Psychosexual therapy
A confidential, sex-positive space to explore desire, sexual confidence, intimacy, communication and the ways identity, health and experience can shape your sexual life.
Psychosexual · Relationship · Psychedelic therapy
Space for change, intimacy and deeper connection.
Doctor and therapist offering psychosexual and relationship therapy alongside thoughtful, evidence-informed psychedelic preparation and integration—for individuals and couples, online and in person in London.
A careful place to begin
How we relate—to ourselves and to others—can be where change begins.
Sexuality, intimacy and relationships sit close to our deepest needs: to feel safe, desired, understood and free to be ourselves. Therapy offers space to speak openly about what may be difficult to express elsewhere, whether you come alone or with a partner.
Psychedelic experiences can also be profound, beautiful, challenging—or all three. Preparation creates a steadier foundation; integration helps you listen to what emerged without forcing it into a neat answer.
Across both strands of my work, my approach is collaborative, psychologically informed and unhurried. We make room for the whole person: your history, relationships, body, culture, sexuality and the life you return to afterwards.
Ways to work together
Therapy for sexuality, relationships and meaningful experiences.
Relationship therapy
Collaborative work with individuals or couples around communication, recurring patterns, conflict, trust, change and the possibility of a more honest connection.
Psychedelic preparation
Thoughtful, individual sessions to explore your intentions, expectations, support needs and the psychological territory you may encounter.
Psychedelic integration
A grounded therapeutic space to make sense of an experience, work with what has emerged and translate insight into meaningful change.
Clinical consultancy
Trial-informed consultation for retreat providers and organisations on screening, safeguarding, preparation, integration and clinical governance.
Specialist areas
Sexuality and relationships, without shame or assumptions.
I work affirmatively with LGBTQ+ people, as well as people of all identities, orientations and relationship structures. You do not need to arrive with a diagnosis or a neat explanation—therapy can begin with whatever feels difficult, confusing or important to you.
Sexual wellbeing
- Difficulty with erections
- Difficulty becoming aroused
- Sex and STI anxiety
- Rapid ejaculation
- Difficulty reaching orgasm
- Painful penetration
- Vaginismus
- Low desire
- Sexual compulsivity
Identity, expression & community
- LGBTQ+ identity and relationships
- Chemsex
- Kink and BDSM
- Exploring non-monogamy
Relationships
- Conflict in relationships
- Difficulty forming or maintaining relationships
- Communication difficulties
- Affairs and rebuilding trust
- Ending a relationship
International retreats & collaborations
Thoughtful support, wherever the work can be done lawfully and well.
I am available to explore therapist and guide roles with established retreat providers in jurisdictions where psychedelic work can take place lawfully. I bring experience of preparation, medicine-session support and integration from regulated clinical research, alongside psychosexual and relationship expertise.
The Netherlands
Legal psilocybin-truffle retreats
I am open to working as a therapist and guide with established retreat teams using legally available psilocybin truffles, contributing preparation, session support, integration and psychologically informed care.
Jamaica
Retreat partnerships
I welcome conversations with reputable Jamaican retreat providers seeking an experienced bilingual therapist and psychedelic research clinician, with clear clinical governance, safeguarding and aftercare.
Spain
Preparation, integration and collaboration
In Spain, I offer preparation and integration within the appropriate professional framework and welcome conversations about carefully held psychedelic work and future collaborations, subject to local law and professional requirements.
For retreat providers and organisations: collaborations are considered individually and remain subject to local law, appropriate insurance, safeguarding standards and clear clinical responsibility.
Discuss a retreat collaborationClinical research experience
Psychedelic trials at King’s College London.
Across each study, I contribute to participant safety, protocol adherence and the therapeutic continuity surrounding the medicine session. My medical and screening responsibilities are specific to COMP006; in PANORAMA and CYB003, I work solely as a therapist.
Psilocybin for treatment-resistant depression
A COMPASS Pathways study investigating psilocybin treatment in people living with treatment-resistant depression. I work as a Sub-Principal Investigator and Therapist, contributing to medical and psychiatric assessment, informed consent, preparation, dosing-day support, safety oversight and integration.
LSD for generalised anxiety disorder
A regulated study of MM120 for generalised anxiety disorder. I work solely as a Therapist, supporting participants through preparation, the treatment session and post-session integration, while collaborating closely with the clinical and research team. I do not undertake medical screening or assessment in this study.
EMBARK-informed care for major depressive disorder
Clinical research investigating CYB003 for major depressive disorder using the EMBARK therapeutic framework. My role is solely as a Therapist, providing preparation, treatment-session support and psychologically informed integration. I do not undertake medical screening or assessment in this study.
Explore the research
Study summaries, current status and the latest published COMP360 results.
What guides the work
Open and sex-positive
Sex, desire, identity and relationship structures can be spoken about openly, without assumptions or shame.
Human first
No two people, couples or experiences are alike. The work follows your needs, not a formula.
Ethically grounded
Clear boundaries, confidentiality and respect for your autonomy are central to the relationship.
Begin a conversation
Curious about working together?
Initial consultations are available for psychosexual and relationship therapy, as well as psychedelic preparation and integration. I work with individuals and couples online and in person in London, subject to professional and jurisdictional requirements.
Email info@drjuanpena.comIndividuals & couples · English & Spanish · Online & in person