Booking Summary

Ruth Culhane (she/her) Psychotherapist, Couples Counsellor, and Psychosexual Therapist.

Counselling Experience and Areas of Interest

Ruth is a specialist couples’ psychosexual therapist who works with individuals and couples seeking to develop healthier, more satisfying relationships and a greater sense of wellbeing in their intimate lives. Many of the people Ruth work with feel stuck in repeating patterns in their relationships — recurring arguments, emotional distance, difficulties with intimacy, or sexual concerns that are affecting their confidence and connection with a partner. Therapy offers a space to slow down these patterns, understand the emotional dynamics that may be driving them, and develop more constructive ways of communicating and relating. Ruth has experience supporting couples who experience frequent conflict or anger in their relationship but want to understand one another better and create a more secure and supportive connection. She also works with individuals and couples experiencing sexual and intimacy difficulties, including differences in desire, sexual dysfunctions, and compulsive sexual behaviours such as pornography or sex addiction. Her approach is compassionate and non‑judgemental, helping clients explore these experiences in ways that reduce shame and support greater understanding and choice. A particular area of interest for Ruth is women’s sexual wellbeing, especially concerning desire and libido. She recognises that these experiences can have a significant impact on confidence, identity, and relationship satisfaction, and she offers a thoughtful and supportive space where these concerns can be explored openly and positively. Ruth works with people from a wide range of backgrounds, identities, and relationship structures. She has experience working with gender, sexual and relational diversity (GSRD), including clients in consensually non‑monogamous relationships. She aims to provide a respectful, inclusive, and non-judgmental environment where diversity and difference are welcomed. She also has a particular interest in how ADHD can influence relationships, emotional regulation, communication, and intimacy. Therapy can help clients understand patterns that may feel difficult to shift — such as impulsivity, shame or compulsive behaviours around sex and relationships — and develop new ways of responding to these challenges. Ruth works collaboratively and proactively with her clients. While therapy provides a reflective space to understand emotional and relational patterns, she also supports clients in making practical and meaningful changes that move them towards the kind of relationships and lives they want. Her work is strongly informed by attachment theory, recognising how early relational experiences shape the ways we connect with others, manage conflict, and experience intimacy. Developing a deeper awareness of these patterns can help people build more secure and fulfilling relationships.

Counselling and Psychotherapeutic Approach

Ruth’s therapeutic approach is integrative and relational. Her work is particularly informed by Relational Transactional Analysis and attachment theory; while also drawing on psychodynamic thinking, systemic perspectives and elements of Cognitive Behavioral Therapy (CBT) were helpful. She places strong emphasis on the therapeutic relationship as a safe and supportive environment in which clients can explore difficult experiences with curiosity, compassion, and honesty. Ruth’s style is warm, respectful, and non-judgmental. At the same time, she works actively and collaboratively with clients to help them develop insight, strengthen emotional awareness, and make meaningful changes in their relationships and lives.

Special Interests

Ruth has professional interest in:

• Couples experiencing recurring arguments, anger, or communication breakdown.
• Sexual desire differences and libido concerns, particularly relating to women’s sexual wellbeing.
• Sexual trauma
• Compulsive sexual behaviors including pornography use.
• The impact of ADHD on relationships and intimacy
• Consensual non‑monogamy and relationship diversity
• Attachment patterns and how early relationships influence adult intimacy.
• Loneliness and existential loneliness

She is especially interested in supporting people who want not only to understand their relational patterns but to actively change them and create more secure, connected and fulfilling relationships.

Psychotherapy Training and Accreditation

Ruth has undertaken extensive postgraduate training in relationship and psychosexual therapy. She holds a BSc in Psychology and trained as a Transactional Analysis Psychotherapeutic Counsellor at the Metanoia Institute in London. She later completed a Postgraduate Diploma in Psychosexual and Relationship Therapy accredited by Middlesex University. She has also undertaken specialist postgraduate training in Compulsive Sexual Behaviour at the Laurel Centre and additional training in working with consensual non‑monogamy. Prior to training as a therapist, Ruth worked as a lawyer. This earlier professional experience contributes to her thoughtful and reflective approach, particularly when working with complex relational dynamics and life transitions. Ruth is a registered member of the College of Sexual and Relationship Therapists (COSRT) and the British Association for Counselling and Psychotherapy (BACP) and works in accordance with their ethical frameworks.

Ruth's fee per session is €80 for individuals and €95 for couples.

Please note that Ruth is UK‑based and registered with accredited UK professional organisations. As such, Irish health insurance providers may not accept her receipts.