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This is particularly true for men who are under a lot of stress because of work and are liable to have problems in getting an erection or premature ejaculation, something that I see at my sex therapy and counselling practice in London quite often. The physiological influence of those anxiety chemicals is to decrease your sex drive or to make it difficult for you to engage in an intimate relationship properly. Similarly, if you are operating for a business that appears to be on the verge of going into management, then the stress that this creates is likely to make you generate more anxiety chemicals – like adrenaline. Often, they cannot stop for lunch, and most of them have a long commute at one part of the day. While doing counselling and psychotherapy in London, I first observed these issues in clients who work individually in the financial sector.

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Often, without motivation, openness to change, the challenge of imprinted relational patterns, and without professional consultation, the vicious cycle of poor emotional connectedness evolves. A low level of emotional connection deprives the satisfaction of intimate encounters and increases irritation. As therapy moves on, they discover how less emotional intimacy directly affects their sexual life. As time moves on, their intimate connection weakens feelings of belonging and need to nurture the relationship.

When the couple finally finds a moment to be together, they are not able to communicate on both verbal and nonverbal levels. The stresses of city living invade personal life, which means the time with a partner can settle at the bottom of the to-do list. Living in places like London can be challenging, and many couples are trying to juggle work, family, and social engagements while failing to maintain a meaningful relationship with each other. A healthy sexual life is essential for emotional and psychical well-being, and in my practice of couple therapy and sex counselling, I have seen a growing number of people whose sex lives are going poorly because of their lifestyles impacted by the pressure of living in a big city.