Sex Therapy vs Couples Counseling What’s the Difference

Black and white photo of smiling couple outdoors symbolizing couples counseling, emotional bonding, and relationship connection

If you’re trying to figure out whether you need sex therapy or couples counseling, you’re not alone. Many of the couples I work with in San Francisco and across California, Texas, and Florida tell me they’re “hitting a wall” and aren’t sure where the real problem lives. I’m Debbie Cherry, LMFT, and for over 20 […]

Why Does Sexual Desire Drop in Long-Term Relationships?

Older couple embracing by a lake at sunset symbolizing emotional closeness and intimacy in a long-term relationship

Most couples I work with in San Francisco and across California, Texas, and Florida eventually ask the same question: Is it normal that our sex life has changed? After 20+ years as a couples therapist, I can tell you, yes. Sexual desire naturally shifts in long-term relationships. It’s not a failure, and it doesn’t mean […]

What Are Common Sexual Intimacy Problems in Relationships?

Couple leaning forehead to forehead in a quiet intimate moment symbolizing emotional connection and sexual intimacy challenges in relationships

Sexual intimacy problems are common for couples here in San Francisco and across California, especially for busy, high-achieving partners juggling careers, kids, and everything in between. Many couples tell me, “We love each other, but we feel like roommates,” or “Sex feels like another chore.” It’s not usually about technique. It’s about stress, resentment, emotional […]

Bringing Back the Spark How Attachment-Based Sex Therapy Works

A couple laughing and sharing a close, intimate moment on a bed, representing emotional connection in attachment-based sex therapy.

If you’re wondering whether it’s possible to rediscover closeness and passion after things have felt distant in your relationship, you’re not alone, and attachment-based sex therapy just might be the key. This approach goes beyond fixing bedroom “techniques” or spicing things up for a weekend. Instead, it looks right at the heart of what makes […]