I'm Mark Ryan, a BACP Accredited Psychotherapist and NCPS Accredited Relationship Therapist working with couples, individuals, and polycules across London. This is where I write about the things that come up most often in the room. Jealousy. Coming out to a partner. Separation. Sex and intimacy. The ordinary arguments that usually aren't about what they first appear to be about.
Some of what's here is written for couples working through something together. Some of it is for one person trying to make sense of their own experience before bringing a partner into it. All of it is grounded in research and real clinical practice, not generic advice dressed up as insight.
Below, everything is grouped by topic if you're looking for something specific, or simply scroll through what's most recent. And if something here resonates, or you'd like support with what you're going through, I offer a free 30-minute consultation, in person in London or by video.
Why Do Couples Stop Having Sex? Understanding Low Libido in Relationships
A London relationship therapist explores why couples stop having sex, the emotional dynamics behind low libido, and how intimacy can be rebuilt over time.
Why Is It So Difficult to Talk About Sex and Desire in Relationships? And How Therapy Can Help
Talking about sex and desire in a relationship can feel awkward, even with the person you love most. Shame, fear of rejection, and silence often get in the way. As a couples therapist in London, I help partners open up, reconnect, and explore intimacy with honesty and care—because your desires matter, and so does your connection.