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Couples’ Sex Therapy Intensive

Specialized sex therapy for couples experiencing sexual desire discrepancy, sexual pain, or other intimacy concerns.

Available in-person in Bothell and online throughout Washington and California

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You Love Your Partner, But Your Sexual Relationship Hasn’t Been What Either of You Hoped It Would Be

You rarely have sex anymore. One of you questions whether your partner still finds you attractive, while the other feels pressured whenever sex comes up.

Perhaps you struggle to talk about sexual pleasure or what you want from intimacy. Pain, erection difficulties, or trouble reaching orgasm may have made sex something you worry about instead of enjoy.

You may also have different sexual preferences, become interested in sex under different circumstances, or simply want sex at different frequencies. Those differences don’t necessarily mean anything is wrong with either of you, but the ways you’ve come to respond to each other can create so much resentment and emotional distance that you begin to feel more like roommates than romantic partners.

You want to enjoy sexual intimacy with your partner, feel comfortable expressing your desires, and find ways of being together that are satisfying for both of you.

When You Have Sexual Desire Differences

You used to kiss before leaving for work or cuddle on the couch without thinking much about it. Now, one of you hesitates because even ordinary affection might create an expectation of sex.

The partner who wants sex more frequently feels unwanted. They’ve tried explaining that sex helps them feel close, but conversations often become arguments about how long it’s been since you last had sex.

Meanwhile, the partner who wants sex less frequently feels nagged. They’re tired of explaining why they don’t initiate, and they resent feeling that every affectionate gesture comes with an expectation.

Over time, the partner who wants sex less frequently may begin to believe that something is wrong with them. They feel responsible for the lack of sex and assume that improving the relationship means finding a way to increase their desire.

But the partner who wants sex more frequently also has a role in how the two of you experience the difference in sexual desire. Their reactions to disappointment, attempts to initiate sex, or expectations about affection may unintentionally contribute to the pressure that makes sex less appealing to their partner.

Eventually, the partner who wants sex more frequently stops initiating because they’re tired of rejection. They wait for their partner to show interest, but when nothing happens, they wonder whether the attraction is gone.

The other partner may feel relieved that the pressure has stopped, but they also notice the emotional distance. They want to enjoy kissing, cuddling, and touching each other without feeling obligated to have sex afterward.

You’re both feeling lonely, but for different reasons. You’ve tried scheduling sex, having more date nights, or promising to initiate more often. Things improve briefly, but the same disagreements return.

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When Sexual Pain, Erection Problems, or Difficulty Reaching Orgasm Interfere With Sex

Sex has become a source of disappointment, embarrassment, or insecurity for one or both of you.

Maybe one of you experiences pain during intercourse. You’ve stopped having sex, or attempts at intimacy end when something hurts. One of you worries about disappointing your partner, while the other doesn't know whether suggesting something different would help or make things worse.

Your partner researches treatments, suggests different positions, or asks about your next medical appointment. They think they’re being supportive, but you feel as though your body has become something you’re constantly expected to fix.

Sexual pain and differences in desire can also develop at different stages of life. Maybe intercourse was comfortable for years, but changes that come with perimenopause or menopause have made penetration painful, reduced lubrication, or affected your interest in sex.

You’re frustrated that your body no longer responds the way it used to, and your partner feels increasingly rejected when you avoid sex. You wish they understood that you want to be intimate, too, but their disappointment makes you feel even more pressured to have sex when you’re uncomfortable.

Or one of you struggles to maintain an erection. Instead of enjoying being touched, you’re wondering whether you’ll stay aroused. You begin avoiding sex because you dread another embarrassing experience.

Your partner interprets your withdrawal as a loss of attraction and asks for reassurance. But those questions leave you feeling even more self-conscious, making it harder to relax the next time you're intimate.

Difficulties with ejaculation, arousal, or orgasm can create similar misunderstandings. When one person has trouble reaching orgasm, the other may repeatedly ask what they’re doing wrong.

Eventually, the person struggling with orgasm feels responsible for reassuring their partner rather than enjoying the experience.

You become so focused on whether intercourse will hurt, whether you’ll maintain an erection, or whether either of you will reach orgasm that you barely get to enjoy being touched.

You want to feel sexually confident again, see your partner enjoying themselves, and become absorbed in pleasure instead of worrying about what might go wrong.

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When Sexual Shame or Religious Teachings Affect Your Sexual Relationship


You grew up hearing that sex before marriage was sinful, masturbation was shameful, or that a good spouse should never refuse sex.

Then you got married and were expected to enjoy intimacy. But marriage didn’t suddenly make it easy to recognize what turns you on, express your desires, or feel comfortable experiencing pleasure.

Maybe you spent so many years trying not to think about sex that you’re still discovering what you enjoy. Your partner asks what feels good, and you don’t know how to answer. When they suggest trying something different, you become uncomfortable, but you can’t explain why. Your partner feels frustrated, and so do you.

Or you do know what you enjoy, but you feel embarrassed asking for it. You worry that your desires are selfish, inappropriate, or something your partner might judge, even when they’ve given you no reason to believe that.

Or, maybe your partner once made a dismissive comment about something sexual, and you took it as evidence that they would never be comfortable with your sexual interests. You’ve avoided bringing it up ever since, without realizing that their reaction may have reflected their own discomfort or embarrassment.

Religious teachings about sexual obligation can create another conflict. 

You may agree to sex when you aren’t interested because saying no feels like failing your partner. Later, you feel resentful that your own comfort and desires seem to matter so little.

Your partner may interpret your lack of enthusiasm as rejection, without understanding the guilt and expectations influencing your choices.

Perhaps you disagree about what’s sexually acceptable. One of you wants to explore something new, while the other believes it’s weird or wrong.

Or you’ve begun questioning religious teachings about sexuality, but your partner doesn’t share those doubts. Conversations about intimacy become arguments about your beliefs and what each of you should be willing to do.

Sexual shame can also come from family attitudes, previous relationships, or experiences where your desires were criticized or dismissed.

Difficulties with intimacy can also develop after involvement in a cult or high-control spiritual group. Maybe the group dictated which sexual activities were acceptable, pressured you to disclose intimate details, or treated questioning its teachings as evidence that something was wrong with you.

Even after leaving, you and your partner may struggle to distinguish what you genuinely want from the sexual expectations you were taught to follow. If these experiences have affected other areas of your life or relationship, you can learn more about my work with spiritual abuse and high-control group recovery.

After years of trying to meet expectations about sex, you may have had little opportunity to discover what you genuinely enjoy. And those expectations can make it difficult for both of you to develop a sexual relationship that feels satisfying.

How Sex Therapy Can Change Your Sexual Relationship

Every couple has different needs, preferences, and goals, but these are some of the changes we can work toward together:

Enjoy Sex Without Pressure, Rejection, or Resentment

You can tell your partner you want sex and feel confident that your desire is welcome, even when they’re not in the mood.

You can also say no without worrying that your partner will feel rejected, withdraw affection, or question whether you’re still attracted to them.

Rather than having sex to avoid disappointing each other, you can discover ways of being intimate that both of you genuinely look forward to. Sometimes that might mean enjoying sexual touch without intercourse. Other times, it might mean exploring what helps both of you become interested in sex and enjoy the experience.

You may still want sex at different frequencies, but those differences no longer have to leave one of you feeling unwanted and the other feeling obligated. You can enjoy affection, express your sexual desires, and make choices together without the resentment that has developed around intimacy.

Feel Desired and Rediscover the Excitement of Being Together

You enjoy flirting with your partner, exchanging affectionate touches, and knowing that the attraction between you is still there.

You might find yourselves kissing longer, making time for romantic evenings, or expressing attraction in ways you haven’t for a long time. You notice your partner looking at you appreciatively, and you feel comfortable showing them that you’re attracted to them, too.

There’s more playfulness between you. You might exchange a suggestive message during the day, look forward to seeing each other after work, or enjoy a long kiss without needing to decide where it will lead.

And when sex isn’t on the agenda, you can still enjoy being affectionate, romantic, and physically close.

You feel more connected as romantic partners, with room for affection and sexual excitement in your everyday relationship.

Discover What Turns You On and Enjoy Expressing Your Desires

You know more about what brings you pleasure, what helps you become aroused, and what kinds of sexual experiences you enjoy.

You can tell your partner that you’d like them to touch you differently, spend more time on something that feels good, or try something you’ve been curious about.

You feel more comfortable initiating sex, expressing your preferences, and enjoying pleasure without worrying that your desires are inappropriate or selfish.

You also feel comfortable setting limits and making choices about sex without guilt. Your sexual relationship can reflect what both of you genuinely want, rather than expectations you’ve felt obligated to meet.

Enjoy More Pleasurable and Satisfying Sexual Experiences Together

You can become more absorbed in the sensations and enjoyment of sex, paying attention to what feels pleasurable instead of constantly monitoring how your body is responding.

You and your partner can enjoy a wider range of sexual experiences, including forms of intimacy that don’t depend on sexual penetration, a sustained erection, or both partners reaching orgasm.

You might discover new ways of touching each other that feel especially good, find it easier to stay engaged in the experience, or enjoy sexual encounters that unfold differently from what either of you expected.

When something isn’t comfortable or your body responds differently than you’d hoped, you can make adjustments and continue enjoying the intimacy you’re sharing.

For couples experiencing sexual pain or functioning difficulties, improvement may also mean returning to sexual activities you’ve avoided, experiencing less distress about your body’s responses, or finding satisfying ways to be intimate while accommodating ongoing medical concerns.

The goal is a sexual relationship where both of you feel desired, respected, and able to enjoy intimacy in ways that are satisfying to you.

How I Help Couples With Sexual Desire Discrepancy

You may already know what you want to change about your sexual relationship. Perhaps you want to enjoy sex more often, feel comfortable expressing your desires, or resolve sexual concerns that have affected your relationship for years.

But knowing what you want to change doesn’t necessarily tell you what’s preventing those changes from happening.

My background in sex therapy, couples therapy, trauma treatment, and medical family therapy allows me to assess the sexual, emotional, medical, and relationship factors contributing to your concerns.

For example, what appears to be a difference in sexual desire may also involve anxiety, previous sexual experiences, resentment, or expectations about intimacy that neither of you has recognized. Pain or sexual functioning concerns may have medical contributors as well as emotional responses that continue affecting your sexual experiences.

By considering these factors together, I can distinguish between concerns that require different approaches and focus treatment on what will be most helpful and relevant to your relationship.

What we’ll do together —

Resolve Sexual Disagreements and Feel Understood by Each Other

Talking openly about sex can be difficult, even with someone you love and trust.

Maybe you grew up in a family where sex was never discussed, or where expressing sexual curiosity or desire was treated as embarrassing or inappropriate.

Now you struggle to find the words to explain what you want, what you don't enjoy, or what you're afraid your partner will think. You may avoid bringing up certain subjects altogether because you're worried about how the conversation will go.

I can help you have those conversations together, including expressing sexual preferences, discussing concerns about your sexual relationship, and addressing assumptions you’ve made about each other’s desires or intentions.

For other couples, conversations about sex happen frequently, but they tend to end in arguments or hurt feelings.

For example, if one of you is struggling with erections and your partner asks whether you’re still attracted to them, the conversation can quickly become hurtful for both of you.

Your partner is looking for reassurance, but you may hear the question as further evidence that you’re disappointing them. You might become defensive or shut down, leaving your partner even more uncertain about what’s happening.

Using my training in couples therapy, I’ll intervene while these disagreements are happening.

I’ll help you recognize the embarrassment, fear, and insecurity influencing your reactions, then guide you in expressing those experiences directly to each other. 

We’ll also work on how you respond when your partner shares something difficult, so that both of you have a better opportunity to feel understood.

Rather than repeatedly having conversations that leave one or both of you feeling hurt or dismissed, you can begin discussing sexual concerns more openly, addressing disagreements without the same defensiveness, and making decisions about intimacy that take both partners’ needs into account.

Address Sexual Pain and Sexual Functioning Difficulties

I work with couples experiencing sexual pain, difficulties with arousal or orgasm, erection concerns, and ejaculation difficulties.

You may have already tried different positions, changed how you initiate sex, or followed advice about taking the pressure off intercourse and orgasm. Maybe you’ve sought medical treatment or read about techniques that are supposed to improve sexual functioning.

But you’re still having trouble enjoying sex together, and you’re not sure what to try next.

My training in sex therapy, trauma treatment, and medical family therapy allows me to look beyond the symptoms you’re experiencing and examine the different factors that may be contributing to them.

For example, an erection difficulty may have begun for a medical reason, but repeated experiences of losing an erection can also create anxiety that makes it harder to become or stay aroused.

Or pain during intercourse may have led to fear of future pain, making it difficult to relax and enjoy other forms of sexual touch, even when penetration isn’t involved.

I’ll work with you to address the psychological and relationship factors that are keeping these difficulties going. That may involve treating anxiety associated with sexual activity, addressing distressing sexual experiences, or working with both partners on the responses that have made intimacy increasingly frustrating.

My goal is to address the anxiety, distressing experiences, and relationship responses that are interfering with your sexual functioning, so you have a better opportunity to enjoy intimacy without the same worries and frustrations.

Because sexual functioning can also be affected by medical conditions, I’ll recommend appropriate medical evaluation when needed. We can address the emotional and relationship effects of sexual pain or functioning concerns alongside any medical care you receive.

If you’re experiencing chronic pelvic pain or painful sex and would prefer to address your symptoms individually, I also offer therapy for chronic pelvic pain and painful sex alongside your medical treatment.

Build a Sexual Relationship You Both Enjoy

You may have already tried scheduling sex, talking about what turns you on, or experimenting with different kinds of touch. Perhaps you’ve followed advice about spending more time together or trying to make sex more exciting. But those efforts haven’t changed the desire difference or how much pleasure you experience.

My training in sex therapy allows me to distinguish between different reasons that sexual desire and enjoyment may be limited, then address the factors that are relevant to your relationship.

When you have different levels of sexual desire, I don’t automatically assume the partner who wants sex less frequently needs to change. I’ll consider how both partners experience desire, what makes intimacy appealing or uncomfortable for each of you, and how your responses to those differences have affected your sexual relationship.

For example, some people rarely experience a spontaneous desire for sex but can become interested and aroused under circumstances that feel pleasurable and comfortable. Others find that anxiety, resentment, or previous sexual experiences make it difficult to become interested even when they want to enjoy intimacy.

Those situations call for different approaches.

If your desire tends to develop after affectionate or sexual contact begins, we can work on creating experiences that allow interest and arousal to develop without either partner feeling pressured to continue.

If anxiety or negative sexual experiences are interfering with pleasure, I can address those responses directly rather than expecting you to overcome them by having more sex.

And if you’ve spent years having sex that primarily revolves around one partner’s preferences, we can address the factors that make it difficult for both of you to participate in ways that feel pleasurable and satisfying.

Rather than asking you to keep trying strategies that haven’t worked, I’ll focus treatment on the specific barriers affecting your desire and pleasure. That may mean addressing anxiety or previous sexual experiences, changing expectations that interfere with arousal, or working with both of you to develop sexual experiences that are genuinely enjoyable and wanted.

Overcome Sexual Shame or Sexual Trauma and Enjoy Intimacy Together

You may have already reconsidered the beliefs you grew up with, but still feel guilty expressing sexual desire, asking for pleasure, or saying no to your partner. Understanding where those reactions came from hasn’t necessarily made them go away.

My background in sex therapy and trauma treatment allows me to work directly with the fear, shame, and distressing experiences that continue to affect your sexual relationship.

For example, if you feel ashamed asking for something you enjoy, we can address the emotional reactions that make expressing your desires uncomfortable. The goal is for you to feel confident telling your partner what you want and enjoy the experience without feeling embarrassed or guilty afterward.

If religious teachings about sexual obligation have made it difficult to say no to sex, we can work toward being able to make choices about intimacy without feeling that you’re failing your partner. We’ll also address how your partner responds, so that both of you can express desires and boundaries without creating resentment or pressure.

And if religion has affected other parts of your life beyond sexual intimacy, I also provide religious trauma therapy for individuals and couples who want help addressing the lasting effects of harmful religious experiences.

For couples who have struggled to experience sexual pleasure comfortably, treatment can also focus on becoming more receptive to arousal, enjoying sexual touch, and participating in sexual experiences because you genuinely want to.

Who Is a Good Fit for the Couples Sex Therapy Intensive?

A couple’s sex therapy intensive is a good fit if you and your partner want focused, professional help improving your sexual relationship and are ready to devote several hours to working on it together.

You don’t need previous couples therapy experience, and you don’t have to agree about what’s causing the problem.

What’s important is that both of you are willing to participate, consider your own responses and behaviors, and work toward changes that respect each partner’s needs and boundaries.

An intensive may be particularly appealing if coordinating weekly appointments is difficult or you’d prefer to dedicate a half-day or full day to your relationship.

What Happens During a Couples’ Sex Therapy Intensive?

When you’re working through something as personal and complicated as sexual intimacy, a standard therapy session can run out of time just as you’re getting into an important conversation.

An intensive gives us several uninterrupted hours to understand the difficulties you’re experiencing and address what’s happening between you.

Instead of returning to the same conversation week after week, we can follow it further and make a plan for what you can continue working on at home.

Before Your Intensive

We’ll start with a consultation call to discuss your concerns, answer questions about the format, and determine whether an intensive is appropriate for your relationship.

Before we meet, you’ll complete an intake questionnaire covering your relationship, emotional health, and sexual concerns. This helps me begin identifying which issues may need the most attention so we can use our time together effectively.

During Your Intensive

We’ll begin by reviewing your relationship and sexual history, discussing what each of you hopes to change, and identifying where to focus our time together.

I bring experience in both couples therapy and sex therapy, which allows me to address the relationship difficulties surrounding sex alongside concerns involving desire, pleasure, sexual functioning, and intimacy.

We may begin by addressing the emotional tension that has developed around sex, particularly if previous conversations have ended in arguments, withdrawal, or hurt feelings. I’ll guide you through those conversations, help you express what you’ve been struggling to tell each other, and intervene when misunderstandings or painful reactions prevent you from making progress.

We’ll also work directly on your sexual concerns. I can help you talk openly about what you enjoy, what you want to change, and what makes sexual activity uncomfortable or stressful. Depending on your needs, I may provide education about sexual desire, arousal, and sexual health, or introduce exercises you can practice privately at home.

If religious teachings, previous experiences, or sexual shame are affecting your intimacy, we can address how those experiences have influenced your sexual expectations and what each of you feels comfortable expressing or exploring.

The extended format gives us time to practice these conversations together, address concerns as they arise, and adjust our approach based on what we discover during the intensive. We’ll also make room for breaks when you need them.

What You’ll Take Home

Following the full-day intensive, I’ll prepare a personalized written roadmap summarizing the concerns we addressed, the changes you’ve begun making, and recommendations for continuing to improve your sexual relationship.

This may include exercises to practice together, educational resources, and recommendations for additional treatment or support when appropriate.

An intensive isn’t intended to resolve every sexual or relationship concern in one appointment. But you can leave having begun conversations you previously struggled to have, practiced different ways of responding to each other, and identified specific changes to continue working on at home.

Pricing, Locations, and Scheduling Your Sex Therapy Intensive

I offer both online and in-person intensives. You can meet with me at my office in Bothell, Washington, or by secure, HIPAA-compliant video throughout Washington and California.

Two Intensive Formats Depending On Your Needs

3-Hour Intensive — $1,200

Three hours of focused couples and sex therapy tailored to the sexual intimacy concerns you want to address.

Full-Day Intensive — $2,500

Approximately 7.5 hours, including six hours of therapy, a one-hour lunch break, and shorter breaks throughout the day.

The longer format gives us additional time for assessment, addressing emotional and sexual concerns, practicing conversations and exercises, and developing recommendations specific to your relationship.

We’ll discuss which format makes the most sense for your concerns during your consultation.

How Payment Works

A 50% nonrefundable deposit is required to reserve your intensive following our consultation call. The deposit is $600 for the 3-hour intensive and $1,250 for the full-day intensive.

The remaining balance is due on the day of your intensive.

How to Request Your Complimentary Consultation

To request your consultation, please choose an available day and time using the button directly below. When you click the button, it will take you to my secure online calendar. You’ll click “I’m a new client” and then select “Telephone 11-20 min”.

I’ll review your consult request and confirm within one business day.

Ingrid Johnston, LMFT

About Ingrid Johnston, LMFT, MDFT
Couples and sex therapist specializing in sexual desire discrepancy

I’ve been working with individuals and couples since 2014, with specialized training in sex therapy, couples therapy, trauma treatment, and the psychological and relationship effects of medical conditions.

My training in sex therapy includes extensive coursework toward certification through the American Association of Sexuality Educators, Counselors and Therapists (AASECT). Combined with my background in couples therapy, this allows me to address differences in sexual desire, painful sex, sexual functioning difficulties, and sexual shame while also working with the relationship dynamics that can develop around these concerns.

My approach integrates Emotionally Focused Therapy (EFT), EMDR, somatic therapy, and Pain Reprocessing Therapy. I also hold advanced certification in Medical Family Therapy and Collaborative Medicine from Seattle Pacific University.

I’m a member of the American Association for Marriage and Family Therapy (AAMFT) and the Washington Association for Marriage and Family Therapy (WAMFT).

Independently licensed in Washington and California.

Have a Question Before Booking?

If you have a question about working together, please contact me using the button below. I’ll respond via email within 2 business days.