COUPLES THERAPY & SEX THERAPY

Private Practice Ina Koslowski · Berlin · In-Person & Online

Sometimes there are no words for what’s happening between you

For the distance that has grown without you quite noticing. For the feeling of standing side by side and still feeling alone. For the exhaustion after another argument that went nowhere – again.

You’re in the right place.

At my private practice for couples therapy and sex therapy in Berlin, I work with partners who want to find their way back to each other or who need help figuring out where they’re headed together.

Whether you’re in the middle of a crisis, caught in the same loop for years, or simply sensing that your relationship deserves more attention: there’s no wrong time to start.

I work with couples from all backgrounds, including expats and international couples living in Berlin. Sessions are conducted in English.

When does couples therapy make sense?

Couples therapy in Berlin can support you in many different situations – not just when things feel like they’re falling apart:

  • Arguments are escalating and leaving both of you hurt
  • One or both of you has emotionally withdrawn
  • Trust has been broken – through an affair, a betrayal, or a painful disappointment
  • You want more closeness but can’t find the way to each other
  • Major life changes – kids, a move, illness, loss – are putting pressure on your relationship
  • You’re living abroad and navigating relationship challenges without your usual support network
  • You’re questioning the relationship and want clarity – together or individually

Together, we work toward stepping out of the cycle and building a new quality of connection – without blame, without pressure, with real understanding for each other.

Topics in couples therapy

  • Relationship skills and satisfaction
  • Communication in a partnership
  • Sexuality in a partnership
  • Overcoming a crisis
  • Dealing with affairs
  • Significant stages and events in life
  • Dealing with intense feelings and emotions in a relationship
  • Dealing with grief
  • Loss of a partner
  • Ending relationships / separation support

My EMotion Focused THErapy approach

I work from an integrative perspective tailored to the needs of each individual and couple.
The approach of Emotion Focused Couples Therapy (EFT-c) helps partners understand and transform emotional patterns, fostering secure connection and closeness whereas the concept of Intensive Short-Term Dynamic Psychotherapy (ISTDP) is an experiential psychodynamic approach that facilitates access to underlying emotions, helping to resolve inner conflicts and promote lasting change.
My work is complemented by elements of the concept of Syndiastic Sex Therapy, with a focus on enhancing intimacy, deepening emotional and physical connection, and supporting a more open and fulfilling experience of sexuality.

What that means for you: We don’t just look at what you’re saying – we look at what you’re feeling. Behind conflict and distance, there are often deep, unmet needs that haven’t been heard. That’s exactly where we start.

My focus is on:

  • De-escalating recurring conflict patterns
  • Building emotional safety and trust
  • Improving communication – including nonverbal and physical intimacy
  • Developing a deeper understanding of each other and yourselves

About ME – Ina Koslowski

Ina Koslowski

I am a systemic therapist, couples and sex therapist with a private practice in Berlin since 2009, certified in:

  • Intensive Short-Term Dynamic Psychotherapy (ISTDP)
  • Emotion Focused Therapy / Couples Therapy (EFT)
  • Systemic Sex Therapy
  • Systemic Couples Therapy
  • Systemic Counselling and Therapy
  • Intimacy Coordination Level II “Intimacy on Set” with Ita O’Brien
  • Occupational Therapy (BPH)
  • Alternative Practitioner Psychotherapy (HeilprG Psychotherapy)

I work with all kinds of couples and people, including heterosexual couples, homosexual couples, and people of all gender identities. I am open and equal with everyone.

Memberships

Sex therapy in Berlin: Intimacy as part of your relationship

Sexuality isn’t a separate topic – it’s a reflection of your emotional and physical intimacy. In my sex therapy practice in Berlin, we talk about the things many couples struggle to discuss with each other: how intimacy is lived and experienced within your relationship, (un)met needs, hurt feelings, insecurities and self-doubts and of course what you would like to (re)connect with.

My approach is experience-based and informed also by the concept of Syndiastic Sex Therapy, developed at the Institute for Sexual Science and Sexual Medicine in Berlin. We address the fulfillment of fundamental human needs e.g. feeling close, understood, secure, protected and validated to cultivate a healthier, more empowering relationship. Using verbal and non-verbal intimate communication to foster a deeper connection and a sense of belonging,

Topics in sex therapy

  • Unsatisfactory communication and relationship building in the area of sexuality
  • Relationship crises due to disappointment or breaches of trust
  • Sexuality and physical/mental impairments
  • Dealing with sexual dysfunction
  • Sexual identity
  • Dealing with (as yet) unfulfilled or one-sided desire to have children
  • Questions about one’s own gender identity, sexual orientation, or preference
  • Understanding and dealing with one’s own/partner’s sexual experiences and behavior
  • Dealing with emotions in the areas of sexuality and intimacy
  • Sexuality and aging
  • Sexuality and physical/mental impairments

My approach to sex therapy

My work draws on an integrative approach shaped by three well-researched methods:

  • Syndiastric Sex Therapy: developed at the Institute for Sexual Science and Sexual Medicine in Berlin. This approach deliberately moves away from symptoms and dysfunction, focusing instead on relationship quality, mutual experience, and sexual satisfaction as part of the partnership.
  • Emotion Focused Therapy (EFT): because sexual difficulties often mask emotional wounds or unmet attachment needs that need to be addressed first.
  • Intensive Short-Term Dynamic Psychotherapy (ISTDP): Some patterns run deeper than the relationship itself. Old wounds, learned defenses, ways of protecting ourselves that made sense once but now create distance. This is where we look at what lies beneath the surface, not to analyze the past, but to free up space for something different in the present.

My focus is on:

  • De-escalating recurring conflict patterns
  • Building emotional safety and trust
  • Improving emotional communication — including nonverbal and physical intimacy
  • Developing a deeper understanding of each other and yourselves

“Love is the only sane and satisfactory answer to the problem of human existence.”
Erich Fromm

How therapy works

Initial session – we get to know each other

In our first conversation – in person in Berlin or online – you tell me what is relevant to you. What’s been weighing on you, what you’re hoping for, where you are right now.

I’ll walk you through my approach and we’ll figure out together whether and how I can support you. No pressure, no commitment.

Choosing the right format

Together we decide what fits your situation best: regular sessions over time, short-notice appointments during an acute crisis, or an intensive block format for deeper change in a concentrated period.

We work – and we adapt

Therapy isn’t a fixed program. We evaluate the process continuously and adjust methods, frequency, and format as you develop. The goal isn’t to do as much as possible but as little as necessary for you to actually feel the difference.

Ready to take the first step?

The first step is often the hardest. But you’ve already taken it by being here.

I look forward to meeting you – in a initial session, in person in Berlin or online. Book your appointment directly through the scheduling system:

  • Information on canceling appointments
  • Prices: The private fee for an initial consultation is 180 €/60 mim (as single or couple attendee)

What happens when you stay

Couples therapy offers something that’s hard to create on your own: a space held by someone outside the relationship. A place where the conversation can go deeper, guided but without judgment.

In that space, things shift. Patterns that felt fixed begin to loosen. What looked like an irreconcilable difference often reveals itself as something quieter — two people who lost the ability to truly hear each other.

Therapy won’t give you answers. But it gives you a new perspective on your relationship, one that’s harder to find when you’re right in the middle of it.

We were about to end our 30-year partnership and marriage. It felt hopeless. But at some point in therapy, we started to really see each other again. Today, I can say that this crisis was the best thing that could have happened to us. We have grown very close.

A. & L., Berlin, Schönefeld (couples therapy after a relationship crisis)

We had become so used to each other that we stopped paying attention to each other. The sessions with Ina taught us how to do that again without blaming or pressuring anyone. We just need to understand each other better.

M. & T., Berlin (couples therapy 2025)

We didn’t talk about sex because it felt like a bad topic to talk about. Even between us, it was hard. Ina made a space where we could talk openly without feeling awkward. That has changed a lot more than just the therapy itself.

K. & J., Potsdam (sex therapy 2024)

We worked with Ina online, and the project immediately took on a deeper level. My partner and I weren’t sure if it would work. But her method and her calm manner really helped us.

P. & S., online (couples therapy 2025)

FAQ – SECTIOn

Yes. Ina Koslowski leads all couples therapy and sex therapy sessions in English. Her office is in Berlin, but she also offers online sessions. This makes it easy for expats, international couples, and anyone who prefers to work in English to schedule an appointment.

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It can be hard to find an English-speaking couples therapist in Berlin because most private practices are in German. Book directly with practices like “Private Practice Ina Koslowski | Berlin” that list English as a session language.

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Sure. Online couples therapy works just as well as in-person sessions for most couples. Sessions are conducted via a secure video platform and follow the same structure and methods as face-to-face work.
Online therapy can be a good option for expats with irregular schedules, frequent travel, partners in different cities or even couples living in Berlin.

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No, sex therapy is when a therapist and client talk about sexual issues, not when the therapist and client have sex. This is a firm, professional, and ethical boundary in all licensed therapy settings worldwide.
Sex therapy is a type of talk therapy that is sometimes combined with exercises that you and your partner do together at home. Sessions take place in a therapy office (or online) and consist of a guided conversation about your experiences, emotions, and relationship dynamics.

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A sex therapy session is similar to a regular therapy appointment. You and your partner (or you individually) sit with the therapist and talk. There is no physical examination or sexual activity.

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You’re experiencing difficulties in the broad field of sexuality, emotional or physical intimacy and therefore seek support.
You and your partner rarely or never talk openly about sex, and that creates distance.
You and your partner have very different sexual desires.
You experience physical difficulties, such as pain, dysfunction, or loss of libido.
You want to understand your sexual identity better.
You don’t need to be in crisis to benefit. Many couples find sex therapy helpful. It can help couples connect and talk about intimacy. This can help solve problems before they get worse.

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The fee for sex therapy and couples therapy is the same. An initial consultation is billed at 180 Euro for 60 minutes. A regular first session lasts 60 or 90 minutes, either as an individual or a couples session.

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There’s no specific number of sessions. It depends on why you’re seeing a therapist, how long you’ve had the issues, and how you react to the therapy.

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