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Couples formed by people of the same sex present common problems to heterosexual couples: communication problems, jealousy, infidelity. . . But the development of the personality of a homosexual, in a society in which homosexuality has only recently begun to be truly accepted, brings together two people who bring to the relationship a past history, in which they have lived to a greater or lesser extent a specific stressor of homosexual couples, homophobia, which many of them end up internalizing. To assume that they are completely different from heterosexual couples would be a fallacy and an exaggeration, but not to admit that there are differences would also be a mistake.

How does it work? 

In the first session, the two members of the couple are met. To be able to have a version of the situation by both parties and to evaluate how they interact in session. It will explain the dynamics to follow in couple therapy, the importance of their commitment, sincerity in testimonies and work outside of sessions.

The second session is done individually with each of the members of the couple separately, to know the situation without the presence of the partner and to assess whether there are individual issues that should be worked on before starting couple therapy. Several questionnaires will be delivered, which will have to be completed by the couple individually, of great importance to gather information necessary for a more complete intervention.

The third and successive will be attended to the couple jointly and individually depending on the evolution of the therapeutic process.

No couple is the same as another, just as no two people are the same, so psychotherapy is totally individualized, adapted to their specific needs, but in general the objectives of treatment are usually training in skills to increase reinforcement, improve communication, acquisition of problem-solving skills, negotiation and agreements, acquisition of new interpersonal vocabulary, learning conversational skills, expression, control of stimuli, planning and use of free time, etc…

More common problems

Sexual Area

Along with individual problems such as erectile dysfunction, anorgasmia or premature ejaculation, homosexual couples mainly men, in many cases collide with the decision of exclusivity or non-sexual, one of the most frequent problems seen in consultation. Another specific problem is the flexibility or lack of sexual roles in the relationship, citing some of the most frequent.

Social Area

The lack of agreement in the carrying out of social and leisure activities, whether due to excess or lack of joint activities, separately or with other people, is usually a common problem. Not feeling integrated in the social group of the couple or not being well seen by that group, would be another example of problems in the social area.

Problems of coexistence

Discrepancies in who is in charge of doing the tasks and what tasks correspond to each one, who decides what to do and when to do it, live or not together, private spaces within the common space, are typical problems in the area of coexistence.

Communication area

Inadequate expression of opinions, feelings, criticisms or wishes; lack of attitude and active listening skills on the part of one or both members. Deficits in assertiveness and social skills in general in one or both members of the couple. Differences in how each member shows the other their need to be heard, understood, valued or recognized.

Family Area

Problems related to the family of origin: non-acceptance of the sexual orientation of your child, to cite the most common. Relations with the parents of each of the members of the couple. The care of children from other relationships, and the relationship with the mother or father of these often generate conflicts.

Emotional Area

Differences in how each member shows affection and tenderness to the other. Expression of emotions in public or not, is often a topic of frequent discussion.


Also known as coming out of the closet, it is often a conflict in some couples, in which one member is out for his family, at work, friends and the other member is not.

  +34 697 91 34 20

Hours of Operation

Telephone Attention and Therapy

Monday to Friday weekdays

10:00 to 14:00 and 17:00 to 22:00 hs.


Make your appointment, indicate if you are calling from outside Madrid and the type of therapy of interest.


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SEE PRIVACY POLICY, In compliance with Organic Law 15/1999, of 13 December, on Personal Data Protection and Law 34/2002, of 11 July, on Information Society Services and Electronic Commerce, Psicolgbt informs you that the personal data provided in this form will be incorporated into a computer file for which Antonio Ortega López is responsible, in order to manage your data. If you wish to exercise your rights of access, rectification, cancellation and opposition to the processing of your personal data, you may contact us by e-mail using this same form.

Street Mayor 6, Second floor, Office 20 (28013) Madrid

Previous appointment:

  +34 697 91 34 20

Register of Psychology Centres belonging to the Dirección  de la Consejería de Sanidad de la Comunidad de Madrid registration CS 15434

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