Intimacy Counseling for Couples in San Francisco
Online Sex Therapy Services
Are you a high-achieving couple struggling with emotional distance, sexual difficulties, or intimacy issues that threaten your relationship? As a specialized sex therapist and intimacy counselor, I help successful couples across San Francisco and California rebuild their emotional connection and restore sexual satisfaction through evidence-based couples therapy.
My online practice serves high-performing professionals who have excelled in their careers but find themselves facing relationship challenges that success in other areas hasn't prepared them for. Through personalized sex therapy and intimacy counseling, I help couples navigate complex dynamics while honoring the unique pressures of high-achievement lifestyles.
What Is Intimacy Therapy and Sex Therapy?
Intimacy therapy is a specialized form of couples therapy that focuses on rebuilding both emotional intimacy and sexual satisfaction in relationships. Unlike general couples therapy, my approach as a sex therapist specifically addresses the complex interplay between emotional connection and sexual experiences that many couples struggle to navigate alone.
My intimacy counseling for couples combines evidence-based therapeutic modalities including Relational Life Therapy (RLT), Internal Family Systems (IFS), and Brainspotting to address both psychological and neurological aspects of intimacy challenges. This comprehensive approach ensures that all underlying issues affecting your relationship satisfaction and sex life receive proper attention.
Through online sessions, I provide directive yet compassionate guidance that creates real change in how you connect with your partner. Every couple's journey is different, which is why I develop personalized treatment plans that address your specific sexual needs, communication patterns, and relationship goals.
Who I Help: High-Achieving Couples Ready for Change
My intimacy therapy and sex therapy services are designed specifically for accomplished couples facing relationship crises. I work with partners who are:
High-performing professionals who have prioritized career and family while their relationship suffered
Couples considering separation or divorce but want to explore whether their relationship can be saved
Partners dealing with infidelity, betrayal trauma, or significant trust issues
Couples experiencing sexual problems, mismatched libidos, or decreased sexual satisfaction
High-conflict couples who struggle with communication and frequent arguments
LGBTQ+ couples seeking affirming support for their unique challenges
Executives and professionals managing work-life balance pressures that affect intimacy
Couples with trauma histories impacting their emotional and sexual connection
Many couples I work with describe feeling like roommates rather than romantic partners. They often have older children or kids in college and are now facing long-ignored relationship issues. These are typically high-income individuals with strong commitment to change, whether that means rebuilding their relationship or making informed decisions about their future.
Common Intimacy Issues and Sexual Problems I Address
Through my work as a sex therapist with couples in San Francisco, I regularly help partners overcome various intimacy challenges and sexual difficulties:
Communication and Emotional Intimacy:
Difficulty expressing sexual needs and emotional desires
Emotional withdrawal and decreased vulnerability
Inability to discuss sensitive topics without conflict
Loss of emotional connection and friendship
Sexual Satisfaction and Intimacy Issues:
Low libido and mismatched sexual desires
Sexual problems affecting relationship satisfaction
Performance anxiety and body image concerns
Decreased frequency and quality of sexual experiences
Difficulty maintaining interest in sex life over time
Trust and Relationship Dynamics:
Rebuilding trust after infidelity or betrayal
Resolving conflicts that create ongoing tension
Power imbalances affecting both emotional and sexual intimacy
Past trauma impacting current sexual relationships
Life Transitions and Stressors:
Empty nest syndrome affecting couple dynamics
Career pressures interfering with relationship priorities
Health changes impacting sexual satisfaction
Aging and its effects on both emotional and physical intimacy
My Approach: Evidence-Based Sex Therapy and Intimacy Counseling
As a trained therapist specializing in both couples therapy and sex therapy, I integrate multiple therapeutic modalities to create comprehensive treatment plans. My approach combines:
Relational Life Therapy (RLT) addresses how individual psychology affects relationship dynamics and sexual satisfaction. This approach is particularly effective for high-achieving couples because it addresses perfectionist tendencies and control issues that often interfere with vulnerable connection and sexual expression.
Internal Family Systems (IFS) helps individuals understand different aspects of themselves that may create intimacy issues or sexual difficulties. Many high-performers develop internal systems focused on achievement that can interfere with the vulnerability required for deep emotional and sexual connection.
Brainspotting addresses neurological aspects of trauma and attachment that traditional couples therapy sometimes cannot reach. This approach effectively treats betrayal trauma, sexual trauma, and other experiences that have created nervous system dysregulation affecting both emotional intimacy and sexual satisfaction.
Deep Healing Couples Intensives provide extended sessions for breakthrough work that might take months to achieve in traditional weekly therapy. Intensives are particularly beneficial for couples facing urgent decisions about their relationship's future or those dealing with complex trauma histories.
My style is compassionate yet pragmatic—directive but kind, trauma-informed yet solution-focused. I believe in holding space for pain while actively working toward healing and growth in both emotional and sexual aspects of relationships.
What to Expect: The Intimacy Counseling Process
Free Consultation Call Our work begins with a complimentary consultation where we discuss your specific intimacy challenges and sexual concerns. This conversation helps determine whether my approach aligns with your needs while allowing you to ask questions about sex therapy and intimacy counseling methods.
Comprehensive Assessment If we decide to work together, I provide a detailed workbook to complete before our first session. This assessment helps me understand your relationship history, sexual experiences, and current challenges to design a personalized approach addressing your specific situation.
Active, Interactive Sessions My online sessions combine couples therapy and sex therapy principles through active, directive work rather than passive conversation. I provide specific guidance and feedback while creating safety for both partners to express their emotional needs and sexual concerns.
Homework and Integration Between sessions, I assign practical exercises designed to help you implement new skills in your daily life and intimate relationship. This might include communication practices, intimacy-building activities, or individual reflection work to support progress.
Ongoing Support I'm available for brief contact between sessions when you need clarification or support implementing new approaches. This ongoing availability helps ensure you feel supported throughout your healing journey.
Specialized Areas of Expertise
Couples Therapy After Infidelity Specialized intervention for betrayal trauma affecting both emotional intimacy and sexual satisfaction, with focus on rebuilding trust and restoring connection.
Last Resort Marriage Counseling Intensive work for couples considering divorce, helping determine whether relationship challenges can be resolved through dedicated couples therapy and sex therapy.
High Conflict Couples Therapy Addressing communication patterns that create ongoing tension while teaching partners to approach conflict collaboratively rather than adversarially.
Executive Couples Therapy Understanding unique pressures faced by senior professionals and how career demands affect both relationship satisfaction and sexual experiences.
ADHD Couples Therapy Addressing how attention differences impact communication, emotional regulation, and sexual experiences within relationships.
LGBTQ+ Couples Therapy Affirming support for diverse expressions of sexuality and gender while addressing relationship challenges around emotional and sexual intimacy.
Trauma-Informed Intimacy Work Integrating understanding of how past experiences affect current relationship patterns, emotional connection, and sexual satisfaction.
The Benefits of Professional Intimacy Counseling
Couples who engage in sex therapy and intimacy counseling with me often experience significant improvements including:
Enhanced Emotional Connection: Rediscovering the emotional intimacy that originally brought you together while developing skills for maintaining deeper connection
Improved Sexual Satisfaction: Addressing sexual problems and intimacy issues to restore pleasure and fulfillment in your sex life
Better Communication: Learning honest communication techniques that work for both emotional needs and sexual desires
Restored Trust: Rebuilding security and safety in your relationship after betrayal or ongoing conflicts
Stress Reduction: Feeling supported by your partner helps you handle external pressures more effectively
Personal Growth: The vulnerability required for intimate connection often catalyzes individual development and authenticity
Is Intimacy Therapy Right for Your Relationship?
Consider intimacy counseling if you're experiencing:
Emotional distance or feeling like roommates
Sexual problems or decreased satisfaction in your sex life
Frequent conflicts that remain unresolved
Trust issues or betrayal trauma
Difficulty communicating about sensitive topics
Past experiences affecting your current relationship
The couples who benefit most from my work approach the process with genuine commitment to examining their own contributions while remaining open to new approaches for building emotional intimacy and improving sexual satisfaction.
Why Choose My Intimacy Counseling Services
As a sex therapist specializing in high-achieving couples, I understand the unique challenges you face. My approach offers:
Specialized Expertise: Extensive training in both couples therapy and sex therapy modalities
High-Achiever Focus: Understanding of professional pressures and perfectionist tendencies
Efficient Approach: Directive methods that respect your time while creating lasting change
Online Convenience: Access specialized care from anywhere in California
Personalized Treatment: Every intervention tailored to your specific relationship dynamics
Trauma-Informed Care: Safe, effective approaches for complex emotional and sexual healing
Take the Next Step Toward Relationship Transformation
If you're ready to invest in your most important relationship with the same dedication you bring to your professional success, I'm here to support you. Many couples wait longer than necessary to seek help, hoping that intimacy issues and sexual problems will resolve independently.
Your relationship and sex life deserve expert attention. Through dedicated work on both emotional intimacy and sexual satisfaction, couples can rebuild the deep connection that supports lasting happiness and well-being.
Ready to begin your journey toward renewed intimacy and sexual satisfaction?
Contact me today to schedule your free consultation call. Together, we'll determine whether my approach aligns with your needs and begin the process of rebuilding the emotionally and sexually fulfilling relationship you both deserve.
During our consultation, we'll discuss your specific challenges, explore how sex therapy and intimacy counseling can help, and create a personalized plan for restoring connection and passion in your partnership.
Transform your relationship today. Your future together starts with this conversation.