Couples Therapy for Intimacy Issues...

Couples Therapy for Intimacy Issues

Well, you came to the right place. Let me be honest with you about something first: intimacy issues are one of the most common reasons couples end up sitting across from me. And they are also, without question, one of the most loaded.

Here’s what I know from my own work, and honestly, from my own life too. When intimacy breaks down between two people, it almost never stays just about sex or physical closeness. It becomes a story. A story about whether you are chosen. Whether you are enough. Whether you are wanted. And those stories go deep, back to some of the earliest, most tender places inside each of you.

What I see happen, over and over again, is this: one person starts to pursue more intimacy, they reach out, and the other person contracts. Gets a little smaller. Pulls back. And the pursuer reads that as rejection. As “I am not wanted.” And the one who contracted? They’re often carrying their own fear underneath that, something like “I’m going to disappoint you, and I cannot bear that.” So they go quiet. And then the pursuer pursues harder or gives up entirely, and the whole thing locks up.

Neither person is wrong. It’s just two very scared human beings, completely missing each other in the dark.

What couples therapy for intimacy does, when it works, is it gives you a space to slow that cycle way down. To actually hear what’s underneath the behavior. Not “you never want me” versus “you pressure me.” But something more like: “I feel unchosen and that terrifies me” meeting “I feel like I will always disappoint you and that terrifies me.”

When those two truths can finally be in the room at the same time, something shifts. The issue that felt like it had no air to breathe suddenly has more space around it. And you can actually reach each other.

The shame piece is real too. Intimacy issues carry so much cultural weight and personal history. I’ve seen real courage from people willing to walk into that vulnerability together. That willingness, that showing up even when it’s scary? That IS the work. That’s what I would call the proof of work of love. The visible, felt evidence that you chose connection over self-protection.

So if you’re dealing with intimacy struggles, I want you to know: you’re not broken. This is deeply human territory. And it’s absolutely workable. The question is whether you’re both willing to get a little honest and a little brave.

That’s where we start.

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About Figs O’Sullivan, LMFT
Figs is a licensed marriage and family therapist with 16+ years of experience working with couples. He’s the co-founder of Empathi, host of the “Come Here to Me” podcast, and author of an upcoming book on relationships and the systems that shape how we love.

Read more: Feeling Disconnected from Spouse? What It Means and What to Do

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Figs O'Sullivan is a Licensed Marriage and Family Therapist (LMFT #79062) and the founder of Empathi. For 17 years he has helped couples move out of disconnection and back into secure, loving connection, drawing on Emotionally Focused Therapy and attachment science. With his wife Teale, he runs a San Francisco couples therapy practice, is a relationship expert to the Stars and Silicon Valley, and built Figlet, an AI relationship coach trained on their clinical work. His approach has guided more than 58,000 relationship assessments.

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Frequently Asked Questions

Is it normal for couples to struggle with intimacy even when they love each other?+
Absolutely. Here's what I tell every couple dealing with this: intimacy issues rarely stay just about sex or physical closeness. They become stories about whether you're chosen, whether you're enough, whether you're wanted. Those stories reach back to the earliest, most tender places inside each of you. What I see repeatedly is the Waltz of Pain playing out, one person pursuing connection (the Relentless Lover) while the other contracts and pulls back (the Reluctant Lover). Both are protecting themselves from old wounds. The pursuer fears abandonment, the withdrawer fears the shame of inadequacy. Your intimacy struggles aren't a referendum on your love. They're childhood strategies colliding.
Why does one partner always want more intimacy while the other pulls away?+
This is the classic dynamic I call Relentless and Reluctant Lovers. The pursuing partner protests for closeness because their nervous system detects abandonment (remember, we're all Babies in Love when our attachment feels threatened). The withdrawing partner retreats because intimacy feels like exposure to potential shame or failure. Neither response is wrong or pathological. They're both survival strategies formed early in life. The tragedy is that one person's medicine becomes the other's poison. The pursuer's reach feels overwhelming to the withdrawer. The withdrawer's retreat feels like rejection to the pursuer. It's a reenactment of wounds neither partner caused.
Can couples therapy actually help fix intimacy problems or is it just awkward?+
I won't lie, it can feel vulnerable at first. But here's the thing: intimacy issues aren't really about technique or frequency. They're about safety. My job isn't to give you homework assignments or make you talk about your sex life in graphic detail. It's to help you both understand the deeper stories driving this dance, then slowly build the safety needed for genuine intimacy to return. We work on creating what I call The Missing Experience, where each partner learns to provide the emotional nutrition the other lacked growing up. When you can't make it to my office, Figlet, our AI relationship coach, can help you start recognizing these patterns between sessions.