Individual and Couples Therapy for:

Sexual Pain, Vaginismus, and Pelvic Floor-Related Concerns

Pain with intimacy can feel confusing, frustrating, and isolating. I work with women experiencing dyspareunia, vaginismus, pelvic floor tightness, fear of pain, avoidance of intimacy, anxiety around penetration, or difficulty feeling safe and relaxed during physical closeness.

Therapy can support a gentle, paced approach alongside medical or pelvic floor treatment when needed.

Desire Differences, Low Desire, and Arousal Challenges

Many couples struggle when one spouse wants intimacy more often than the other. Desire differences can lead to rejection, pressure, guilt, resentment, or loneliness.

Desire and arousal are affected by stress, safety, emotional connection, body image, hormones, life stage, pressure, and relationship dynamics. Therapy can help you better understand what may be affecting desire and what helps create more openness, presence, and connection.

Intimacy, Pressure, and Communication Challenges

Intimacy can feel complicated when there is pressure, distance, anxiety, or uncertainty about what is getting in the way. Many couples want to talk about intimacy but do not know how to do it without hurting each other, shutting down, or getting stuck in the same argument.

Therapy can help couples understand these patterns and begin creating more safety, clarity, and connection.

Erectile Dysfunction, Performance Anxiety, and Orgasm Difficulties

Erectile difficulties, performance anxiety, and orgasm concerns can bring up shame, anxiety, avoidance, pressure, or fear of disappointing a spouse.

These challenges can be affected by stress, anxiety, body awareness, pain, past experiences, arousal patterns, and relationship dynamics.

Emotional Distance and Rebuilding Connection

When couples feel emotionally distant, intimacy often becomes more difficult too. Therapy can help rebuild emotional safety and create more room for closeness, honesty, and connection.

Intimacy After Life Transitions

Pregnancy, postpartum, infertility, medical issues, hormonal changes, menopause, aging, stress, and body image changes can all affect intimacy. Therapy can help individuals and couples make sense of these changes with compassion and realistic support.