Sign in

Author of The Essential Companion to Talking Therapy, Watkins Publishing. Therapy, society, relationships, true stories and fiction.

A profound moment in the company of Alzheimer’s

Image by Palle Knudsen on

Last week I went to see my dad for the first time in two years. …

Mental Health

The spoken but unnoticed challenges to our tender mental health conditions

Image by Bruno Martins on Unsplash

When we speak about experiences of mental health issues, we often talk about how we “fight” with depression, or that we need to “beat” anxiety or panic attacks. We talk about how we must “struggle through”, or that we are “battling” with a borderline personality disorder. …

Not being able to urinate when needed can be physically harmful and psychologically stressful

Image by David Ballew on Unspash

You may ask what a bashful bladder is and how it can affect those experiencing it, and in fact, I had to look it up when a therapy client told me about the struggles he was experiencing. It was then I realised that this is one of those topics that…

How to manage the effects of personal change on your relationship

Photo by Calvin Lee on Unsplash

A couple of days ago I noticed an advert for a website, promoted with the slogan, “Therapy Damages Your Relationship.” After giving this rather strong statement some thought, I came to the conclusion that there might be some truth in this.

As a relationship therapist, I see couples who experience…

Understanding why can bring clarity and make it easier to cope with

Image by Emily Mortar on Unsplash

The end of therapy can produce emotions that in themselves are difficult to cope with. Losing the therapeutic relationship can evoke feelings similar to those we experience after a relationship break up.

Our therapist is very aware of the emotions this ending can evoke and will be prepared to work…

Know the difference to get what you need

Image by Giulia May on Unsplash

A question I have frequently been asked as a therapist is how therapy is different from talking with parents or a trusted friend. It’s a good question, after confiding in a good friend can give us ideas and we might hear how they see our situation. …


How to treat vaginal atrophy

Two zippers
Image by Thomas Sobek on Unsplash

There are many conditions that can cause vaginal pain during intercourse; one is vaginal atrophy. This condition often stops women from taking part in lovemaking, let alone enjoying it. The worry is that penetration will hurt them, and with that worry, their sex drive falls flat on the floor. …

Men’s Health

Understanding the emotional impact of erectile dysfunction

Image by Dainis Graveris on Unsplash

Erectile dysfunction (ED) is commonly talked about as an issue mainly older men experience. Although it is more common with increasing age, it really can happen to men at any stage of their adult lives. The danger of ascribing this experience to a certain age group is:

1. Men younger…

What is available and how it works

Image by Unsplash

We might think of erectile dysfunction as something only older men experience. While it is true that it is more likely to happen with increasing age, not being able to get or keep an erection can affect men at any age.

Being able to get an erection is often taken…

Sex therapy

An interview with Albertina Fisher, psychosexual and relationship therapist

Image by Pablo Heimplatz

Psychosexual therapy has long been misunderstood. There are media stories and documentaries circulating about sex therapy which includes the actual act of sex! So it is little wonder we can get caught up in believing that this is what will be expected of us if we were to engage with…

Karin Blak

Get the Medium app

A button that says 'Download on the App Store', and if clicked it will lead you to the iOS App store
A button that says 'Get it on, Google Play', and if clicked it will lead you to the Google Play store