More love, better sex, deeper intimacy
Welcome to LSI Therapy
Sex & Relationship therapy for individuals and couples
We’re surrounded by messages telling us what love, sex and intimacy should look like. If your own needs, desires or experiences are different, you can end up feeling confused, frustrated, ashamed, or wondering what went wrong.
If this is where you are, you don’t have to navigate these complicated emotions alone.
A safe place to have the conversations that matter
I’m Olivia Mackinder, a COSRT-registered Sex & Relationship Therapist.
I offer trauma-informed, inclusive talking therapy to individuals and couples of all genders and sexual orientations. No judgement. Just compassion, warmth and someone beside you who believes that feeling safe, happy and fulfilled is an essential part of being human.
Choose to work with me online or in-person at The Practice Rooms in Soho, London.
“…a huge thank you for your kind help and support over the past few weeks, it has been so reassuring and helpful and I am very grateful.”
— Dan, 32 (July 2026)
Working together
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YOUR FREE DISCOVERY CALL
Not sure whether therapy is for you? This a simple way to find out. No pressure, no obligation. Just 20 minutes on Zoom to talk, ask questions and see how it feels.
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PSYCHOSEXUAL THERAPY
If you’re in a tangle around sex or your sexuality. If you’re feeling confused or ashamed, lost or in pain, talking to a psychosexual therapist can help you get to the heart of the matter - and heal it.
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RELATIONSHIP THERAPY
Gently, and with full support, learn how to rebuild lost connection, navigate complex feelings, and find new ways of relating. Come alone or with a partner. This often works alongside psychosexual therapy.
My latest blog post
Love is the drug, the battlefield, the addiction and the dance. It’s all you need, it hurts, and it can break your heart. And we never get enough of it. But whose version of love are you actually living by?
How Sex & Relationship therapy can help
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Reduce the risk of misunderstandings and disconnection. Use this space to learn the invaluable art of sharing authentically and listening with empathy.
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Explore the emotional and relational factors that could be making vaginal, vulval, anal, penile, or pelvic pain worse. (Always combined with GP support.)
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Make sense of changes in desire and find ways to reconnect authentically and deeply, even when your sexual needs differ.
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Menopause, pregnancy, aging, illness, or surgery can all affect your relationship with sex - but it doesn’t have to be at the expense of pleasure and connection.
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Infidelity or betrayal can shake a relationship’s foundations. With care and clarity, trust can be rebuilt - or peace found in parting healthily.
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If porn is affecting your sex life or relationships, together we can work out why and help you regain a sense of balance.
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Letting go of love can be painful and confusing. Take time to think about what you need and grieve the loss, so you can move towards a healthy closure.
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Don’t let arguments drive a wedge between you. Learn how to recover from ruptures more quickly and move towards mutual understanding instead.
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If you don’t identify with the cis-het way of living and loving, let’s explore a more authentic, expansive expression of who you are.
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Sexual trauma can leave deep imprints - but with time and the right support, you can define intimacy and safety on your own terms.
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Erections are influenced by more than biology. Exploring the emotional and relational factors can ease performance anxiety and restore confidence.
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Not everyone wants monogamy and sometimes kinky feels best. BDSM and ethical non-monogamy can be life changing. Find out how to do them well.
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If you don’t orgasm but you want to, we can look at the many ways your body can experience total pleasure, with or without ‘The Big O’.
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Sex is deeply personal. That can make us feel very vulnerable - but difficult emotions don’t have to define who you are or how you love.
What my clients say about me
“I felt really safe and comfortable talking to you, thank you for making that possible. I look forward to our next session.”
— Helen
“Thank you so much for your effort, your kindness and care towards the both of us, you have such a warm and gentle approach and it was very much appreciated during our calls.”
— Jason
“We just want to reiterate, how precious and valuable our sessions have been with you.”