How Sex Therapy Can Help You

How Sex Therapy Can Help You

Sex therapy addresses the root of the sexual issues and helps you develop understanding, compassion and skills to heal together. Couples often can’t solve these intimate issues on their own because they don’t have the tools needed and because sex and intimacy is closely connected to attachment issues. Our Napa Valley couples counselors and sex therapists can help you to have the satisfying sex life you long for. 

What is sexual health?

What is sexual health?

Napa Valley Sex Therapy can help you cultivate sexual health. Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences. 

The Pursuer / Distancer Dynamic in Intimate Relationships


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We can help you

to understand & break your negative relationship patterns, learn effective communication skills and deepen your intimacy.

Early in relationship, couples typically experience an idealized bonding commonly referred to as the honeymoon stage. From a neurological standpoint, this occurs when the partners’ brains are awash with attachment hormones such as oxytocin and endorphins. The couple is largely positively focused on the other and is easy to overlook potentially problematic issues. Typical attachment styles may not manifest in this stage.

 However, once the couple’s shifts past the honeymoon stage, the individual relating styles, behaviors and communication patterns reemerge. This transition may trigger the distancing and pursuing behaviors in some couples.  This occurs when one partner, seeking security and to relieve anxiety, metaphorically reaches for the other (wanting more contact) and in response the second partner may feel overwhelmed and relieve anxiety by withdrawing. Once the withdrawn partner distances, the other partner often pursues even more, perhaps with criticism and anger. The cycle is then born.

For example, if Steve feels anxious because his partner Alice is spending more time with her friends then previously in the honeymoon stage, he may react by demanding more attention from her. In return, Alice may feel pressured and withdraw from the relationship by making more dates with friends and working late Steve, feeling insecurely attached, may then attempt to make emotional contact with Alice by texting and calling often. Alice feels invaded and withdraws further. This is the dance of the distance-pursuer cycle. Without an understanding and insight into each other’s styles and underlying needs, this cycle can spiral into a painful situation where neither couple feels secure or satisfied. The cycle can occur over everyday interactions.

Steve: “Why do you always do that?”
Alice: “Do what? I'm not doing anything”
Steve: “You ignore me when I talk.”
Alice: “No, I don’t. There is nothing to say”
Steve: “We need to talk about this, Alice. You’re doing it now!”
Alice: “I don’t a need to talk. It's no big deal. You’re overreacting.”
Steve: “No, I’m not! We need to talk!”
Alice: “I don’t want to talk about this anymore.”

Steve is pursuing and Alice is distancing.

In order to transform the distance-pursuer pattern into a healthy relationship, it is necessary to understand the dynamics of this power struggle.

Pursuers in Intimate Relationships

In order to feel secure and cared for, the pursuer wants and needs attention, closeness, and affection with her partner.  She is sensitive to being ignored or perceived rejections. A pursuer will feel afraid, disappointed and anxious when her partner withdraws from the relationship. She may ask many questions, make complaints, or criticize her partner to try to establish reconnection (despite its infectivity). However, the underlying need is a desire for deeper connection and reassurance. Unfortunately, due to her reactive behaviors, the pursuer tends to inadvertently push away her partner, thereby creating more distance.

 Distancers in Intimate Relationships

Someone who is wired to be a distancer when feeling anxious in relationship is much more likely to become quiet, turn inward and avoid problems/conflicts. He may resist being/feeling controlled by others by attempting to seek control first.  The distancer tends to get “in their head” and use intellectualized defenses, refuse to cooperate, and become rigid and critical of his partner. While he actually does want and need connection with his partner, the consequences of the avoidant behaviors provoke criticism from his partner, which leads to further withdrawal.

The Path to a Healthier Couple’s Dynamic

Pursuers are generally skilled in communicating their needs and wants, but typically look for external soothing from their partners. It is important that a pursuer learn ways in which she can meet her own needs in the relationships before looking to her partner to soothe her anxiety. Also pursuers are very observant and often point out what is not working in the relationship (in an attempt to have their needs met). One way to shift out of the cycle is for the pursuer to consciously name what she appreciates in her relationship and about her partner.

As the pursuer learns more skills to self-sooth her anxiety, show appreciation for her partner, and trust the process of the relationship, she will cultivate the safety and emotional space for her intimate to move towards her. This will create security between the partners.

A distancer can do his part to end the power struggle in the relationship by speaking up when he feels upset, troubled or uncomfortable. He must learn to share his feelings in a vulnerable way and openly listen to his partner. Sharing more time and attention with his intimate will cultivate closeness, intimacy, trust and safety in the relationship.

Expressing love to one’s partner in the way that the partner likes to receive love will also go a long way towards creating harmony in the relationship. The pursuer needs to receive affection and soothing while the distance needs the space to come forward and trust he will not be criticized.

Couples & Marriage Counseling cultivates insight into the dynamic, leading to greater awareness, self-compassion and practice.  With these new tools people can choose healthier ways to respond to their partner’s needs, rather than unconsciously reacting to their partner’s pursuing or distancing behaviors. Attachment styles can be changed through couples and individual therapy, leading to secure attachment and healthy intimate relationships. The wonderful news is that it only takes one person to end a power struggle and begin mending the relationship. Secure, loving, intimate and equitable partnerships are possible!


Napa Valley Couples Counseling

 In order for couples therapy to be successful, both members of the couple must be engaged in the process and motivated by a desire to make things better. If one or both members of the couple is mostly interested in playing a blame game and looking for the therapist to “fix” their partner, then therapy will not work. Each member of the couple must become dedicated to working as a team in order to understand their ineffective patterns of relating, learn how to deepen trust and intimacy and to repair the relationship.

One key task of the couple therapist is to help each partner to understand his or her own patterns and specific contributions to the negative dynamics in the relationship. Once the individuals can identify their problematic thoughts, feelings, behaviors and beliefs about themselves, each other and the relationship, they can team up against the negative cycle. The therapist helps the couple to prevent and heal the distress caused by these unhealthy patterns so that healthy communication can be exchanged. 

Reunion Ritual: The Coming Back Together Embrace

The importance of reconnecting with your partner after even a short time apart is often overlooked by couples, who may then easily get caught in a negative cycle of hurt and misunderstanding. 

Having an established, intentional and routine ritual of reconnection is one way to protect and create secure attachment with your spouse or partner. This is a special time of attuning your nervous systems back towards one another and getting in sync after perhaps busy or hectic stress related to work, parenting or other life stressors. 

In his helpful video, Dr. Stan Tatkin, author of Wired for Love,  demonstrates how a simple coming back to one another embrace can deepen intimacy and protect the relationship from unnecessary misunderstandings, arguments and disconnection. 

At Napa Valley Couples Therapy Center, we recognize the importance of attachment, safety  and intimacy in relationships, and are trained to help  you create secure, happy and healthy partnerships. 

Call us today at (510) 982-6401 or click here to schedule your free phone consultation. 

Teaches couples to ritualize reunions after separations. Reunion mishaps are a common cause of couple dysregulation and arguments. This process helps partners regulate one another quickly and easily.