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Eshana Spiers

The Golden Thread…

Sex, relationships and intimacy are the golden threads that have woven their way through my career. Sexuality can be such a doorway into understanding ourselves more deeply — our bodies, our desires, our vulnerabilities, our stories and our capacity to connect.

Hello, I am Eshana, a Clinical Sexologist working with individuals and couples, supporting people to move towards deeper connection, authenticity and fulfilment.

Alongside my private practice, I work as a Sexual Health Lead for a London-based charity, where I train practitioners to support young people’s sexual health, relationships and sexual citizenship.

Before this, I worked as a Psychosexual Coach, completing over 500 hours of one-to-one work with individuals. I supported clients to explore the emotional roots of their sexual challenges, understand the patterns that sit beneath the surface and reconnect with a more authentic relationship with themselves and their sexuality.

Prior to this, I spent 13 years as a qualified Youth and Community Worker, working across a range of settings including child sexual exploitation services, schools, youth services and developing sexual health support for young people.

My own journey through intimacy, sexuality and relating informs the way I hold this work. I have experienced moments of joy, deep aliveness and connection, alongside grief, adversity and periods of profound personal change. These experiences have shaped my understanding of growth and resilience and what it means to keep becoming. They have deepened my capacity to meet people with curiosity, compassion and openness — honouring the complexity of being human and the unique journeys we each carry. The shadow, the light, the shame, the gold, the goodness.

View my Professional Trainings

The golden threads that weave through my work

When an individual or couple comes to see me, we often discover that the sexual challenge they are experiencing is only the visible part of a much deeper story. Beneath the surface may be patterns, beliefs, relationships, emotions and ways of protecting ourselves that have developed over time. Our work together is about getting curious about how all of this shows up in your life.

The Whole Person

I work from a bio-psycho-social perspective, recognising that our sexual and relational lives are shaped by the interplay between our biology, psychology and the social worlds we inhabit. Together, we begin to map out the many different threads that make you who you are. I am interested in understanding the whole of you, not simply the challenge that has brought you to therapy.

When the Past Meets the Present

I am interested in learning about the experiences that have shaped you — your early relationships, attachment experiences, family dynamics and the environments in which you learned how to connect. This is not about pathologising your past or searching for something to blame. It is about honouring your story and understanding how your experiences have shaped the ways you relate to yourself and others.

Embodied Connection

Our bodies are wise.
In our work together, I may invite you to slow down and gently notice what is happening within your body — your sensations, emotions, breath and impulses. Rather than trying to override, change or fix these experiences, we start to wonder what they may be communicating and what they may be inviting you to understand.

Many Ways of Being

I believe there are many ways to experience sexuality, intimacy and relationships. I do not assume that sexuality needs to look a certain way in order to be healthy, meaningful or fulfilling. I work with a wide range of sexual and relationship diversities, including consensual non-monogamy, kink and BDSM, LGBTQ+ clients and I am a neurodivergent aware therapist.

Courageous Growth

Growth takes courage. It asks us to turn towards ourselves with honesty, gently welcome in vulnerability and be willing to step into the unknown. I believe relationships are one of life’s greatest opportunities for growth. They often reveal the places where we feel stuck, the patterns we repeat and the experiences that continue to shape how we relate to ourselves and others. Rather than seeing this as something to fix, I see it as an invitation to grow.

Hanging out with Complexity

Human beings are wonderfully complex. I try not to reduce people to binaries of right or wrong, good or bad, healthy or unhealthy. Instead, I value nuance, curiosity and the possibility of holding multiple truths. We can hold conflicting emotions, values and desires without needing one to be wrong. Together, we can explore the tensions, contradictions and uncertainties that are part of being human.

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