Psychosexual Counseling for Women and Couples
By Dr. Ruja Shrestha
Integrative psychosexual counseling combining CBT with relationship-focused therapy

Dr. Ruja Shrestha
Psychiatrist & CBT Therapist
Services & Capabilities
Holistic assessment of sexual, emotional, and relational health
Psychoeducation on sexual response and common concerns
CBT interventions integrated with psychosexual frameworks
Addressing cultural and societal barriers to sexual wellness
Empowerment-focused counseling for women's sexual agency
Couples counseling for mutual understanding and growth
About This Service
Psychosexual counseling bridges the gap between psychological wellbeing and sexual health, offering an integrative approach for women and couples facing complex sexual concerns. Dr. Ruja Shrestha provides comprehensive psychosexual counseling that combines CBT with relationship-focused therapy, addressing the whole person rather than isolated symptoms.
Many clients find that their sexual concerns are intertwined with broader life issues — stress, self-esteem, relationship conflict, cultural pressures, past experiences, or life transitions. Psychosexual counseling provides a holistic framework where these interconnected factors can be addressed together. Dr. Shrestha's approach is particularly effective for clients who have tried other treatments without success, as it addresses the underlying psychological and relational patterns that simpler approaches may miss.
Treatment Approach
Dr. Shrestha's psychosexual counseling integrates: (1) holistic assessment of sexual, emotional, and relational health that considers the full context of a client's life; (2) psychoeducation on sexual response, common concerns, and the mind-body connection in sexual health; (3) CBT interventions integrated with psychosexual frameworks for comprehensive treatment; (4) addressing cultural and societal barriers to sexual wellness that are particularly relevant for women and couples in Nepal; (5) empowerment-focused counseling that helps women develop sexual agency, confidence, and the ability to advocate for their needs; and (6) couples counseling for mutual understanding and growth, helping partners develop a shared language for discussing sexual concerns.
Conditions We Treat
Benefits of This Approach
Holistic approach addressing all aspects of sexual health
Integrate psychological, emotional, and relational care
Address cultural and societal barriers to sexual wellness
Develop sexual agency and confidence
Improve partner communication and understanding
Sustainable improvements through comprehensive skill-building
Frequently Asked Questions
How is psychosexual counseling different from regular therapy?
Psychosexual counseling specifically focuses on the intersection of psychological factors and sexual function. While a general therapist may address relationship issues or anxiety broadly, a psychosexual counselor has specialized training in sexual health and uses targeted interventions for sexual concerns.
Can I come for psychosexual counseling without a specific problem?
Yes. Some clients seek psychosexual counseling for general sexual wellness, to enhance their sexual relationship, or to address subtle dissatisfaction that does not meet diagnostic criteria. Prevention and enhancement are valid reasons to seek counseling.
How does Dr. Shrestha handle cultural sensitivities specific to Nepal?
Dr. Shrestha is deeply familiar with the cultural context of Nepali women and couples. She addresses societal expectations, family dynamics, religious considerations, and the stigma around discussing sexuality with cultural competence while maintaining evidence-based therapeutic standards.
Do you offer online sessions for clients outside Kathmandu?
Dr. Shrestha offers online psychosexual counseling for clients throughout Nepal and internationally who cannot attend in-person sessions. Online CBT is well-researched and equally effective for most sexual health concerns.
Why Choose Dr. Ruja Shrestha?
Expert Care
10+ years of specialized experience
100% Confidential
Your privacy is our top priority
Evidence-Based
Following WHO-standard treatment protocols
Book a Consultation
Schedule a confidential consultation with Dr. Ruja Shrestha for Psychosexual Counseling for Women and Couples