Based at the Porterbook Clinic, the Relationship and Sexual Service is a city-wide service providing assessment and treatment for service users with psychosexual problems.

Therapy is offered to individuals and partners over the age of 18 years. A variety of therapeutic approaches are used, and treatment is designed to fit the specific needs of service users.

The service is part of Sheffield Health and Social Care NHS Foundation Trust.

All referrals, other than internal SHSC ones, should come via the GP. A referral form can be downloaded by clicking here.

GPs can download pre-referral screen guidelines by clicking here.

We do not accept self-referrals. 

Occasionally, we receive referrals that are not suitable for our service. When this happens, we will advise the referrer of this. If this only becomes clear during the assessment, we will inform the referrer and service user, with recommended signposts to a service that may be more suitable to meet the service user’s needs. 

The Relationship & Sexual Service sees service users with sexual dysfunctions as defined by the DSM-V. These are listed below:

Male Bodied Sexual Dysfunctions

• Premature (Early) Ejaculation
• Delayed Ejaculation
• Hypoactive Sexual Desire Disorder
• Erectile Disorder (Unreliable Erections) where an organic cause has been ruled out

Female Bodied Sexual Dysfunctions

• Genito-Pelvic Pain/Penetration Disorder (Vaginismus and Dyspareunia – pain at the beginning of, during or after intercourse)
• Female Sexual Interest/Arousal Disorder
• Female Orgasmic Disorder

Treatment is also provided for,

• Relationship difficulties where (i) these are present with a predominantly sexual problem, and (ii) the relationship is in a good enough position to make use of psychosexual therapeutic interventions for the sexual difficulty.
• Problems of libido, either reduced or excessive sexual interest/drive.
• Specific sexual phobias or fears.

• Service Users must meet the service eligibility criteria as listed above.
• Service Users should be aged 18 or over.
• The service does not accept urgent referrals.
• Long-term psychotherapy, care or support is not available from this service.
• Individuals and/or partners should be motivated to address their difficulties by attending regular appointments (usually held every two to four weeks) and completing homework/behavioural tasks in between sessions.

Service Users cannot be seen by the service where:

• There are issues of sexual compulsivity, paraphilia or addiction, including pornography, drugs and alcohol.
• Their sexual difficulties or behaviour have brought or are at risk of bringing them into conflict with the law.
• The sexual difficulties are caused by a medical issue or physical health condition and there is no or limited psychological component e.g., diabetes, cardio-vascular disease, neurological disorder.
• Relationship problems which are not attributable to a sexual difficulty or dysfunction.
• Intimate relationships where infidelity is a recent or current significant contributor to relationship difficulties.
• Service users who are experiencing a crisis in their mental health or suffering from an acute psychotic illness.
• Service users who present a risk to other people or are at risk of harming themselves.
• Service users are seeking support with sexual orientation or gender identification.
• Service users who are pregnant.

Once we have received a referral for you into our service, we will send you a background information questionnaire, where you will have the opportunity to provide us more specific information regarding your difficulties. We will invite you for an initial assessment, to find out more about the problems you are having and to check that the treatment we can provide is the right one for you. This is a detailed assessment, and the appointment will last one and a half hours. If we consider that you are suitable for psychosexual therapy, your name will be placed on our waiting list.

Psychosexual Therapy is a psychological intervention that is aimed to resolve the sexual difficulties that people experience in their lives. A range of different interventions can be used within this therapeutic approach including,

• Psychoeducation to help you understand how the difficulties you are experiencing arose and ways that you can work to address them.
• Cognitive behavioural techniques to help identify unhelpful thoughts and behaviours that may be contributing towards and maintaining the problem.
• Support with enhancing communication skills and assertiveness.
• Where relevant, input to assist with addressing body image concerns or self-esteem issues that are impacting on your sexual function.
• Homework tasks for you to do between each session, either on your own or with your partner(s), if you are in a relationship(s).
• Recommended reading.

It is important to note that our treatment programmes require you to be motivated and committed to addressing your difficulties through the attendance of regular therapy sessions (usually held every two to four weeks) and the completion of the homework tasks that you and your therapist will agree together in your sessions. You will never be asked to undertake a sexual task in a session.

As a psychosexual therapy service, we do not prescribe. We may recommend medicines or sexual aids that can be prescribed by your GP.

If you cancel two consecutive appointments, or a number of intermittent appointments, or fail to attend an appointment, we will not be able to offer any further appointments.  

If you cannot make an appointment, please let us know as soon as possible so we can offer your time to someone else. 

Before your appointment with the service you might find it useful to read one of the leaflets below:

• Premature ejaculation leaflet - produced by the Urology Care Foundation
• Tackling pain and difficulty with penetrative sex - produced by Greater Manchester Mental Health NHS Foundation Trust

Appointments are available Monday – Friday between 9am-5pm.

We provide a hybrid model of face to face and online appointments. You can choose which type of appointment would suit you best.

The Relationship and Sexual Service offers a query line to any health professional who would like to seek consultation or advice regarding psychosexual issues that may be affecting service users they are working with.

The query line can be used for asking information about whether a referral is appropriate for the service, how to work with sexual issues a service user may be presenting with or for a more general enquiry.

If you would like to make use of the query line, please email randsporterbrook@shsc.nhs.uk or phone 0114 2716671, and we will be in contact to book a time for you to speak with one of our therapists.

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