Sex Therapy | Sex-Informed Care

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A common issue we see in our practice is that one partner desires more sex, while the other seeks more connection. 

However, they are essentially asking for the same thing.

Often, one partner is pushing for intimacy and physical closeness because that’s how they know everything is OK. 

The other partner is pulling back because they don’t feel emotionally close enough yet to want it, and to feel open and safe.

This creates a common problem where no one is wrong or broken, but you’re in a cycle of disconnection.

It's Like a Tiered Wedding Cake

We provide sex informed care, as our colleague, Janelle Washburne, who has trained our staff, shares,

“Sex therapy is couples therapy, and sexual issues are relationship issues.”

A helpful concept

Janelle has shared the concept of a wedding cake, which informs our approach.

Think of intimacy as a tiered wedding cake.

Before you can build it, you need a table — something sturdy to hold it all up.

Those table is trust, humility, collaboration, commitment, and safety. Without it, you can’t start.

The first tier is emotional intimacy.

That's where you share what's actually going on — your fears, your feelings, vulnerability – what’s below your anger.

There’s a cheesy quote that couples therapists often share,

“Emotional intimacy = into-me-you-see.”

When we understand what’s happening with our partner, it creates a connection and honest sharing that fosters humility, collaboration, and safety. It’s how you get to know each other.

Therefore, it’s important to receive emotional intimacy—by listening, being curious, and sharing what’s real with you.

It creates safety because when we don’t know what’s going on with our partner, we assume the worse.

If my wife goes quiet, I'm not sitting there thinking, "She must be reflecting on how much she loves me." It's more like, "What did I do?"

Emotional intimacy closes that gap.

And when it's there — when both people feel known and safe — physical closeness (touching, cuddling, non-sexual closeness) follows more naturally. Then sexual intimacy (how you two define it) can live on top of that.

If your sex life has gone quiet, you're not broken.

Kara Hoppe, author of Baby Bomb, a therapist I've featured on our podcast, explains it well: couples often find themselves in "the winter" when it comes to sex, especially after kids arrive, as seasons change.

Having kids does not usually improve your sex life.

And it’s important to note that trying to get more sex by pouting, nagging, keeping score, or making your partner feel like the problem is not a good way to go about things.

Higher desire (libido) is a good thing, and lower desire is a good thing too. They are, and one is not better or worse.

Just as some people have a stronger desire for cleanliness, others have a weaker one. A lot of it is based on wiring, and it’s part of who we are.

So, we need to have some acceptance of our partner and the current “season” you may be in.

The first step to more sex is talking about it

When safety, openness, emotional intimacy, and trust have been established, we guide couples in talking about sex.

What is it for you?

We may ask?

What does sex mean to you in this relationship?

Also, what is sex and intimacy? How do you define it?

What did you learn about sex growing up? (We are therapists and have to go there)… From my family, culture, religion?

What do you get out of sex?

Do you both want more or less of it?

What are acceptable forms of intimacy if sex isn't possible right now? (For whatever reason)

Can I grieve where we are, while appreciating what I do have?

Guiding the conversation further (from from Emily Nagaski’s work), we guide couples in reflecting on their “accelerators (things that make you more open to sex) and “brakes (things that block sexual desire).” 

For example, an accelerator may be coming home to a clean house. A brake may be hearing the kids fight or feeling tired.

It is important for couples to explore some of these questions together.

You don't have to figure this out alone

As therapists providing sex-informed care, we strive to help both of you deepen intimacy, creating a situation that's beneficial for everyone.

Our approach draws on Emotionally Focused Therapy, Relational Life Therapy, and sex-informed couples work. We don't pathologize desire or assign blame — we help couples build the kind of relationship where intimacy makes sense.

"Sexual issues are relationship issues. And relationship issues are solvable."

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