In my work as an individual and couples therapist, I deal mainly with helping people cultivate a mutually respectful and loving emotional and physical relationship. Intimate relationships can be affected by many factors including personal conflicts, past trauma or shame around sex, difficult relational dynamics, and lifecycle events. Difficulties in sexual function may be physiologically based, but affect and are affected by the relational context. A therapy process should consider all these factors in helping you navigate an improved and enhanced intimate life together.