SEXUAL DESIRE AND LIBIDO

Individual Therapy
Sex isn’t as fun or playful as it could be, leaving you frustrated and disconnected.
When intimacy isn’t happening the way you want, here are some signs things are off:
    • Confusion about sexual desires or lack of sex drive, often after major changes or stress
    • Difficulty exploring or discussing specific desires with a partner
    • Avoiding intimacy, feeling dread before sex, or faking pleasure
    • Experiencing discomfort or pain during sex
    • Worrying about your partner leaving or cheating
    • Hesitant to date due to sex
    • Feeling disconnected from your sexuality or like something is missing
    • Desire to expand your sexuality, but unsure how to do it
Many clients assume something is wrong with them, spending hours searching for answers—more porn! lingerie! supplements!—and even go to therapy without discussing sex openly.

If you’re in a relationship, you might be at a crisis point about sex. The arguments and hurt feelings are causing fears about the future. You might avoid sex altogether to spare yourself the awkwardness, yet the silence can speak volumes. It’s tough to feel like you’re disappointing yourself or your partner.

If you’re ready to improve this part of your life, you don’t have to figure it out alone.

Desire exists on a spectrum.

From low to high and everything in between—it’s all completely normal. As long as consent and legality are clear, there’s no “right” way to want sex. We all have unique and evolving sexual needs and preferences.

The reality is sex doesn’t follow a one-size-fits-all script.

What matters is how you navigate your desire. It’s important to understand what aspects of your sexuality you can control and what you can’t. If you’re unsure where to begin, it makes sense to reach for help.

Sex therapy vs regular individual therapy

It’s completely normal to be eager to understand what’s happening and also unsure or intimidated about what to expect in sex therapy. Many people want reassurance that they won’t be pushed beyond their limits (and you won’t be!). Most importantly, everyone is looking for practical tools to address their concerns.

Sex therapy with me is much like individual therapy—just two people talking—but with a focus on how your life experiences connect to and shape your sexual world. We’ll explore what turns you on or off and work toward the intimacy you desire.

Most therapists have very limited training in sexuality. As a certified sex therapist, I offer specialized expertise in both sexuality and relationships. My holistic approach as a therapist considers your emotional well-being and addresses the root causes of sexual challenges.
Individual sex therapy can help you with:

Lack of desire or low libido

Embarrassment talking about sex

Exploration of fantasies

Changes in health or hormones

Confusion, guilt, or shame about your desires

Reclaiming sexuality after trauma

Questions about your orientation or being "out"

Cultural or religious influences on sexuality

HOW SEX THERAPY WORKS

Topics we can explore:

What if I have other problems besides sex?

While sex may seem like the main stressor, other unresolved issues—stress, life changes, anxiety, or trauma—can also impact your desire. Whether you can pinpoint the cause or not, we’ll explore where you are and find solutions to help you get where you want to be.

The strength of sex therapy is that it addresses the full picture of your life. We’ll explore what affects your sexuality while considering other areas you’re working on, prioritizing any urgent issues first. Once we understand your story, we’ll create a plan to move forward.

I prefer to work with you as your primary therapist. If you already have an individual therapist and want to address sex-related issues with me, I cover that in my FAQs. We can also talk more specifics on our consultation call.

Problems with sex and intimacy rarely get better on their own.

You deserve a vibrant, connected sex life.
Your sexuality isn’t separate from  your physical and emotional well-being—it’s part of it. Whether you’re dealing with changes in your desires or libido, performance anxiety, confusion about your turn ons, or discomfort talking about sex with your partner or therapist, I can help.

I see clients in my office in San Francisco, California. As a certified sex therapist, I work with individuals of all genders, sexual identities, and relationship structures, including non-monogamy. I’m an ally to sex workers and have advanced knowledge of kink practices. Many of my clients are LGBTQIA+, and I often work with people from mixed ethnic and cultural backgrounds (like myself), including first- and second-generation immigrants and BIPOC clients. Come as you are.

If you feel something needs to change, now is the time to take action. You don’t have to do it alone. Contact me for a free consultation.