SEX THERAPY & INTIMACY

When Desire Changes

Desire isn't static.

It can shift with age, hormones, stress, medication, pregnancy and parenting, menopause and perimenopause, illness, grief, relationship changes, trauma, body changes and simply the evolution of who we are.

Sometimes desire disappears. Sometimes it becomes difficult to access. Sometimes you want something different from what you've wanted before.

And sometimes the question isn't “How do I get my libido back?” but:

“What does my desire actually want to tell me?”

Therapy can provide space to become curious about those changes without judgment or pressure. Together, we can explore what may be getting in the way of desire and what conditions help you feel more present, connected, playful and alive.

Mismatched Desire & Sexual Disconnection

One partner wants sex more often. One wants it less. One wants more affection but not necessarily sex. One feels rejected while the other feels pressured.

Differences in desire are incredibly common—and they can become painful when couples get caught in cycles of pursuit, withdrawal, criticism, avoidance or resentment.

I help couples slow down these patterns and explore what is happening underneath them.

We may work with:

• Mismatched levels of desire

• Changes in sexual frequency

• Difficulty initiating or receiving intimacy

• Feeling rejected or pressured

• Sexual avoidance

• Resentment around sex

• Difficulty talking about sexual needs

• Emotional disconnection

• Rebuilding physical and emotional intimacy

The goal isn't to force desire into a particular shape or frequency.

It's to create enough honesty, safety and curiosity for both people to understand themselves—and each other—more deeply.

Sexual Confidence & Body Image

It can be difficult to feel fully at home in your sexuality when you don't feel at home in your body.

Body changes, aging, pregnancy, illness, weight changes, menopause, cultural messages, comparison and past experiences can all affect how we experience ourselves sexually.

You may find yourself thinking:

Do I still feel desirable?

Can I let someone really see me?

How do I feel sexy in this body?

What happened to the confidence I used to have?

Am I allowed to want pleasure?

Therapy can be a place to untangle shame and reconnect with your body without requiring you to look, perform or feel a certain way.

We can explore body image, sexual confidence, vulnerability, pleasure and the complicated relationship between how you see yourself and how you allow yourself to be seen.Pleasure, Desire & Authentic Sexuality

I believe pleasure can be a meaningful part of psychological and relational wellbeing.

That doesn't mean that everyone needs to have more sex, pursue a particular kind of sexuality or become someone they're not.

It means having the freedom to ask:

What feels good to me?

What do I want?

What don't I want anymore?

What have I been taught to want?

What happens when I listen to my own desire?

For some people, therapy involves reclaiming sexuality after years of shame, suppression or caretaking. For others, it means becoming more comfortable expressing desire, setting boundaries or exploring a sexuality that feels more authentic.

My work is grounded in consent, curiosity and self-trust—not performance or prescription.

Your sexuality belongs to you.

Sex After Infidelity or Relationship Rupture

Infidelity can profoundly affect both emotional and sexual intimacy.

After a betrayal, couples may experience anger, grief, fear, intrusive thoughts, sexual disconnection or an unexpected increase in sexual activity. Sometimes one or both partners are unsure whether they want to repair the relationship at all.

There is no single correct response.

Therapy can provide a space to slow down, understand what happened and explore what each person needs moving forward.

For couples choosing to repair, we may work with rebuilding trust, communicating honestly, understanding the relational context of the rupture and gradually creating new forms of emotional and sexual intimacy.

For individuals, therapy may focus on grief, self-trust, boundaries, sexuality and making meaning of what has happened.

The work isn't about pretending the rupture didn't happen.

It's about deciding what becomes possible from here.

Sexuality in Midlife

Midlife can be an extraordinary time for sexual reorientation.

Your body may be changing. Your relationships may be changing. Your children may be growing up. You may be dating again, leaving a marriage, entering a new partnership, questioning old assumptions or discovering desires you didn't have the language—or permission—to name before.

For many people, sexuality becomes less about performing an expected role and more about asking what is actually true now.

I work with adults navigating:

• Sexuality and desire in midlife

• Perimenopause and menopause-related changes in sexuality

• Dating after divorce or a long-term relationship

• Changing sexual identities or desires

• Body image and aging

• Sexual confidence

• Long-term relationship and erotic disconnection

• Exploring pleasure later in life

• Reclaiming sexuality after years of caretaking

• Questions about what you want your intimate life to look like now

Midlife doesn't have to mean the end of erotic vitality.

It can be an invitation to become more honest about what you want—and more willing to build a life around it.

My Approach to Sex Therapy

My approach draws from psychodynamic, relational, Gestalt and sex therapy perspectives, with an appreciation for embodiment and the ways our bodies often know things before our minds have words for them.

We'll explore both the what and the why:

What is happening in your sexual and intimate life?

What patterns keep repeating?

Where did you learn those patterns?

What are you longing for?

What feels possible now?

I bring warmth, directness, curiosity and a willingness to talk about things that can sometimes feel difficult, awkward or deeply personal.

You don't need to have everything figured out before you begin.

You just need enough curiosity to start.

Who I Work With

I work with adults and couples of diverse identities, relationship configurations and sexual orientations, including people navigating long-term partnerships, new relationships, divorce, dating, midlife transitions and changing sexual identities.

My practice is affirming of LGBTQ+ identities, diverse relationship structures and consensual approaches to sexuality and intimacy.

If you're unsure whether sex therapy is the right fit for what you're experiencing, you're welcome to reach out for a consultation.

Ready to Talk?

You don't have to navigate questions about intimacy, desire or sexuality alone.

Let's create a space where you can be honest about what you're experiencing—and curious about what you want next.