Sexual Health & Intimacy Concerns
Low desire. Mismatched libidos. Performance anxiety that arrives precisely when you don't want it. Intimacy that has drifted into routine or disappeared altogether. These are among the most common concerns adults carry — and among the least likely to be brought to anyone.
This page is for the specific, private questions. The clinical reality is encouraging: intimacy concerns respond well to structured therapy, and improvement tends to reach far beyond the bedroom.
What people bring to us
- Desire that has faded — in yourself or between you
- Libido differences that have become a standing conflict
- Performance anxiety and the avoidance it creates
- Difficulty with arousal, orgasm, or pain during sex
- Intimacy after childbirth, illness, or major life change
- Feeling like roommates rather than partners
Why this responds to therapy
Sexual health sits at the intersection of body, mind, and relationship. Medical causes deserve medical care — and we'll encourage you to rule them out — but the patterns that maintain a problem are usually psychological and relational: pressure, avoidance, resentment, shame, or simply never having had the conversation.
Therapy interrupts those patterns. With a clinician holding a doctorate in clinical sexology, the conversation is precise and comfortable faster than most people expect.
What to expect
A calm, clinical, unembarrassed conversation. Clear assessment of what's maintaining the problem. Practical steps between sessions — communication structures, ways of rebuilding touch and trust — matched to your pace. Sessions are 55 minutes, $215 with a sliding scale from $150–194, in person downtown or online anywhere in DC.
Common questions
Ready to begin?
The 15-minute consult is where most people begin.