Concerns people bring to therapy
- Differences in desire between partners
- Loss of desire or closeness, including after a baby, an illness, or a major change
- Emotional distance, or feeling unwanted or neglected
- Anxiety or shame around sex
- The effects of past trauma on intimacy
- Difficulty talking about sex at all
The emotional side of intimacy
Intimacy rests on trust, respect, attention, and communication. When one of those erodes, closeness usually suffers, and the distance can then feed more conflict. Therapy looks at that cycle: what each person brings from their own history, what has built up between you, and what would help you reconnect.
Medical factors
Sexual difficulties can have physical causes, including hormonal changes, medications, and medical conditions, alongside emotional ones. If something physical is changing, a visit with your physician or gynecologist or urologist is an important part of the picture. Therapy focuses on the emotional and relational side and works alongside medical care rather than replacing it.
Individually or as a couple
These concerns can be part of individual therapy or couples therapy. When you call, you can talk with Dr. Lehmann about which format makes sense for you.
Learn more
Relationships, Couples, Intimacy, and Family Wellness Hub: guides on when should couples consider therapy; individual therapy vs. couples therapy: which setting fits the concern, and related questions.
Common questions
Will I have to go into detail right away?
No. You set the pace, and many people start by talking about the relationship more generally.
Is this sex therapy?
This is psychotherapy with a licensed clinical psychologist that can include sexual and intimacy concerns. Ask Dr. Lehmann about her training and approach if a specific kind of sex therapy is important to you.