Ruth Culhane

I work online and in person with individuals and couples experiencing relationship and sexual difficulties, and with people who want to better understand themselves and the patterns that may be affecting their relationships, intimacy and sense of wellbeing.

I have specialist training in relationship and psychosexual therapy and support clients with a wide range of concerns, including relationship conflict, communication difficulties, intimacy issues, differences in sexual desire, sexual functioning, and compulsive sexual behaviours, including difficulties relating to pornography use.

I work with couples who may feel stuck in recurring patterns of anger, conflict or misunderstanding, as well as individuals who feel uncertain, confused or distressed about their relationships more generally. A central part of my work is helping people recognise patterns of behaviour or communication that may no longer be helpful, and supporting them to develop more effective and satisfying ways of relating.

I welcome clients from a wide range of backgrounds, identities and relationship structures, including LGBTQ+ clients and couples where one or both experience neurodivergence. I also have specialist training in working with consensually non-monogamous relationships and aim to offer an inclusive and non-judgemental space where diversity and difference are respected and affirmed

I have a particular interest in women’s sexual wellbeing, especially issues relating to desire and libido and the ways these experiences can affect confidence, identity and relationships.

Alongside relationship and sexual concerns, I also have experience supporting clients with issues such as anxiety, depression, low self-esteem, bereavement and childhood trauma

I charge £80 for an individual client per 50 minute session and £90 for a couple per 50 minute session

I work in a, collaborative and non-judgemental way, offering a space where clients can feel safe enough to explore difficult, sensitive or confusing experiences. Being supportive can also sometimes mean being thoughtful and direct, particularly when this helps bring greater clarity to patterns or difficulties that may be keeping someone stuck. I see therapy as a process of understanding, growth and change, and I work alongside clients to help them clarify what they want, better understand what may be getting in the way, and move towards their goals.

My approach is integrative, relational and informed particularly by attachment theory and Transactional Analysis. This means I am interested in how early experiences, childhood relationships and past wounds can shape the ways we relate to ourselves and others in the present. Together, we can look at patterns that may have developed for understandable reasons in the past, but which may now be causing distress or keeping you stuck.

I aim to help clients develop insight into their emotional and relational patterns, including how they communicate, respond to conflict, manage closeness, or experience intimacy. As well as offering space for reflection, I work proactively to support clients in finding new ways of relating, communicating and caring for themselves and others.

I tailor therapy to the person or couple in front of me, recognising that every relationship and every individual is unique. My aim is that therapy feels supportive, respectful and purposeful, and helps clients build greater awareness, resilience and choice in how they live and relate.

Sessions are usually 50 minutes and take place weekly, although this can be flexible depending on what we are working with. For couples, I can offer 90-minute sessions, and in situations where relationships are in significant difficulty or crisis, I can also offer longer intensive sessions to allow more time to work through complex issues.

The first session is an opportunity for us to begin to explore the issues that have brought you to therapy and what you hope to achieve from the work.

During this session I will usually ask some questions about your current situation, your relationships and relevant aspects of your history. This helps me to understand the context of the difficulties you are experiencing and to begin thinking together about how therapy might best support you.

The first session is also an opportunity for us to start clarifying your goals for therapy. Together we can identify the areas you would like to work on, what you hope might change, and begin to consider how the work might develop over time.

It is also your opportunity to ask any questions you may have about my approach, my experience or how the therapy process works. It is important that you feel comfortable and able to decide whether working together feels like the right fit for you.

For couples, I often ask partners to complete a short questionnaire before or after the first session to help clarify their goals and what they hope to achieve through therapy. I may also suggest some brief information or reflective material which can help you think about your relationship and the areas you would like to focus on. Many couples find that this preparation helps make the sessions more focused and productive.

Sessions are usually 50 minutes and take place weekly. For couples, I often recommend 90-minute sessions, as this allows more time to explore the dynamics within the relationship. In situations where couples are experiencing significant difficulty or crisis, longer intensive sessions can also be arranged if this would be helpful.

My aim is for the first session, and all sessions that follow, to feel collaborative, respectful and supportive, and to help you begin moving towards the changes you would like to make.

I offer supervision session to individuals and groups face to face and online.  Please feel free to contact me to discuss booking a supervision session. 

I offer a free 15 minute phone consultation to discuss your supervision needs and how I may be able to help you. 

I offer a flexible time frame for sessions

I am an experienced psychotherapist working with individuals and couples who are experiencing difficulties in their relationships.

I hold specialist postgraduate training in couples and sex therapy, including working with compulsive sexual behaviours.

My practice is inclusive and affirming. I work with a diverse range of clients, including those in consensual non-monogamous and polyamorous relationships, and LGBTQ+ individuals and couples.

I aim to offer a thoughtful, relational space where clients can explore their experiences, develop greater understanding, and find new ways of relating to themselves and others.

I provide clinical supervision for experienced practitioners and trainees on placement. I work with individuals and groups, offering a reflective and collaborative space to think about clinical practice, development, and ethical work.

My supervision approach is grounded in creating a supportive environment where practitioners can reflect openly on their work, develop confidence, and engage with both the practical and relational aspects of therapeutic practice.

My approach is relational, collaborative, and supportive. I aim to create a space where you feel able to think openly about your experiences, while also offering gentle direction where this feels helpful. I hold in mind the importance of balancing support with appropriate challenge.

I am interested not only in the difficulties you bring, but also in what may be happening within the therapeutic relationship itself. I pay attention to process — including emotional responses, patterns, and what may be emerging beneath the surface — as a way of deepening understanding and supporting change.

My work is grounded in Transactional Analysis and integrative psychotherapy, alongside my training in person-centred, integrative arts, and existential approaches. This allows me to adapt how I work to suit you as an individual, rather than taking a one-size-fits-all approach.

I aim to offer a space where you can explore your thoughts, feelings, and behaviours in depth, develop greater awareness, and begin to make meaningful and lasting changes.

The first supervision session is an important opportunity for us to get to know each other and to begin building a working relationship.

I work in a collaborative and collegial way, so it is important that we explore what you need from supervision, alongside an understanding of how I work and my responsibilities as a supervisor. This includes thinking together about how we can best support you in meeting the demands of your practice or training course.

We will also consider practical and ethical aspects of the work, including your current caseload, any training requirements, and your self-care arrangements, which are an important part of safe and sustainable practice.

There will be space for you to ask questions about how I work, including the supervision models and approaches I draw on, so that you can make an informed decision about whether I am the right supervisor for you.

I also offer group supervision, with small groups of up to four participants, creating a shared space for reflection, learning, and support.