Sexless Marriage Therapy San Francisco

Family healing through elite individual therapy and executive coaching
Family healing through elite individual therapy and executive coaching

Living proof of work

By Fiachra "Figs" O'Sullivan

I didn’t come to this work because therapy fascinated me. I came because my own life stopped working the way it looked like it should.From the outside, things were fine. I was capable, articulate, and productive. But inside, my body was always braced. My relationships began to feel like another place I was trying not to fail. The strategies that had carried me through work and life started to cost more than they gave back.Teale and I are husband-and-wife couples therapists because we live inside these questions ourselves. We know what it’s like to be intelligent, devoted, and still miss each other. To manage the world well and struggle at home. Our work helps people slow things down enough for safety, repair, and real connection to return.If your relationship works on paper but feels strained in private, if you’re tired of holding it all together, you’re in the right place.

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Understanding attachment patterns through premium individual therapy
Couples therapy after an affair helping partners heal together

When "Good Friends" Isn't Enough

Couple sharing an intimate emotional moment during relationship therapy
You love each other. You’re a great team with the kids, the mortgage, and the weekend plans. But at night, the bed feels like it’s miles wide. Maybe it started gradually—a “slump” that never ended—or maybe one of you stopped reaching out after too many quiet rejections. Now, the silence around your sex life is louder than anything else in the room. What most couples don’t realize is that this isn’t really about sex drive, attraction, or even compatibility. Underneath the loss of physical intimacy, two core attachment questions are activated: “Are you really there for me?” and “Am I enough for you?” You’re not just missing sex. You’re missing the reassurance that you are still desired, chosen, and safe in your partner’s arms. And the longer you go without addressing what’s really happening, the wider that distance grows—not just in the bedroom, but in every quiet moment between you.

Beyond the "Dead Bedroom

We are Figs and Teale, LMFTs who believe that a sexless marriage is rarely just about sex. Most “sex problems” are actually attachment problems in disguise. Using the Empathi Method and Emotionally Focused Therapy (EFT), we help you stop looking at your partner as the person who is “rejecting” or “pressuring” you—and start seeing the cycle that has trapped you both. We understand this territory personally. As a husband-and-wife therapy team, we know what it’s like to be intelligent, devoted, and still miss each other. To manage the world well and struggle at home. The fading of physical intimacy in a long-term relationship is not a failure of attraction or chemistry—it is a systemic response to attachment vulnerability. Physical intimacy cannot be repaired through performance or spontaneous desire alone. Sexual safety is an emergent property of sustained co-regulation and secure emotional bonding. That’s why our approach goes deeper than tips and techniques—we help you rebuild the emotional foundation that makes true vulnerability possible again.
Couple reconnecting through emotional vulnerability and secure attachment

The Attachment-Sex Connection

Standard sex therapy often focuses on “mechanics”—scheduling sex or doing “homework” exercises like sensate focus. While those have their place, they often fail because they don’t address the Waltz of Pain happening in your nervous systems. Here is what’s really going on: humans have two competing biological systems—a physiological need to be emotionally bonded and a separate drive toward physical intimacy. In early romance, these systems sync up effortlessly. But in long-term relationships, couples must navigate a critical transition—from spontaneous desire fueled by novelty to a deliberate, heart-centered intimacy rooted in emotional safety. When sex stops, it’s usually because the “sexual system” has become a “threat system.” For the partner wanting more, the lack of sex feels like a terrifying protest: “Do I still matter to you? Are you really there for me?” For the partner withdrawing, the pressure feels like a demand they can never meet: “I’m never enough for you.” We don’t just give you tips; we help you rewire the emotional safety required for true vulnerability—so your body can finally soften enough to let your partner back in.

Common Issues We Address

Mismatched Desires: One partner “leaning in” while the other “leans out,” creating a painful cycle of pursuit and withdrawal that leaves both feeling alone. The “Roommate Syndrome”: Great partnership in life, but zero spark in the bedroom. You function well as co-parents and co-managers, but the part of you that used to feel alive together has gone quiet. Post-Infidelity Cooling: Struggles to find physical safety after trust has been broken. Your body remembers the betrayal even when your mind wants to move forward. Body Shame & Performance Anxiety: When the fear of “doing it wrong” keeps you from doing it at all. The pressure to perform replaces the freedom to simply be present with each other. The Vulnerability Gap: You fell in love with each other’s “sexy selves”—the confident, seductive early-dating personas. But long-term intimacy requires something harder: learning to be physically intimate with each other’s real, vulnerable, sometimes scared selves. Most couples never make this transition, and the bedroom is where it shows first.

Clinical research shows that 86% of couples improve after a brief period of EFT guidance, and 73% have maintained their improvements when we check back two years later.

Empathi's Methods
are proven to help

Each of our therapists are trained to use our proprietary blend of the Empathi Method and Emotionally Focused Couples Therapy (EFT). We’ll help you understand both your intrapersonal and interpersonal struggles in a way that guides you to communicate better, repair after fights, and feel more deeply and securely connected.

Clinical research shows that 86% of couples improve after a brief period of EFT guidance, and 73% have maintained their improvements when we check back two years later.

Couple sharing a tender intimate moment rebuilding physical connection

The Empathi Method for Intimacy

Our 3-phase roadmap is designed to move you from the “frozen” state to a flourishing one: Acceptance & Alliance: Identifying your specific “Waltz of Pain” around intimacy without blame. We help you see how both partners are caught in a cycle—not that one is “the problem.” This is where we make it emotionally safe for you to show up and talk to each other, so you can begin to feel that your partner is really there for you. Empathy & Vulnerability: Learning to share the underlying fears—of rejection, of failure, of not being enough—that make sex feel “unsafe.” The Empathi Method explicitly rejects the cultural goal of trying to make sex feel “playful, safe and confident” at all times. Instead, we help you embrace a deeper truth: real intimacy means learning to show up in a vulnerable, sometimes scary place together. Connection & Resilience: Rebuilding a sexual language that belongs only to you, rooted in deep emotional security. This is what we call Heart-Centered Sexuality—a transition away from performance-based desire toward a deliberate, emotionally grounded intimacy. You learn to create together, to show up vulnerably rather than waiting for spontaneous arousal—because at the very least, your scared selves and your vulnerable selves need to be part of your sexual intimacy.

Stop struggling. Book your call now.

Now is the best time to strengthen your relationship

Acceptance
The hardest part is just
getting started.

Healing starts with accepting you need help, booking a free consult, and showing up as you are. Everything that comes next will be easier as you're held by an Empathi therapist and a proven process. From now on, you're not alone in this.

Alliance
Feel like you're on the
same team again.

Explore your process and discover a unified narrative where neither of you are wrong or right, “the good one,” or “the bad one.” Learn to approach suffering and conflicts as an “us” problem instead of a “them” problem or a “me” problem.

Empathy
See the hurt and love behind their reactivity.

Strengthen your new narrative by accessing empathy to recognize the root of each other’s reactivity, how much you matter to each other, and what love is. Understand the cycles you get into with the help of your Figs.

Vulnerability
Share the hurt and love behind your reactivity.

Get to know, live in, and share your vulnerable feelings. Then, learn to let in the ways that those feelings are understood and accepted by your partner through the power of the Empathi method and Emotionally-Focused Couples Therapy.

Connection
Feel deeply and securely bonded to one another.

Mend your relationship and your wounds through the understanding that you matter to each other. Learn to grieve, show up for, heal, and accept the most vulnerable parts inside of each other without sacrificing those parts in yourselves.

Resilience
Rely on your bond to get out of stuck moments.

Having proved your ability to resolve long-standing issues, heated conflicts, and negative cycles, face your future together with a certainty that you will not only survive those moments, but grow stronger and more connected because of them.

Soft pastel color circle representing Figs O'Sullivan Couples Therapy service.

We’re 5 Stars On Yelp!

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Why Yelp Chooses Empathi Marriage Counseling

Emotionally-Focused Therapy (EFT) provides our team at Empathi with an understanding of the emotional bonds between partners so that we can identify and work toward moments that strengthen and harmonize that emotional connection.

We use attachment-based frameworks to understand the ways very early bonds inform our adult behavior and choice of partner, as well as the ways our relationship with our partners inform how we understand those early bonds today. Being in a committed partnership then becomes more than just an agreement between two lovers – it is a healing art, a restorative power in the lives of both individuals.

Seeking the safety and containment of professional psychotherapy is a monumental first step on the road to turning painful patterns into a productive partnership. Committed exploration and a willingness to be curious and vulnerable about what is motivating one’s own behavior, reactivity, patterns, and choices can bring about positive change for your relationship – whether it’s steering a particular issue, transitioning toward compromise, or simply bringing about a newly deepened sense of passion and commitment.

Frequently Asked Questions

Q: What is the definition of a sexless marriage?

A: Clinical experts often define it as having sex fewer than 10 times a year. However, at Empathi, we believe a marriage is “sexless” the moment the lack of physical connection becomes a source of pain, distance, or loneliness for either partner.

Q: Can a sexless marriage survive?

A: Yes, but only if you move beyond the “mechanics” of sex and address the emotional disconnection. When you rebuild the “Secure Base” of your relationship, the sexual system often naturally restarts.

Q: Why did my partner stop wanting sex?

A: In most cases, it’s not that desire disappeared—it’s that the sexual system became a threat system. When emotional safety erodes, the body protects itself by shutting down. Your partner may be withdrawing not because they don’t want you, but because vulnerability feels too risky. The more intimate a relationship gets, the more loaded physical intimacy becomes.

Q: What if only one of us wants to work on this?

A: That’s actually very common, and it doesn’t mean therapy can’t help. Often the partner who seems reluctant is the one carrying the most shame or fear around the issue. We create a space where both partners feel safe enough to engage—not pressured. Many couples find that once the “pursuer-withdrawer” cycle is named, the reluctant partner feels relieved rather than resistant.

Q: How long does sexless marriage therapy take?

A: Every couple is different, but most begin to feel meaningful shifts within 8–12 sessions. Clinical research shows that 86% of couples improve after a brief period of EFT guidance, and 73% maintain those improvements two years later. The goal isn’t just to “have more sex”—it’s to rebuild the emotional safety that makes genuine desire possible.

Q: Is scheduling intimacy unromantic?

A: We hear this concern often. But here’s the reframe: scheduling intimacy isn’t about creating a checklist—it’s about creating a container where both partners commit to showing up transparently and vulnerably. You’re not scheduling performance; you’re scheduling presence. Many couples find that this intentionality actually deepens connection more than waiting for spontaneous desire ever did.

Sue Johnson, creator of emotionally-focused couples therapy

"With Empathi, Figs has created a fun and creative way to help people feel more connected in their relationship and to become acquainted with the transformational power of Emotionally Focused Couples Therapy."

Dr. Sue Johnson

Creator of Emotionally-Focused Therapy for Couples

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