Intimacy in Mid-Life
A conversation about how intimacy has changed and what each of you would like to talk through.
Mid-Life Changes
Changes Many Couples Notice
Desire, bodies, and the time available for each other can change in mid-life. Work and caregiving may fill days that once had more room for affection. When kids leave home, a long-married couple may notice how much conversation was organized around parenting rather than the two of them.
You may want to talk about these changes but worry that your partner will hear criticism. Sex therapy offers a conversation about what each person misses, values, and wants to understand.
What This Service Is
Conversation, Not Physical Treatment
Sex therapy here is conversation only, with no physical examination or sexual contact in sessions. Partners can discuss changes in affection, comfort, and expectations without being asked to demonstrate anything. If pain, a bodily change, or another physical concern is involved, talk with a doctor about medical evaluation. Therapy does not replace that care.
A First Conversation
What a First Session Covers
A first session is a chance to describe what has changed for you and your partner and what you would like to understand better. Your therapist asks questions to learn how each of you sees the situation.
You do not need to have the right words prepared ahead of time. Starting with a general sense of what feels different is enough for a first conversation. Your therapist does not expect a rehearsed summary and can help you find language for feelings that are hard to put into words.
Common Topics
Topics Couples Often Raise
Sessions can cover a range of concerns connected to intimacy in mid-life.
- A change in desire for one or both partners
- Adjusting to a quieter household after kids leave
- Finding time for each other alongside work and caregiving
Our Talk-Based Care
Our Background and Focus
For this mid-life work, a therapist on our team holds registration #APCC12438 as a Registered Associate Professional Clinical Counselor. Their work with couples in mid-life includes closeness, communication, trust, and intimacy. Ask about how this focus relates to the changes you are noticing in your marriage or partnership.
Registered associate. Provides services under the clinical supervision of a licensed clinician.
Length And Cost
Session Format and Fees
Session fees are shared during your free consultation. Ask about the cost of talk-based sex therapy specifically, along with scheduling and payment questions. We accept major credit cards and FSA or HSA cards. The practice is not in network with insurance; a requested superbill does not mean a plan will reimburse you.
Where You Meet
In Brentwood or by Video
Sessions are available in person at our Brentwood office, located at 191 Sand Creek Road, Suite 230, Brentwood, CA 94513, or by video while both partners are located in California.
You can ask which format works for your schedule when you call to set up a consultation.
Getting Started
Starting with a Phone Call
A free 15-minute phone consultation is the place to ask general questions about scheduling and format. Call (925) 331-0457 or email info@heartnmindcounseling.com.
Please keep email to scheduling questions rather than clinical details. A conversation with your therapist is the place for the specifics of what you want to discuss.
Common Questions
Is This A Medical Service?
No. This is talk-based sex therapy. There is no physical examination or sexual contact during a session. Physical concerns can be discussed with your doctor alongside your therapy.
Do Both Partners Need To Attend?
This service is built around couples. You can ask your therapist about attendance questions specific to your situation during your free phone consultation.
What Does A Registered Associate Mean?
A therapist on our team is a Registered Associate Professional Clinical Counselor who provides services under the clinical supervision of a licensed clinician.
