Sex and Intimacy Concerns

Erectile Difficulties

Struggling to get or maintain an erection can create tremendous stress and pressure. Many people begin to approach sexual experiences with anxiety or fear that the problem will happen again — a pattern that often becomes a painful self-fulfilling cycle. Partners may also experience feelings of concern, rejection, loneliness, frustration, or anger, which can further strain intimacy. In therapy, we work to understand the emotional and physiological factors involved, rebuild confidence, and restore a sense of connection and pleasure.

Ejaculatory Difficulties

Uncontrolled (Premature) Ejaculation:
When climax happens sooner than desired, it can lead to frustration, anxiety, and disappointment for both partners. Therapy can help address the underlying factors — from anxiety to relationship dynamics — and support greater control, confidence, and satisfaction.

Inhibited (Delayed) Ejaculation:
The difficulty or inability to climax with a partner can create distance or tension in relationships. Often, this becomes more noticeable in long-term relationships, where emotional closeness and sexual satisfaction are intertwined. Treatment focuses on understanding the emotional, relational, and physiological roots of the issue and building pathways to greater comfort and trust.

Sexual Trauma

Sexual trauma can profoundly affect the body’s natural cycle of desire and arousal. What once prepared the body to open to pleasure may now feel unsafe, leading to avoidance or emotional shutdown. Therapy offers a safe and compassionate space to process trauma, reconnect with the body, and gently rebuild the capacity for pleasure, trust, and intimacy at your own pace.

Infidelity and Relationship Repair

After an affair or breach of trust, couples often try to fix everything at once — and understandably, it can feel overwhelming. It’s common for one partner to need to revisit the details while the other feels fear or shame about never being forgiven. Successful recovery involves recognizing that healing happens differently for each person. In therapy, I help couples navigate this painful process with empathy and realism, fostering new understanding and rebuilding trust step by step.

Desire Discrepancy or Loss of Libido

Differences in sexual desire are common and can be influenced by relationship dynamics, stress, hormones, mental health, or lifestyle factors. Rather than viewing low desire as a flaw, we explore it as communication — the body’s way of expressing unmet needs or imbalances. Through therapy, mindfulness, self-pleasure practices, and reconnection with one’s somatic experience, it’s possible to restore vitality and deepen intimacy.

Out-of-Control Sexual Behaviors

When sexual behaviors feel distressing, risky, or hard to control, they can lead to shame, conflict, and real-world consequences. Some people describe these experiences as compulsive, others as being “in conflict” with their desires — drawn to them but also repelled or afraid of judgment. Therapy provides a space to explore these patterns without shame, understand the emotional or relational roots beneath them, and move toward healthy, integrated sexuality that aligns with one’s values and authentic self.