Mark Ryan - Accredited Relationship Therapist Pimlico

My clinical focus is couples and relationship therapy, with particular depth in working with LGBTQ+ clients, people in ethically non-monogamous and polyamorous relationships, and those navigating gender, sexuality, and relationship diversity (GSRD).

I have extensive experience working with:

• Gay, lesbian, bisexual, queer, and pansexual couples and individuals
• People in ethically non-monogamous relationships, including open relationships, polyamory, relationship anarchy, and hierarchical and non-hierarchical structures
• Queer relationship structures that do not map neatly onto conventional couples therapy models
• Kink-aware and BDSM-involved clients, approached with curiosity and without pathologising
• Clients navigating sexual identity, desire differences, or shifts in how they understand themselves within a relationship
• Intimacy and desire challenges, including low or mismatched libido, loss of sexual connection, and the emotional dimensions of physical closeness
• The impact of internalised shame and minority stress on relational patterns

My approach is integrative and relational. I draw on Imago Relationship Therapy, the Gottman Method, and attachment-based, systemic, and psychodynamic frameworks — selecting and combining approaches based on what each relationship actually needs rather than following a single model.

I see relationships as living narratives, shaped by individual histories, attachment patterns, and the often-unspoken roles partners inhabit with one another. Therapy offers a space to make those patterns visible, examine them without blame, and find new ways of being together — or, where needed, of parting with clarity and respect.

My practice is sex-positive, non-pathologising, and grounded in an understanding of the specific pressures and joys that come with queer and non-traditional relational life. I hold a BA (Hons) in Integrative Counselling and Psychotherapy, am a BACP Accredited Psychotherapist, and an NCPS Accredited Relationship Therapist. I maintain regular clinical supervision and ongoing CPD in GSRD, ENM, and relational psychotherapy.