellness said to me so eloquently other day; "it’s the activation of the world’s nervous system” it is so palpable. Focusing on your communication, connection and intimacy can help ease the anxiety and get you feeling more together. Focus on your mental health, mindfulness, self-care, whatever makes you feel better.
You do you right now. That's all that matters.

What is Ethical Porn?

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Ethical porn also goes by the name “fair trade porn,” or “independent porn.” You can still watch what you would normally but feel like you're making a difference.
So what does ethical porn offer?: Diversity; body, sexuality, gender, ethnicity. Ultimately changing the stereotypes that mainstream porn possesses. 
Nobody is coerced or tricked into doing anything they don't want to. There are high working standards, rights, respect and fair treatment.

Producers tend to support beginners, making sure they understand that the consequences of acting in a porn film.

Most actors are over 21 as producers want them to have explored their sexuality. So scenes and actors are natural and comfortable. 
Fair and respectful pay ensuring there is no exploitation. 
Directors let desires and pleasure run freely and the actors are able to say ‘no’ without worry.

Think about it this way, if you are conscientious about animal treatment you may buy fair trade brands. 
So if you want to continue your masturbation habits but want to be sure the performers you watch are treated fairly, consider ethical porn.

Do you know what consent is?

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Consent is described as: permission for something to happen or agreement to do something.Consent is a vital part of creating a culture and community in which everyone feels safe and comfortable to live in. 
Silence does not permit consent. It is clearly communicated, not negotiated.
An unconscious or intoxicated person under the influence of drugs or alcohol who is unable to knowingly consent cannot legally agree to sexual activity.
Past consent does not guarantee future consent.
A person has every right to change their mind at any point in time, because consent is ongoing.
Finally, even if you're in a long term marriage, consent is still vital.