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GIANLUCA FAILLA
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​PSYCHOSEXUAL & RELATIONSHIP
THERAPY​

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FACE TO FACE AND ONLINE, LONDON

As a qualified Psychosexual and Relationship Therapist, I am dedicated to helping individuals and couples navigate sexual concerns, deepen intimacy, and build confidence in their relationships.


Leveraging my expertise in sexual health and somatic work, I provide a safe, non-judgmental space for you to explore the barriers holding you back and create the intimate life you desire.


Whether you're grappling with sexual anxiety, painful sex, low desire, relationship conflicts, or other challenges, we will work together at your pace, integrating empathy, practical tools, and open conversation.

 

You don't need to have the right words before coming to therapy, talking about sex and relationships can feel incredibly personal.

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You may have been living with something for months or years without knowing how to describe it. Perhaps you've tried talking to your partner, searching online or simply hoping things would improve on their own.

 

You might even be wondering whether your concern is “serious enough” for therapy.

 

It doesn't have to fit neatly into a particular category, You can simply start with what's happening for you.


Together, we can begin to understand the difficulties you're experiencing, the patterns that may be keeping you stuck and what you would like to feel different.


How I can help:
 

Psychosexual Therapy

Sexual difficulties are common, but that doesn't make them easy to talk about.

You may be experiencing sexual anxiety, erectile difficulties, difficulties with orgasm or ejaculation, painful sex, vaginismus, changes in sexual desire, sexual shame or a loss of sexual confidence.

Psychosexual therapy provides a confidential space to explore both the physical and psychological aspects of sexual difficulties and how they may be connected with your emotions, relationships and life experiences.

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Relationship & Couples Therapy

Sometimes the problem isn't a lack of love.

You may care deeply about each other and still find yourselves having the same argument, struggling to communicate or feeling increasingly distant.

I work with couples and individuals experiencing communication difficulties, conflict, loss of intimacy, differences in sexual desire, trust difficulties, infidelity and recurring relationship patterns.

Rather than deciding who is “right” or “wrong”, therapy can help us understand what happens between you and what each of you may need to feel heard, safe and connected.

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LGBTQIA+ Therapy

Sexuality and relationships don't exist separately from identity, culture or our experiences of the world.

As a gay therapist, I understand the importance of having a space where you don't need to explain or defend your identity before talking about what is actually bringing you to therapy.

I work affirmatively with LGBTQIA+ individuals and couples around relationships, sex, intimacy, identity, sexual confidence, shame and other concerns.

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Polyamory & Ethical Non-Monogamy

There isn't one “correct” way to have a relationship.

I work with people in polyamorous, open and ethically non-monogamous relationships, offering a non-judgemental space to explore communication, jealousy, boundaries, intimacy, agreements, sexual concerns and changing relationship needs.

Therapy isn't about pushing your relationship towards monogamy or non-monogamy. It's about helping you understand what works for the people actually in the relationship.

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Chemsex & Compulsive Sexual Behaviour

When sex, substances or sexual behaviour begin to feel difficult to control, the experience can carry considerable shame.

My professional background includes many years of work within sexual health, addiction and Chemsex support.

I offer a compassionate space to explore Chemsex, compulsive sexual behaviour, pornography use, sexual risk-taking and the emotional experiences that may sit underneath these patterns.

The aim isn't judgement. It's understanding what is happening and helping you develop choices that feel healthier and more sustainable.

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Sometimes the difficulty isn't where you think it is

A couple might arrive saying:

“We don't have enough sex.”

But underneath that, we may discover rejection, pressure, resentment, anxiety or a longing to feel wanted.

Someone experiencing erectile difficulties may initially believe that something is “wrong” with their body, while anxiety, expectations and fear of losing an erection have gradually made sex feel like a performance.

Another person may describe themselves as having “low libido”, when what has actually disappeared is the kind of intimacy in which desire previously had room to develop.

This is why I don't believe therapy should simply try to remove a symptom.

I'm interested in understanding what the difficulty means in the context of your life, your body and your relationships.
 

Common reasons people come to see me

People come to psychosexual and relationship therapy for many different reasons, including:

  • low sexual desire or differences in desire between partners

  • sexual performance anxiety

  • erectile difficulties

  • premature or delayed ejaculation

  • difficulties reaching orgasm

  • painful sex, vaginismus or penetration difficulties

  • loss of intimacy

  • relationship conflict and communication difficulties

  • infidelity and rebuilding trust

  • anxiety around sex

  • sexual shame or low sexual confidence

  • compulsive sexual behaviour or pornography concerns

  • Chemsex

  • LGBTQIA+ relationship and sexual concerns

  • polyamory and ethical non-monogamy

  • recurring relationship or attachment patterns.
     

You don't need to know exactly which category applies to you before getting in touch.​

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Empower Your Journey to Embracing Intimacy and Relationship Enrichment

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Face to face location: 

Islington - 359 City Road - London - EC1V1LR
Kensington - 2 Kenway Road - London - SW5 0RR
West Hampstead - 224 Iverson Road - London - NW6 2HL

Therapy slots available now                                                                    

Get in Touch

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