← Couples Therapy

Intimacy
and Desire

Physical intimacy couples therapy Hermosa Beach

Emotional Intimacy

Emotional intimacy is the experience of feeling known by another person and remaining willing to know them in return. Both halves take work. To be known, you have to know yourself well enough to show it. To know your partner, you have to accept that their inner life runs on its own logic, which won’t always agree with yours.

You can love someone and still feel far away from them. You can talk every day and rarely reach anything important. Intimacy develops as a series of capacities, each resting on the one before it, and when closeness breaks down, it tends to break at a specific point in that series. Where does it break down for the two of you?

Knowing What You Feel

Intimacy starts inside one person. Before your partner can know you, you need some access to what you feel and want, and plenty of capable adults have very little. People who grew up managing a volatile parent, or who built careers on staying composed under pressure, often learned to read everyone in the room except themselves. Ask them what they feel and they’ll tell you what they think.

Researchers call the far end of this alexithymia, a difficulty identifying and describing emotions, and studies link it to lower relationship satisfaction for both partners. In session we slow down enough to notice what’s happening in you before you speak, so there’s something to share besides the conclusion.

Saying What You Need

A need you can’t name tends to come out sideways. It shows up as criticism, as withdrawal, or as a fight about the dishes that was never about the dishes. Stating a need directly is exposing because it admits you depend on someone who could say no.

So people hint, test, wait for their partner to guess, and count the misses. Research on the intimacy process (Reis and Shaver) finds that closeness depends less on how much partners disclose than on whether each one feels understood and cared for in response. Therapy works on turning the complaint back into the need behind it and saying it in a form your partner can take in.

Hearing Your Partner’s Experience

The other half of intimacy is receiving another person’s experience as theirs, including the parts that don’t flatter you, don’t match your memory, or ask something of you. The psychoanalyst Jessica Benjamin calls this mutual recognition: each partner seeing the other as a separate center of experience instead of an extension of their own needs.

It’s harder than it sounds. When your partner says they felt dismissed at dinner, the reflex is to check the claim against your own record. Did I dismiss them? Is that fair? Listening turns into a trial, and your partner ends up arguing for the right to have felt what they felt.

Tolerating Difference

Two people can remember the same evening and come away with incompatible accounts. Couples get stuck when one account has to lose for the other to count. What would change if you didn’t need your partner to agree with you in order to feel understood?

Murray Bowen called the underlying capacity differentiation: staying connected to your partner while remaining yourself, and settling your own anxiety instead of requiring them to change so you can feel calm. David Schnarch took it further and argued that a couple’s depth of intimacy is limited by how much separateness each partner can bear.

"Being heard is so close to being loved that for the average person, they are almost indistinguishable."

— David Augsburger

Staying Curious During Conflict

Curiosity is usually the first thing to go. Once you feel threatened, your attention narrows to defending your position, and your partner turns from a person into an argument. “Why would you do that?” stops being a question and becomes a verdict.

Curiosity here means holding your own hurt while still wanting to know what the moment was like for them. What were they afraid of? What did your reaction look like from where they sat? We practice this in session, often in the middle of the disagreement you came in with, because that’s where it’s hardest.

Rupture

Every close relationship has ruptures: the missed bid, the sharp tone, the forgotten promise, the night one of you needed comfort and the other was somewhere else in their head. Ed Tronick’s research found that even well-attuned mothers and infants are in sync only about a third of the time. Security came from the repeated experience of finding their way back into sync. The direction a relationship takes depends far more on what happens after a rupture than on how often ruptures occur.

How Resentment Builds

Resentment is what an unrepaired rupture turns into. Each hurt that goes unaddressed gets filed, and over time you stop responding to the partner in front of you and start responding to the accumulated record. A small lapse lands with the weight of fifty earlier ones. Your partner sees only the small lapse, reads your reaction as out of proportion, and now there’s a new grievance on their side.

Resentment also protects. It keeps you from reaching again for someone who has disappointed you. That makes sense, and it also keeps the distance in place. Is part of you keeping score because letting go of the list would mean risking hope again?

Repair

An apology alone rarely repairs anything. Repair usually requires the partner who caused the hurt to understand its impact in terms the other person recognizes, and the hurt partner to let that understanding register. In Gottman’s research, whether a couple’s repair attempts succeed predicts the relationship’s course better than how often they fight.

In therapy we look at why repair fails between you. Sometimes the apology arrives before the understanding does. Sometimes the hurt partner can’t accept it yet, because accepting it feels like closing a case that was never heard. Both are workable.

Continuing to Reach

Intimacy stays alive through small reaches that Gottman called bids: a comment about the news, a hand on a shoulder, “look at this.” In his follow-up of newlyweds, couples still married six years later had turned toward each other’s bids about 86 percent of the time. Couples who divorced had done so about 33 percent of the time. Reaching after a rupture takes more nerve than reaching the first time, because now you know what it costs when it doesn’t land.

Emotional Intimacy Couples Therapy in Hermosa Beach and Throughout California

I work with couples in Hermosa Beach and throughout California through secure telehealth. My approach is psychodynamic and relational, with training in couples therapy, mediation, and intimacy-focused work.

If you want to understand each other more deeply, communicate with greater honesty, and feel more connected to the person you chose to build your life with, we can begin there.

Let’s Begin

Physical Intimacy and Desire

Sexual desire is complicated. It is influenced by the body, the mind, the relationship, and the circumstances of your life. It can change over the course of a relationship, and understanding that change requires looking at more than how often you have sex.

You can love your partner deeply and experience less desire. You can still find your partner attractive while having difficulty accessing sexual desire. You can want more physical connection while feeling rejected, or want less while feeling pressured. And sometimes attraction itself has changed.

The question is what has changed, what is contributing to it, and what you want to do about it.

Desire
and Attraction

Desire and attraction are related, but they are not the same experience.

Desire can be affected by stress, resentment, exhaustion, medication, illness, hormonal changes, parenting, body image, pain, conflict, and the amount of psychological space available for sexuality. Attraction can also change as your experience of your partner changes.

This is particularly important in long relationships. The person you once experienced primarily as a romantic or sexual partner can gradually become associated with unresolved conflict, disappointment, responsibility, or hurt. When those experiences accumulate, they can affect the way you see the person you love.

There is no single explanation for a change in physical intimacy. The work is to understand what has happened rather than deciding too quickly what it means.

What Couples Say

Resentment Can Change
the Way You See Your Partner

Resentment can alter attraction in ways that are difficult to separate from the sexual relationship itself.

Feeling taken for granted, carrying an unequal share of responsibility, repeated disappointment, criticism, unresolved conflict, or a hurt that was never repaired can change how you experience your partner. The person you once experienced erotically can become associated with everything that has accumulated between you.

Stress can compound this. Work, children, financial pressure, illness, exhaustion, and the demands of daily life can leave little room for erotic attention. Physical intimacy can begin to feel like another responsibility rather than something freely chosen.

That does not tell us whether attraction is gone or whether it can change again. It tells us that the sexual relationship cannot always be understood separately from the relationship itself.

When Sex Becomes
a Source of Pressure

Sexual difficulties can create a cycle that is painful for both people.

One partner reaches for more physical connection and experiences rejection. The other begins to experience initiation as pressure and pulls away further. The more one pursues, the more the other withdraws.

Over time, the disagreement can take on meanings far beyond sex.

A lack of physical intimacy can come to mean, “You don’t want me.”

Repeated initiation can come to mean, “You don’t hear me when I say no.”

A difference in desire can become an argument about attraction, love, rejection, commitment, or the future of the relationship.

Understanding that cycle requires paying attention to what happens before, during, and after sexual interactions, including what each person is experiencing and what each person believes the other's behavior means.

Spontaneous and
Responsive Desire

People do not all experience desire in the same way.

Spontaneous desire is the experience of wanting sexual activity before sexual stimulation or physical contact begins. Responsive desire develops in response to emotional or physical stimulation. A person may not initially feel desire but may become interested as they become relaxed, connected, physically engaged, or receptive.

Responsive desire is not lesser desire. Understanding the distinction can help separate a difference in how desire develops from a conclusion that attraction has disappeared.

Emily Nagoski's work on the sexual response system offers another useful framework: accelerators and brakes. Accelerators are the conditions that make sexual interest easier to access. Brakes are the conditions that inhibit it.

For some people, the brakes may include:

StressResentmentAnxietyExhaustionPainBody-image concernsMedicationLack of privacyUnresolved conflictFeeling pressuredEmotional disconnection

Understanding those factors can be more useful than simply trying to increase sexual activity.

Sexuality
and the Body

Sexuality is psychological, relational, and physical.

Hormonal changes, perimenopause and menopause, postpartum changes, testosterone levels, chronic illness, pain, sleep, medication, and other health factors can affect desire, arousal, orgasm, and sexual function.

A change in sexual functioning should not automatically be interpreted as evidence of a relationship problem. Part of responsible clinical work is recognizing when a medical evaluation may be appropriate and coordinating with a physician when necessary.

The goal is to understand how the physical and psychological aspects of sexuality interact rather than reducing one to the other.

Being Present
in Your Body

Sexual intimacy also requires attention.

You can be physically present with your partner while your attention is somewhere else: monitoring your body, evaluating your appearance, wondering whether your partner is enjoying themselves, worrying about performance, or anticipating how you are being perceived.

Sex therapists sometimes refer to this as spectatoring. When attention becomes focused on observation and evaluation, it can become harder to remain engaged in your own physical experience.

Understanding what pulls you out of your body and what allows you to remain present can be an important part of sexual work.

Talking
About Sex

You can be articulate, confident, and direct in almost every other area of your life and still have difficulty talking about sex.

You may know what you do not want without knowing how to say what you do want. You may want something that feels vulnerable to ask for. You may be afraid that telling your partner the truth will hurt them, disappoint them, or change the way they see you.

Couples can also go years without discussing what physical intimacy means to each person, how they prefer to initiate, what makes them feel desired, what makes them uncomfortable, or what has changed.

Therapy creates space for those conversations.

The goal is not simply to determine whether you are having enough sex. It is to understand what you want from your sexual relationship, what has changed, what has become difficult to say, and what each of you needs to understand about the other.

When Desire
Changes

Sexuality changes as life changes.

Pregnancy, parenting, postpartum recovery, career demands, illness, grief, aging, menopause, medication, and significant changes within the relationship can all affect physical intimacy.

Sometimes the change happens gradually. Sometimes it follows a specific event.

The work is not necessarily to return to the way things were. It is to understand your sexual relationship as it exists now and decide what you want it to become.

That may involve rebuilding attraction, changing the way you approach sex, addressing resentment, creating more room for intimacy, understanding a difference in desire, or recognizing that something deeper in the relationship needs attention.

A Deeper Approach
to Sexual Intimacy

I do not approach sexual concerns as though there is one technique that will restore desire.

Sexuality is connected to how each person experiences themselves, how they experience their partner, and what has developed between them over time. I want to understand the sexual concern in that larger context.

My training includes clinical sexology, Gottman Method Couples Therapy, Emotionally Focused Therapy, and Relational Life Therapy. My work is also psychodynamic and depth-focused, which means I am interested in the experiences and dynamics beneath the presenting problem.

I am direct about sex. We talk about what is difficult to talk about, examine what each person is experiencing, and work toward a clearer understanding of what needs to change.

Training includes

Clinical Sexology
Doctoral coursework and advanced clinical training in human sexuality, desire, sexual function, and the psychology of intimacy.
Gottman Method and Emotionally Focused Therapy
Approaches that provide frameworks for understanding the relational dynamics that influence intimacy and connection.
Relational Life Therapy
A direct, accountable approach to the relational dynamics that can affect desire, conflict, and connection.

"Real intimacy is the ability to be who you are, in the presence of someone you love, without losing yourself."

Terry Real

Begin the Conversation

If it's time to talk about
getting closer,
begin here

If physical intimacy has become a source of distance, frustration, rejection, or uncertainty, you do not have to keep trying to solve it through the same conversations.

I work with couples addressing physical intimacy and sexual concerns in Hermosa Beach, Manhattan Beach, Redondo Beach, Palos Verdes, the South Bay, and throughout California via telehealth.

If you're ready to do the work, let's begin.

FAQ

Questions About Desire and Intimacy

Why does desire fade in long-term relationships?

Desire loss in long-term relationships is rarely caused by a single factor. It usually reflects a combination of biological, psychological, and relational influences: hormonal shifts, accumulated resentment, mismatched desire styles, body image, and stress.

Can couples therapy help with sexual intimacy issues?

Yes. Therapy can address the relational dynamics, psychological factors, and physical contributors that affect sexual intimacy, along with the conversations couples have not been able to have directly. My doctoral training in clinical sexology informs this work.

What is the difference between spontaneous and responsive desire?

Spontaneous desire arises on its own, without much external prompting. Responsive desire emerges in response to arousal or closeness, often after physical connection has already started. Many people in long-term relationships experience mostly responsive desire and assume something is wrong because the spontaneous spark has faded. Knowing which type each partner tends toward is a useful starting point for addressing mismatched desire.

Further reading

The Five Types of Intimacy, and How to Build Each One

Intellectual, emotional, experiential, physical, spiritual.

When Desire Takes a Detour in a Long Relationship

Desire in long relationships moves in cycles rather than fading once and for all.

Why Couples Stop Trying, and How to Start Again

Effort fades quietly in long relationships.

The Death of Desire in Modern Relationships

Why desire struggles under the conditions modern couples live in, what erodes it before anyone notices, and what still reliably brings it back.