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Dr. Laura LehmannPsyD, LP · Clinical Psychologist · Franklin, MI

Intimacy and Sexual Concerns Guide · Part 2: Talking, reconnecting and sorting out causes

Faith, Religious Upbringing, and Sexuality

From Dr. Laura Lehmann, PLLC · General education · Published

The short answer

Faith can give sex meaning and deepen trust between partners, and for many people it does. Difficulty tends to arise when messages absorbed in childhood, often fear, silence or shame, collide with adult desire or marriage. Therapy does not ask you to give up your beliefs. It can help you sort out which values are truly yours and how to live them with less guilt and more closeness.

Faith and sexuality are not natural enemies

For many people, religious faith shapes how they understand love, commitment and the body. It can give sex a sense of meaning and covenant, and shared values can strengthen trust between partners. This article is not about whether any tradition is right about sex. It is about what can happen when what you learned growing up, at home, in a congregation or in a youth group, becomes hard to reconcile with the sexual life you now want or are expected to have.

The difficulty is often less about belief itself than about how it was taught. A child who heard only warnings, or who heard nothing at all, may reach adulthood with plenty of fear and very little information. Those are two different problems, and telling them apart is often the first step.

The empty interior of a bright wooden-roofed church with rows of pews

How early messages can show up later

Researchers distinguish two related experiences. Guilt is the sense of having done something wrong. Sexual shame goes further: a 2026 review by Coates and Meston in Sexual Medicine Reviews describes it as feeling inherently flawed or abnormal as a sexual being. The review found that sexual shame tends to be higher when people believe they are breaking religious sexual norms, while noting that research in this area is still young and some results are mixed.

A 2012 study of university women by Woo and colleagues found that higher religiosity was associated with more sex guilt, and that sex guilt appeared to be one route through which religiosity was linked to lower desire. That is a finding about guilt, not a finding that faith is harmful. It suggests that the guilt, rather than the belief, may be what gets in the way.

In everyday life, this can look like:

  • Feeling anxious or numb during sex, even within a marriage you believe sex belongs in
  • Guilt afterward that does not match anything you think you actually did wrong
  • Finding that a lifetime of "not yet" does not switch to "yes" on a wedding day
  • Avoiding touch, or going through the motions while feeling far away
  • Embarrassment about basic anatomy or questions you were never allowed to ask
  • Tension with a partner who was raised with different rules, or none

The body is involved too. ACOG notes that emotions such as fear, guilt, shame and embarrassment can make it hard to relax, that arousal is difficult without relaxation, and that pain may result. The ISSM similarly notes that men who feel conflicted about sex because of religious or cultural beliefs may have erection difficulties with psychological causes. Pain or a change in how your body works still deserves a medical visit first, whatever you suspect the cause is.

Reconciling values and sexuality

People often assume there are only two options: keep every rule exactly as it was taught, or leave faith behind. Many find a third path. They keep the convictions that matter to them while letting go of fear-based messages that were never central to their tradition. Some find it helpful to talk with a trusted clergy member, or to read what their own tradition teaches about sex within marriage or a committed relationship, which can be more affirming than what they absorbed as children.

Questions worth reflecting on, alone or with a partner:

  • What did I actually learn about sex growing up, and who taught it to me?
  • Which of those beliefs do I still hold as an adult, and which were mostly fear?
  • What does my faith say sex is for, and does my experience reflect that?
  • What would I want a child of mine to learn differently?

For couples, it often helps to talk about upbringing directly, not only about frequency or what happens in bed. Two people can share a faith and still have been raised with very different messages. How to Talk With Your Partner About Sex offers a gentle place to start.

A woman in a long cardigan standing in a field at dusk, holding a book to her chest

If your beliefs have changed

Some people change their beliefs in adulthood or leave a religious community. Old messages can linger even after the belief behind them has gone, and leaving can bring grief, family tension or the loss of a community along with relief. Others remain deeply committed and simply want intimacy in their marriage to feel less fraught. Both are reasonable starting points, and neither needs to be settled quickly.

When sexual orientation or gender identity is part of the tension between faith and self, it can be especially painful. Intimacy Concerns in LGBTQ+ Relationships covers related ground.

How therapy can help

A therapist's role is not to change your beliefs or to steer you toward or away from religion. It is to help you understand how what you learned shapes what you feel now, and to decide for yourself how you want to live. The American Psychological Association notes that if you would like to work with a psychologist who shares your religious views or cultural background, you can ask about it, and the answer can tell you a lot about whether you will work well together.

In practice, the work might mean tracing where a particular fear came from, noticing when an old voice shows up in the moment, grieving what was missed, or finding words for something you have never said aloud. For some people the goal is to enjoy intimacy fully within their faith. For others it is to make peace with beliefs that have changed. Either goal is legitimate, and you decide which one is yours.

Dr. Lehmann's approach is insight-oriented and integrative: it looks at personal history and family patterns as well as what is happening now, with practical feedback along the way. Sexual concerns linked to upbringing can be part of therapy for intimacy and sexual concerns. If you would like to know how she approaches faith and values in therapy, you are welcome to ask when you call.

If you are thinking about suicide or feel unable to keep yourself safe, call or text 988 (the Suicide & Crisis Lifeline) or text HOME to 741741. In Oakland County, Common Ground is available at 1-800-231-1127. Call 911 for any immediate danger or medical emergency. Dr. Lehmann's practice is not an emergency service and does not offer after-hours crisis care.

Common questions

Is it unusual to feel guilty about sex even after marriage?

No. The ISSM notes that guilt after sex can have hormonal, emotional and cultural roots, and that beliefs absorbed about sex can feed it. If it happens often, talking with a health professional can help you understand where it comes from.

Will a therapist try to talk me out of my faith?

A therapist should respect your beliefs and work toward your goals, not theirs. If you ever feel pushed in a direction you do not want to go, say so. A good therapist will welcome that conversation.

My partner and I were raised with very different beliefs. Can we work on this together?

Many couples do. Intimacy concerns can be part of individual therapy or couples therapy, and you can ask Dr. Lehmann which format fits your situation when you call.

What if I was taught almost nothing about sex?

That is common, and a lack of information is not a personal failing. A physician can answer medical questions without judgment, and therapy can be a place to ask the questions you were never allowed to ask.

If you would like to talk through how your upbringing shapes intimacy now, the New Clients page explains how to get in touch.

Intimacy and Sexual Concerns →

Sources

  1. Coates & Meston, Sexual shame: a narrative review (Sexual Medicine Reviews, 2026)
  2. Woo et al., Sex guilt mediates the relationship between religiosity and sexual desire (Archives of Sexual Behavior, 2012)
  3. ACOG: When Sex Is Painful
  4. ISSM: How can I manage performance anxiety and psychogenic erectile dysfunction (ED)?
  5. ISSM: What Does It Mean to Experience Feelings of Guilt After Sex?
  6. American Psychological Association: Understanding psychotherapy and how it works

This guide is general education and is not medical advice, a diagnosis, or a substitute for care from a qualified professional. Back to Intimacy and Sexual Concerns Guide.

Dr. Laura Lehmann, PLLC

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