Milton Sattler - Online Therapy

I am an experienced counsellor and psychotherapist with 10 years of experience working in different sectors such as the NHS, charitable sector and Private Practice in London. I had previous experience volunteering as a Community Support Volunteer and Health Promoter for Terrence Higgins Trust (THT) where I provided weekly one-to-one emotional and social support to empower and encourage independence for a THT client. I have an excellent knowledge of HIV. I am aware of how HIV impacts people’s physical and mental health. I also know how the stigma around HIV affects people’s life. I worked at the Cassel Centre as a CBT practitioner, a Southeast London charity with a partnership with the Borough of Lewisham. I have worked with clients from different cultural backgrounds and sexual orientations. I gained experience assessing clients by phone and in one-to-one sessions. I have experience working with different CBT protocols such as Depression, Anxiety, GAD, Social Anxiety, Health Anxiety and Self-esteem. I worked at The Law Medical Group Practice (LMGP) which is part of the Central and Northwest London (CNWL) NHS Foundation Trust - Brent Talking Therapies from 2013-16. At the LMGP, I provided counselling interventions, face-to-face with patients experiencing moderate to severe mental illness using the NICE guidance. I worked at the ELOP – East London Out Project which is a holistic LGBTQ+ centre that offers a range of social, emotional and support services to LGBTQ+ communities, and the Albany Trust which is one of the few specialists in counselling and psychotherapy services based within South London that provides high-quality professional support around gender, sexuality and relationship issues. I volunteered as a counsellor for CliniQ which is an organisation that offers support to trans and non-binary clients. I worked there offering a safe space for clients to explore issues around gender identity and being sensitive to clients’ needs who may be searching for therapy for reasons unrelated to their gender but need to know that their therapist understands and accepts this aspect of their identity. I have been working in Private Practice since 2015 with a variety of GSRD clients with different needs and presentations.

Psychodynamic Therapy, Cognitive Behaviour Therapy (CBT), Gender, Sexuality & Relationship Diverse (GSRD) Therapy, Intimate Partner Therapy (IPT) & Psychosexual Therapy or a combination of them tailored accordingly to the client’s needs.

Psychodynamic Therapy will explore how your early childhood experiences and relationships shaped your present relationships by creating repeated patterns of behaviour. Becoming aware of these patterns and how they impact how you see the world and your position in it, will help you to change this perception in a way that assists you better. It can help you to work with trauma, internalised homophobia, identity issues, etc. CBT is based on the idea that your thoughts, feelings, physical sensations and actions are interconnected and that negative thoughts and feelings can trap you in a vicious cycle. It can help you manage your problems by changing the way you think and behave. It can help you with anxiety, depression, change behaviour, performance anxiety, intimacy issues, etc. GSRD Therapy is an affirmative therapy that uses a more inclusive therapy term to replace the acronym LGBTQIA+ (kink, non-monogamy, sex workers, non-binary and other gender non-conforming people, etc.) Individual Therapy - I will support you with the personal challenges that life and the world bring to you, and any emotional concerns you may be experiencing that are contributing to you feeling unfulfilled in your life. Intimate Partner Therapy (IPT) will help you and your partner(s) to open up and highlight the strengths in your relationship alongside what might be causing you distress. As the neutral third party, my role within IPT is to guide and facilitate the process of helping you and your partner(s) gain a better understanding of each other and your relationship. Psychosexual & Sex Therapy will support you with your intimate life and relationship challenges, emotional concerns you may be experiencing that are contributing to the sexual problem, and customised interventions and techniques to get you back on the journey of reclaiming or establishing sexual fulfilment. As individuals, we have to face various problems and aim to overcome many obstacles in our lives. Approximately 20% of the population of large urban centres will suffer from depression and anxiety at some point in their life. However, LGBTQIAA+ individuals suffer a great deal of mental distress which can affect all aspects of their life, including self-esteem, relationships and career choices, which can have a shattering effect on health and quality of life. Even though there are lots of achievements for LGBTQIAA+ rights in some countries now, there is still prejudice and violence in our society against LGBTQIAA+ and it can have lasting effects. For many people, the experience of suffering discrimination, victimisation or homophobic attitudes can impact how they can come to terms with their sexuality. On top of this, LGBTQIAA+ people suffer rejection from their families or friends, or both and these experiences are likely to be a source of substantial emotional and psychological suffering. Sometimes people do not realise they suffer microaggressions and how they can affect them. Microaggressions are termed every day, elusive, deliberate — and frequently unintended — interactions or behaviours that convey some sort of discrimination against members of marginalized groups such as LGBTQIAA+, racial or ethnic minority prejudice toward historically marginalized groups. Some people who commit microaggressions might not even be aware of them. I can help you with various sexual problems and related issues such as:

• Lack of desire
• Difficulty having an orgasm
• Pain during sex or inability to have penetrative sex
• Difficulty getting or keeping an erection (ED)
• Premature ejaculation or other ejaculation problems
• Relationship issues
• Depression and Anxiety
• Self-confidence and self-esteem
• Shame
• Internalised homophobia
• Having health issues or chronic illnesses
• Coming Out
• Sex Addiction
• ChemSex
• Domestic and/or sexual abuse
• Seek therapeutic guidance to explore your feelings about your awakening interest in BDSM.
• Help in your decision-making process when deciding whom you'd like to disclose about your BDSM.
• Seek therapeutic guidance to explore your feelings about your awakening interest in BDSM.
• Are you having a hard time reconciling your more exotic desires with the messages of disapproval that you may have heard from society? Such messages may come in many forms the mainstream may believe that BDSM equates to violence, the queer community might not acknowledge straight BDSM participants who self-identify as queer as such and the lesbian/feminist communities might perceive women who are into BDSM as identifying with the male oppressor or female as victim role. I can help you to address any internalized kink phobia that may arise.
• You might also use therapy to help in your decision process when making choices about the people to whom you'd like to disclose your BDSM interests.
• I can help you to make informed choices about whom to tell and how to bring the topic up and help you to process your feelings about that person’s response afterwards.

I am also a Kink-aware therapist. I recognize BDSM play as a normal part of the sexual spectrum and I can distinguish healthy BDSM play from non-consensual abuse. I am aware of what constitutes safe and unsafe play (acknowledging of course those different folks have different standards for that); and the types of roles and role expectations that are commonly encountered in the BDSM scene; I understand the stress that some clients may experience in keeping their BDSM lifestyle secret; and for many kinky clients, BDSM might not have anything to do with the reason that the client is coming in for therapy. Quite often, BDSM is just another facet of the client's life, like their vegetarianism or their hobby of knitting. People come into therapy for different reasons such as:

• Relationship issues.
• Feeling stuck and wanting to grow.
• Experiencing losses such as bereavement, divorce, redundancy or identity.
• Feeling anxious and depressed.
• Stress
• Self-confidence and self-esteem.
• Shame and internalised homophobia.
• Having health issues or chronic illnesses.
• Coming Out.
• Trapped in destructive patterns of behaviour.
• Dealing with unresolved issues.
• Recent or past trauma.
• Parent and child issues.
• Domestic and/or sexual abuse.