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Intimacy & Sex

Therapy for Intimacy and Sexual Issues

Sexual and physical intimacy are often the first things to go in a relationship under strain, and the last thing couples feel comfortable talking about, even in therapy. We make it easier to go there.

Why intimacy breaks down

Physical intimacy doesn't live in a vacuum. It lives inside the emotional climate of the relationship. When the emotional connection feels unsafe or distant, the body follows. Desire is hard to find when you've been bracing against your partner. Physical closeness is hard to want when you feel more like roommates than partners.

What we work on

We look at what's underneath the disconnection: what each partner stopped saying, what started feeling risky, where the drift began. We work with differences in desire, with the sexual relationship after kids, with the aftermath of affairs or betrayals, with the shame and self-consciousness that makes vulnerability feel too exposed. The work is direct and non-judgmental.

The relational lens

We approach intimacy through an attachment lens: the body follows the bond. When couples develop a felt sense of emotional safety, physical intimacy usually follows. That's where we focus: not on techniques, but on the real connection underneath.

Therapists for this work

Therapists who work with intimacy & sex

If this page sounds like what you are carrying, the next step is finding the clinician whose lens and style fit the work.

Portrait of Bassy Schwartz, LMFT at Core Relationships
Founder & Clinical Director · Cedarhurst, Long Island + Virtual

Bassy Schwartz, LMFT

Bassy helps couples understand the emotional safety, attachment injuries, and disconnection underneath intimacy concerns.

  • Intimacy
  • EFT
  • Attachment
Portrait of Donny Fuchs, MFT-LP at Core Relationships
Therapist · Virtual

Donny Fuchs, MFT-LP

Donny works with couples when physical closeness has gotten tangled with pressure, avoidance, or repeated conflict.

  • Couples
  • Intimacy
  • Communication
Portrait of Ayala Feder, MSW at Core Relationships
Individual & Couples · Cedarhurst, Long Island + Virtual

Ayala Feder, MSW

Ayala helps couples talk about what has gone quiet between them with enough steadiness that honesty becomes possible.

  • Couples
  • Emotional safety
  • Psychodynamic

If the intimacy between you has gone quiet, that's not the end of the conversation. It's the beginning of a more honest one.

Reach out for a free 15-minute consultation, or send us a message below and we’ll match you with the right therapist.