
James Earl Reg COSRT
MSW CQSW (Sussex) PCert PgDip (Relate) BA Hons (Mddx)
Psychosexual & Relationship Therapy

This is a confidential space to speak openly, make sense of things, and explore what might be different - in the relationship, in the bedroom, or both.
I work with individuals and couples in person in Richmond, SW London, and online — on communication and conflict, desire and intimacy, affairs and infidelity, sexual problems, and compulsive sexual behaviour (aka sex or porn addiction).

First session free
to check it feels right
See me quickly
in a crisis
In-person or online
I'm in Hampton, SW London
Book directly
No need to speak to me first

‘Thank you so much for meeting with us this morning - we have both come away feeling very positive about the process that we started’
S & P, New Malden
'Thank you for the session today. It really helped in seeing some potential and practical ways forward’
C, Surbiton
'Thank you for all your very wise and practical guidance. You are very calm and so neutral and so practical it has been very very helpful.'
R, Camberwell
'We seem to be doing really well, thanks to all your help'
D & M, Kingston
'We couldn't possibly have got to where we are without your support, for which I'm hugely grateful'
R & R, Richmond
‘We feel that you're on our wavelength and I don't think there are many people of whom that would be true’
T & K, Teddington
'I feel really heard, which is a huge relief'
M, Wimbledon
About me
I am an experienced and professionally qualified psychosexual and relationship therapist. I hold a Professional Certificate in Psychosexual Therapy and a Postgraduate Diploma in Relationship Therapy from Relate, as well as a Master’s degree in Social Work from the University of Sussex.
I am a registered member of COSRT, the professional body for sex and relationship therapists.
I have been in private practice for 15 years in Hampton, in the London Borough of Richmond, SW London, near Barnes, Teddington, Twickenham, and Kingston. I see clients from London, the UK & world-wide.
I also work at Innisfree Therapy, the world-renowned sexual compulsivity & trauma clinic in Harley Street.
Alongside my clinical work, I contribute regularly to the media, including interviews for The Guardian and Newsweek, workshops for HSBC, and writing and podcasts for Liz Earle Wellbeing.
Before training as a therapist, I was a professional jazz pianist and a university lecturer in philosophy — experiences that continue to shape how I work with people.

How sessions work
You book for one hour, 90 minutes, two hours or three hours. (I also offer half-day or whole-day sessions.) I can see you in-person, or online. You can see me regularly, or book ad-hoc, depending on what feels right.
Cancellations
You may always cancel with no charge: I appreciate life gets in the way sometimes.
My rates
Your first session is free. If you decide to continue, the cost is £105 per hour for couples and £80 per hour for individuals. I offer reduced prices for the unemployed or those on a low wage (please let me know).
Booking
You can book a session without speaking to me first: my diary is online, so just choose a date and time that suits you. You can also check my Frequently Asked Questions page. I'm always happy to chat informally.
Diversity
I work with people of all cultural backgrounds, sexualities, genders, and relationship structures.
Confidentiality
I observe complete confidentiality at all times as a matter of professional ethics, except where I believe there to be an immediate risk to yourself or others, or as a legal duty.
Blog
Most popular



Latest
Articles
Podcasts & radio
Listen to me on the Liz Earle Wellbeing Show podcast.

I was interviewed by Mariella Frostrup on Times Radio on the passing of Shirley Zussman, the famous US sex therapist.

Video & animation
Watch my award-winning animations with Quint Boa of Synima on mental wellbeing.

Location
12 Station Road, Hampton
TW12 2BX
'The Old Police Station'
07429 186 222
My working hours are:
Monday - Sunday 8am - 9pm
There is free parking nearby, & you can park outside after 6.30pm. A parking space is available on request. Bikes are safe behind a locked gate.
The 111, 216 & R68 bus routes stop nearby, and Hampton Station is under 10 mins on foot, from Waterloo and Clapham Junction on the Shepperton line.

My room is on the ground floor, and there is a bathroom.
Tea, coffee, & various herb teas are available.
You are welcome to browse my library and use the garden.
Hampton Court Palace is 15 mins, Bushy Park 7 mins, & the Thames riverside 1 minute away, on foot.
Local shops, restaurants, and a great riverside pub are a short walk away.
I am close to Teddington, Twickenham, Kingston, Surbiton, Richmond and Barnes town centres.






Links
I've worked with


