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The Paradox of Change

3 Therapists, one Honest Conversation about Friendship, Intimacy and Sex!

At The Paradox of Change, Lottie, Fifi, and Elliot offer a unique blend of therapeutic expertise. Lottie specialises in psychosexual and relationship therapy, Fifi focuses on business coaching for therapists, and Elliot provides compassionate individual counselling. Together, we guide you through friendship, intimacy, and self-discovery, fostering meaningful change.

What Our Clients Say

"Working with Lottie completely transformed how my partner and I connect. We came in barely speaking and left with tools we still use every day. I cannot recommend her enough."

Sarah & James

Couples Therapy

"I was sceptical about therapy but Elliot made me feel completely at ease from the first session. It was the first time I'd ever really talked about what was going on for me. Life-changing."

Mark T.

Individual Counselling

"Fifi helped me see my business and my relationship with myself in a totally new light. Her coaching style is warm, direct, and exactly what I needed."

Rachel M.

Business & Growth Coaching

"After 12 years together we thought we'd hit a wall. Lottie gave us a safe space to be honest with each other for the first time in years. We're genuinely closer now."

Anonymous Couple

Couples Therapy

Our Audience Stats

7.7K
Subscribers
1.1M
Total Views
292
Total Videos
Since 2023
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Featured Episode

Latest Conversation

The Paradox of Change
Episode 192
Sep 28, 2026
45 min

The Reality of Living in a Sexless Partnership | The Comments POC 51

with The Paradox of Change

Latest Conversations

Catch up on our latest conversations

The Paradox of Change
Ep 191
Sep 17, 26
45m

A bid for connection

with The Paradox of Change

The Paradox of Change
Ep 190
Sep 12, 26
45m

His Bills. Her Load. No Sex. Who Is Right?

with The Paradox of Change

We unpack why the “mental load” debate hits so hard in a sexless marriage, and why one partner’s silence is not the absence of responsibility. She often carries the micro load: noticing, planning, remembering, anticipating what might go wrong. He often carries the macro load: work, money, safety, t

The Paradox of Change
Ep 189
Aug 25, 26
45m

Can an Affair Be Understandable in a Sexless Marriage? A Therapist Deep Dive

with The Paradox of Change

Can infidelity be wrong but understandable is a complex question that therapist Elliot Burgess and Lottie Passell-Syms delve into in this deep dive discussion. For men in a sexless marriage, the lack of intimacy can lead to emotional disconnection and touch deprivation, also known as skin hunger. Th

The Paradox of Change
Ep 188
Jul 29, 26
45m

Can an Affair Be Wrong and Still Be Understandable? Hits different when your'e Therapist

with The Paradox of Change

Can we understand why an affair happens? What are the precursors we're often blissfully unaware of, and who's responsible once the realisation hits? A therapist's view. Lottie and Elliot break down a scene from Hope Gap: a husband who has been unhappy for 29+ years, and the moment he finally finds

Client Stories

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