Expanding Your Perspective About 1ntimacy

Many people think of sex as being exclusively penis-in-vagina (also known as P-in-V), but sex is so much more than P-in-V (see my article: Understanding Your Sex Script).

Expanding Your Perspective About Intimacy

P-in-V sex for heterosexual couples is one aspect of sex, but it's important to develop a broader perspective about sex, which is the purpose of this article.

Why Is It Important to Develop a Broader Perspective About Sex?

A broader perspective about sex includes:

• A Validation of Non-Penetrative Activities: Non-penetrative sex is also called "outercourse" to distinguish it from intercourse. There are many other non-penetrative sexual activities that are pleasurable. These activities are often referred to as "foreplay", but that word diminishes sexual activities that many people prefer. It's also a narrow heteronormative view of sex that invalidates what many people like (see my article: Changing Your Sex Script).

Expanding Your Perspective About Intimacy

• An Improvement in Sexual Satisfaction, Especially For Women: The majority of women don't orgasm from penetrative sex alone. Many of them require clitoral stimulation to have an orgasm or for sex to even be pleasurable. Expanding the definition of sex to include other forms of sexual stimulation can lead to more fulfilling sexual experiences for women (see my article: To Improve Intimacy, Get Off the Sexual Staircase).

Expanding Your Perspective About Intimac

• LGBTQIA+ Experiences: Defining sex as P-in-V invalidates the experiences of gay, lesbian, bisexual, trans, queer and asexual people. An expanded perspective of sex includes all consensual pleasurable activities between partners.

• A Non-Performative Perspective on Sex: Focusing exclusively on penetrative sex can create pressure, anxiety and stress. For instance, when sex is seen as solely penetrative, it can place a lot of pressure on men to maintain an erection, which can develop into an anxiety spiral that creates problems with erections. Broadening the definition of sex allows partners to focus on mutual pleasure rather than performance (see my article: What is Performative Sex?).

Expanding Your Perspective About Intimacy

• An Accommodation For Different Abilities and Preferences: For people who have different sexual abilities due to aging, physical pain or other conditions, non-performative sex can be a fulfilling alternative. It also offers other options for couples who might prefer other sexual activities than penetrative sex (see my article: 5 Common Myths About Sex in Long Term Relationships).

Expanding Your Perspective About Intimacy

• An Increase in Emotional Intimacy: Non-performative sex (or outercourse) can enhance emotional connection by emphasizing communication, exploration and intimacy without the pressure of performative sex (see my article: Emotional Vulnerability as a Pathway to Greater Emotional and Sexual Intimacy).

Getting Help in Sex Therapy

Many individual adults and couples would like to broaden their sexual activities, but they don't know where to start.

Sex therapy is a form of talk therapy where a sex therapist focuses on sexual issues (see my article: What is Sex Therapy?).

There are no physical exams, nudity or sex during sex therapy sessions. 

If you have been having sexual problems you haven't been able to resolve on your own, you could benefit from seeking help from a licensed mental health professional who is a sex therapist.

Rather than struggling on your own, seek help in sex therapy so you can have a more fulfilling sex life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT Couples Therapist, Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Relationships: How to Navigate the Commitment Stage of a Relationship

I have been focusing on the 5 Stages of Relationships in my recent articles:

How to Navigate the 5 Relationship Stages

How to Navigate the Uncertainty Stage

How to Navigate the Adjustment Stage

In the current article, I'm focusing on the Commitment Stage and how to navigate changes in this stage of your relationship.

How to Navigate the Commitment Stage of a Relationship

As a recap: The 5 Relationship Stages including the:

• Honeymoon Stage
• Uncertainty Stage
• Adjustment Stage
• Commitment Stage
• Acceptance Stage

For a detailed explanation of each stage, see my prior article.

What is the Commitment Stage of a Relationship?

The Commitment Stage usually occurs after two or more years.

The Commitment Stage includes:

• An acceptance of each other flaws and annoying habits

• An awareness that the positive aspects of the relationship outweigh the negative aspects

• An increased comfort with each other than in the prior stages

• A feeling of safety and security in the relationship

What Are the Challenges of the Commitment Stage?

• Continue improving your communication skills (see my article: Improving Communication Skills: Do You Want to Be Heard, Helped or Hugged?

• Assess if your needs and wants are being responded to by your partner and vice versa

• Maintain an awareness of the goals you and your partner have set

• Become aware of the sexual intimacy in your relationship and if the need for security and safety have decreased the sexual intimacy (see my article:  Balancing Emotional Security and Eroticism in Your Relationship).

Clinical Vignette

The following vignette, which is a composite of many different cases to protect confidentiality, illustrates the challenges of the Commitment Stage and how couples therapy can help:

Jane and Bill

Three years into their relationship, Jane and Bill got engaged. 

At that point, they were living together for two years and they felt comfortable, secure and emotionally safe with each other.

How to Navigate the Commitment Stage of a Relationship

They had already navigated the challenges of Honeymoon, Uncertainty and Adjustment Stages, but they were having problems with sexual intimacy in their relationship so they sought help from a couples therapist who was also a certified sex therapist.

In their couples therapy they realized that their relationship, which was once passionate and exciting, had transitioned into almost a friendship once they became emotionally secure and safe with each other.

While they were happy that they felt close to each other, they missed the sexual passion they once experienced in the earlier part of their relationship.

Their couples/sex therapist helped them to keep their emotional intimacy while improving their sexual intimacy. 

They realized they had gradually let go of the sexual part of their relationship which got crowded out by work and personal obligations. 

They didn't expect sex to be as exciting as it had been during the Honeymoon Stage of their relationship, but they wanted to have more satisfying sex.

Although they were reluctant to do it at first, they learned to schedule sex so it didn't get crowded out of their schedule (see my article: The Benefits of Scheduling Sex).

They realized that, before they lived together, the longing and anticipation during the early stage of their relationship was no longer present (see my article: A Cornerstone of Eroticism: Longing and Anticipation).

They also learned from their couples/sex therapist about spontaneous and responsive desire and that most couples who have been together for a while experience responsive desire.

Responsive desire means they might not feel sexually turned on before they begin to have sex, but they could get turned on once they start (see my article: Spontaneous and Responsive Desire Are Both Common and Normal).

Both Jane and Bill were skeptical at first, but they agreed to include sex in their schedule and realized that it was true that once they began kissing, they both got turned on and could have satisfying sex.

How to Navigate the Commitment Stage of a Relationship

They also learned about certain sex therapy techniques like the simmer technique which helped them to simmer sexual desire between their sexual encounters (see my article: Creating the Potential For Sexual Desire With the Simmering Technique).

With help in couples/sex therapy, Jane and Bill learned to have passionate sex again.

Conclusion

One of the potential problems of the Commitment Stage is that the security and safety of the relationship can transform the relationship into a friendship or roommate situation.

This change can occur so gradually that it might take a couple a while to realize that sex has gone out the window.

The good news is that a couple can revive their sex life so they can have satisfying sex again with the help of a couples therapist who is also trained in sex therapy (most couples therapists are not trained in sex therapy).

Getting Help in Couples Therapy

If you and your partner are struggling in your relationship, rather than struggling on your own, seek help from a licensed mental health professional who works with couples.

If your problems include sexual problems, see a therapist who is also a certified sex therapist.

Working with a licensed therapist who has an expertise related to your problems can help you to have a more fulfilling relationship.

About Me

I am licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

What Are Common Misconceptions About Sex Therapy?

I have over 20 years of experience working with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Relationships: "I Love My Partner, But I'm Not In Love With My Partner"

A common issue that comes up in individual and couples therapy is that one or both people in a relationship feel they love their partner but they're not in love with their partner (see my article: How to Develop Your Relationship Beyond the Honeymoon Phase).

"I Love My Partner, But I'm Not in Love With My Partner"

Many people will say they were once in love with their partner, but they no longer feel that way. They worry about what this means for them as individuals and for the stability of the relationship.

Transitioning From In Love to Mature Love

As I have discussed in prior articles, relationships often start with that heady, passionate, in love feeling, known as the limerence, which lasts anywhere from a few months to a couple of years (see my article: What Are the 3 Stages of Limerence?).

"I Love My Partner, But I'm Not in Love With My Partner"

After that, as the couple deepen their emotional connection, those initial feelings usually transition into mature love.

This is the time when the couple deepen their communication, develop emotional honesty and mutual respect for one another to build a lasting connection that includes emotional vulnerability, empathy and a commitment to personal growth as well as the growth of the relationship.

• Moving Beyond Infatuation: During the initial stage of a relationship, you might feel intense romantic and sexual feelings. You might even have a sense of being swept away.

"I Love My Partner, But I'm Not in Love With My Partner"

• Evolving Connection: As the heady feelings subside, if the relationship is going well, you both focus on understanding each other's wants, needs and values.

• Developing Open and Honest Communication With Empathy: If the relationship is going well, you both feel comfortable enough to share your thoughts and feelings with a lack of judgment and a sense of vulnerability. This helps you both to develop emotional intimacy and trust, which is essential to a strong relationship.

• Learning to Adapt: Transitioning from the heady in love phase to a relationship with a deeper connection requires patience, flexibility and a willingness to adapt to changes in the relationship.

Clinical Vignette

The following clinical vignette illustrates the challenges of transitioning from the passionate "in love" phase of a relationship to a more mature loving relationship. It also illustrates how couples therapy can help. As always, this case is a composite of many different cases with all information changed to protect confidentiality.

Sue and John

Five years into their marriage, John began to worry about his feelings for Sue. He knew he loved her, but he no longer felt in love with her the way he used to feel when they were together the first two years.

For a while, he didn't know how to talk to Sue about this because he didn't want to hurt her feelings, so he avoided it. Instead, he began spending more time on his own at night and he waited for Sue to fall asleep before he went to bed.

After a year had passed and they stopped having sex, Sue asked John if there was anything wrong. Initially, John told her that there was nothing wrong. He made up excuses about being too tired and stressed out to explain his lack of sexual desire. But after they went on a romantic vacation to the Caribbean and John still didn't want to have sex, Sue knew there was something wrong.

"I Love My Partner, But I'm Not in Love With My Partner"

After Sue insisted on knowing what was troubling him, John admitted reluctantly that he loved her but he wasn't in love with her.  

At first, Sue was very upset. She accepted that her own initial passionate feelings had changed to a more mature way of loving. But she was afraid that since he was struggling with his feelings, this meant he was going to leave her. In response, John told her he wasn't sure what it meant, so he suggested they seek help.

Their couples therapist was also a sex therapist. She normalized their situation. She said most relationships go through this transition after a while and they could both learn to adapt.

She helped them to develop a deeper emotional connection with each other by helping them to develop new relationship skills for this phase of the relationship. Specifically, they found ways to communicate in an open and honest way, to share new interests, and to rekindle their sex life.

Over time, they both began to enjoy this phase of their relationship. They realized that, even though it might not be as "exciting" as it had been before, what they had together was so much more than just excitement and passion. They had a deeper connection that continued to develop.

Conclusion

The heady and passionate in love phase doesn't last forever in most relationships.

Once couples learn to appreciate the mature love that has developed over time, most of them wouldn't trade that for all the sexual and romantic excitement they felt during the early phase of their relationship.

Getting Help in Couples Therapy

Many couples need help to transition to the mature phase of love.

Rather than struggling on your own, seek help in couples/sex therapy.

A skilled couples therapist can help you to have a more loving and fulfilling relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (couples therapy), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience working with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Coping with Pregnancy Loss

It is a little known fact that approximately 10-20% of all pregnancies end in a miscarriage.

The actual number might be even higher because most miscarriages occur early in the pregnancy and many women don't even realize they had a miscarriage. 

Coping With Pregnancy Loss

Some of these women don't even realize they were pregnant before they had a miscarriage.

Coping With Pregnancy Loss

The sense of loss for women and their partners can be profound and isolating because, unlike other losses, there are no funerals or rituals to process this loss with their loved ones. 

In addition, family and friends are often not emotionally supportive. 

Coping With Pregnancy Loss

Some loved ones can be emotionally invalidating by brushing off the loss and telling the woman and her partner, "Oh, you can just try again" as if there was no loss at all involved with the miscarriage.

Aside from feeling the sadness of the loss, many women also feel ashamed and guilty because they believe they did something to cause the loss--even when it's objectively clear that they didn't.

Many loved ones believe a miscarriage is no loss at all because they believe there wasn't enough time for the woman to develop an emotional attachment. But this negates the fact that the woman and her partner had a dream of having a child and now that dream is lost.

Difficulty Grieving Pregnancy Loss

Many women and their partners never grieve for pregnancy loss, but the trauma of the miscarriage lives within them and between them.

Coping With Pregnancy Loss

The lack of rituals to grieve the loss with loved ones often leads the woman and her partner to suppress their emotions about the loss so they can "move on" and try to get pregnant again.

What Are the Possible Consequences of Not Grieving a Pregnancy Loss?

Failing to process the loss can result in physical, emotional and relationship difficulties:

Physical symptoms might include:

• Fatigue
• Sleep disturbance
• Change in appetite (either under-eating or over-eating)
• Physical discomfort

Emotional symptoms might include:

• Depression
• Anxiety
• PTSD (post-traumatic stress disorder)
• Guilt
• Shame
• Complicated grief where the grief becomes prolonged and intense
• Isolation due to avoiding the judgment of others

Relationship difficulties might include:

• Difficulty communicating about their feelings about the miscarriage including fear of talking about the loss
• Problems being sexual with each other after the loss
• A higher risk of a breakup as compared to couples who experience a live birth

How to Cope With Pregnancy Loss

• Be Emotionally Supportive of Each Other: Even though you and your partner might not feel the same way about the pregnancy loss, be supportive of each other.

• Get Emotional Support From Loved Ones Who Understand: You want to confide in people who will be supportive and who will not make you feel emotionally invalidated. Anyone who would be likely to dismiss your feelings by saying, "Just move on and try to get pregnant again" isn't the right person to confide in.

• Grieve the Loss of the Pregnancy and Your Dream of Having a Baby At That Point in Your Life: Grieve in any way that is meaningful to you. Each of you might have different ways of grieving. Respect that. There is no one "right way" to grieve a pregnancy loss.

• Get Help in Therapy: Get help in couples therapy with a supportive therapist who helps clients with grief, especially grief related to a miscarriage. If your partner refuses to go, at first, start going yourself and your partner might join you in time.

Seeking Help in Therapy For Pregnancy Loss

You and your partner might not be ready to seek help in therapy immediately after the pregnancy loss, but don't struggle too long with your loss by yourselves.

Seeking Help in Therapy For Pregnancy Loss

A compassionate psychotherapist who has experience helping clients with loss can help you to grieve your loss so you don't develop the physical, emotional and relational problems mentioned above.

Rather than struggling on your own, seek help from a licensed mental health professional has the expertise to help you to work through your loss.

Also See My Article:

How to Cope With Pregnancy Loss When You and Your Partner Have Different Feelings

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have helped many individual adults and couples to overcome grief.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Rebuilding Relationships After Infidelity

I introduced the topic of infidelity in my prior article, Common Relationship Problems After Infidelity by using two composite vignettes. 

Rebuilding Relationships After Infidelity

In the current article, I'll continue to focus on these two vignettes and show how couples sex therapy can help.

Clinical Vignettes

The following composite vignettes were discussed in my prior article:

Maria and Sal: A Relationship With a Monogamous Agreement

Recap From the Prior Article: 

Maria found out that Sal was cheating on her with another woman after she found his sext messages. Initially, Sal denied he was cheating but, eventually, he admitted it but he said the other woman "meant nothing" to him.  But he agreed to stop seeing the other woman. Both of them agreed to put the matter behind them and "move on." After that, their sex life became much more passionate than it had been in years, but that only lasted a short time. And, despite their agreement to "move on", Maria became highly suspicious of Sal's behavior and even his thoughts.  As a result, they stopped having sex altogether and they didn't know how to repair their relationship.

Rebuilding Relationships After Infidelity

Couples/Sex Therapy for Maria and Sal:

When they couldn't repair their relationship on their own, they sought help in couples sex therapy (see my articles: What is Emotionally Focused Therapy (EFT) For Couples and What is Sex Therapy?).

The couples sex therapist told them that a lot of couples want to avoid the difficult stage of repairing their relationship so they decide to "move on" to avoid difficult emotions. She told them this is a common mistake and to achieve a lasting reconciliation, they couldn't avoid dealing with their emotions.

During couples sex therapy Maria learned how to communicate her hurt and pain and Sal learned how to respond in an empathetic way and to express his genuine remorse. The therapist normalized that, even with couples who want to stay together, their relationship doesn't improve overnight. 

Maria admitted that, after she found out Sal was cheating, she wanted to prove to Sal and to herself that she could be just as sexy and passionate as she imagined the other woman had been. But this stage didn't last long because her anger, resentment and suspicion grew and she felt even more resentful when she thought that Sal might think "everything was okay" just because she was having sex with him.

The therapist also told Sal that, if he wanted Maria to forgive him (and not just brush their problems under the rug), he needed to understand her upset and be accountable to her--even if the reconciliation didn't happen as quickly as he would like. 

They worked on improving communication and rebuilding trust, which was especially difficult for Maria because she realized, once she allowed herself to feel the emotions she had been suppressing, she was hurt and angry (see my article: Learning to Trust Again After Infidelity).

Over time, they both realized that, even though Sal sought Maria's forgiveness and Maria wanted to forgive him, forgiveness isn't a one-and-done process--it comes in stages from surface to depth (see my article: Stages of Forgiveness).

As Maria healed emotionally and began to rebuild trust in Sal, she was open to trying to have sex with him again. At first, there were times during sex when she thought about Sal being with the other woman and she became so upset that she had to stop.

Over time, Maria and Sal accepted that, due to the betrayal, they wouldn't be able to "go back" to the same relationship they had before. They realized they needed to mourn the relationship they had before and develop the next phase of their new relationship. Along the way, there were setbacks, but they continued to make progress (see my article: Setbacks Are a Normal Part of Therapy While You're on the Road to Healing).

Bob and John: A Relationship With a Consensual Nonmonogamous Agreement

Recap from the Prior Article:

Bob and John were in a long term consensually nonmonogamous relationship when Bob found out that John had gone against their agreement by getting emotionally involved with another man (their agreement was that they could have casual sex with other people but not see them more than once to avoid forming emotional ties). John admitted he broke their agreement. He told Bob he never meant to hurt him. He also told him that he wanted to remain in their relationship, but he also wanted to continue to see the other man.  Bob was so hurt that, even though he didn't want to end his relationship with John, he knew it would be excruciating for him if John continued to be emotionally involved with the other man. So, he distanced himself emotionally and sexually from John. Both of them felt stuck and they didn't know what to do.

Rebuilding Relationships After Infidelity

Couples Sex Therapy for Bob and John:

Since they were at an impasse, they decided to seek help from a couples sex therapist.

As John took responsibility for cheating, he realized that he would need to make a painful decision after Bob gave him an ultimatum: Either John would choose to work on their relationship or, if John wanted to continue to see the other man, they would breakup.  

After considering Bob's ultimatum, John chose to work on their relationship and he ended his relationship with the other man. He said he realized he didn't want to lose Bob and that their relationship was the most important relationship in his life.

Similar to Maria and Sal, they had to go through many of the same steps to try to repair their relationship--improving communication and rebuilding trust.

During the early stage of couples sex therapy, they agreed not to see other people until they repaired their relationship. Bob was also fearful that, if they did open their relationship again to have casual sex with others, he wouldn't be able to trust John.

Bob and John worked hard in therapy to rebuild their relationship over time. Gradually, Bob believed John had a deep sense of remorse for his betrayal. John also admitted he had been selfish to cheat on Bob.

The first few times they tried to have sex, Bob got distracted with thoughts about John being with the other man. During those times, Bob had to stop and he turned away from John. He couldn't help feeling insecure in terms of what the other man's body looked like compared to him.  

They were able to talk about it in their couples sex therapy and, over time, John learned to stay focused on remaining emotionally and sexually engaged with John instead of focusing on thoughts about John being with the other man.

When they had rebuilt their trust, which took time, they talked about their consensual nonmonogamous agreement in light of John's cheating and reiterated that they would only have casual sex with others and refrain from having sex with the same partner more than once to avoid developing emotional attachments.

Conclusion

Infidelity can occur in any type of relationship--regardless of whether you and your partner have agreed to be in a monogamous or consensual nonmonogamous relationship.  

If the partners decide to remain together, they need to go through the repair process without skipping or avoiding steps.

Couples sex therapy can help people in relationships to heal and develop the next phase of their relationship.

Getting Help in Couples/Sex Therapy

Couples sex therapy is therapy for people in a relationship where they're having emotional and sexual problems--whether it's about infidelity, differences in libido, communication problems or other relational and/or sexual problems.

Getting Help in Couples/Sex Therapy

If you and your partner are stuck in a dynamic that isn't working, rather than struggling on your own, seek help from a licensed mental health professional who has an expertise with the problem you're having.

The best chance for success in couples sex therapy involves seeking help sooner rather than  later.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Common Relationship Problems After Infidelity

I have written several articles about infidelity in the past (see the links for these articles throughout and at the end of this article).

In the current article I'm discussing on some of the most common problems people in relationships experience after infidelity.

In the next article, I'll discuss steps to repair emotional and sexual intimacy.

Repairing Intimacy After Infidelity

What Are the Most Common Relationships Problems After Infidelity?

Different people will face a variety of problems after infidelity  (see my article: Coping With Infidelity).

Here are some of the most common problems:

• Lack of Trust: Lack of trust can include the betrayed partner questioning their other partner's behavior, thoughts and feelings even when the partner who cheated tries to assure them that they are no longer cheating (see my article: Learning to Trust Again After Infidelity).

• Feeling Devastated: After infidelity is discovered, the betrayed partner can feel emotionally devastated including feeling sad, angry, resentful, ashamed, humiliated, confused, self blaming, powerless, "not good enough" and questioning their desirability. The partner who cheated can also feel emotionally devastated with guilt, shame, sadness, regret, and fear of losing their partner.

Feeling Emotionally Devastated After Infidelity

• Barriers to Communication: It's common for both people to have problems communicating with each other after an affair. Both people can have problems expressing their feelings to each other.

• Struggling With Uncertainty About the Relationship: Even if both people want to repair the relationship, they might also be struggling with uncertainty as to whether or not the relationship can be repaired and, if it can, what the relationship would look like in the future (see my article: Should You Stay or Should You Leave Your Relationship?).

• Struggling With How to Begin the Healing Process: Emotional healing can be a challenge for both people. The betrayed partner might not know how to begin the individual healing process--even after they have decided to try to repair the relationship. The partner who cheated also might not know how to heal especially if they feel they don't deserve to heal because they cheated and caused their partner pain.

• Struggling With Forgiveness: Forgiveness involves more than just the partner who cheated saying "I'm sorry" and the betrayed partner saying "I forgive you" (see my article: Stages of Forgiveness).

Struggling With Forgiveness After Infidelity

• Rebuilding Emotional and Sexual Intimacy: People often struggle with how to rebuild emotional and sexual intimacy after an affair. This is especially challenging if they have waited a while to seek help and they have fallen into a pattern of emotional and sexual  disconnection.  Even if a couple has resumed having sex, they can't assume this means the relationship has been repaired if they haven't gone through the repair process. When couples don't go through that process, there are often unspoken emotions that come to the surface in many different ways (see my article: Have You and Your Partner Stopped Having Sex?).

Clinical Vignettes:

The following clinical vignettes, which are composites of many different cases to protect confidentiality, illustrate some of the common problems people experience after infidelity:

A Relationship With a Monogamous Agreement

    Maria and Sal:

Maria and Sal were married for 10 years when she discovered sexts from another woman on Sal's phone. At first, Sal tried to dismiss Maria's concerns by telling her these sexts didn't mean anything, which served to upset Maria even more because she felt Sal was dismissing her feelings and minimizing the problem.

Sexting and Infidelity

When he realized how distraught Maria felt, Sal took responsibility and admitted he had been having a sexual affair online and in person with another woman for several months. At that point, Maria told Sal that, although she was deeply hurt and angry, she didn't want to end their marriage especially since they had two young children. 

After Sal agreed to end the affair and never have contact with the other woman again, both Maria and Sal agreed to "put it all behind" them and "move on." 

At first, this was a relief to both of them, but over time they realized Maria was having problems trusting Sal. She was suspicious about every text he received and insisted on monitoring his phone. She also didn't believe him when he had to go on a business trip. In addition, she repeatedly demanded to know if Sal was thinking about the other woman and, when he said he wasn't, she didn't believe him.

Initially, after they agreed to remain together, their sex life became more passionate. Maria wanted to prove to Sal and to herself that she was sexually desirable and Sal wanted to prove to Maria that he found her desirable. But after a few weeks, their sexual passion began to wane because of the trust issues--until they stopped having sex altogether (see my article: Have You and Your Partner Stopped Having Sex?).

They didn't know how to talk to each other about these problems or where to begin to repair their problems with emotional and sexual intimacy.

A Relationships With a Consensual Nonmonogamous Agreement

    Bob and John

Bob and John were in a long term consensually nonmonogamous relationship (CNM). Their agreement was their relationship was primary. They also agreed they could have sex with other people, but neither of them would get emotionally involved with anyone else. 

In order to decrease the possibility of developing emotional ties with other men, part of their agreement was that they would only have sex with another person once and then never have contact with that man again.

Initially, they agreed they would have a "don't ask, don't tell" agreement where they could have sex with others, but they wouldn't let each other know about it. 

But, over time, this didn't work for them because they felt the secrecy was harming their relationship. So, they revised their CNM agreement so that they would talk about it before they got sexually involved with others (see my article: What's the Difference Between Privacy and Secrecy in Relationships?).

Their revised agreement seemed to be working out well--until Bob found out from his friend that John was having a long term affair with another man.

Infidelity Can Occur in Consensually Nonmonogamous Relationships

When Bob confronted John, he told him he couldn't believe John went against their CNM agreement. He was hurt and angry.

John admitted he broke their agreement, but he never meant to hurt Bob.  He also told Bob he wasn't sure if he wanted to stop seeing the other man--even though he knew this would cause John a lot of pain.

Both of them wanted to remain together, but Bob knew he couldn't tolerate John having an emotional attachment to another man.

After Bob found out about John's involvement with another man, he distanced himself from John emotionally and sexually.

They both felt stuck and they didn't know how to deal with their problem.

Next Article

In my next article, I'll continue discussing these two vignettes and how couples/sex therapy can help.

Conclusion

Emotional and sexual intimacy are often negatively affected after infidelity.

Many people want to remain in their relationship, but they don't know how to move forward.

Getting Help in Couples/Sex Therapy

If you're having problems repairing intimacy in your relationship after infidelity, you could benefit from working with a couples therapist who is also a sex therapist.

Getting Help in Couples/Sex Therapy

Most couples therapists have no training in sex therapy, so they might be able to help couples to repair emotionally, but they don't have the skills to help them repair sexually.

Rather than struggling on your own, seek help in couples/sex therapy so you can repair emotional and sexual intimacy in your relationship.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist (see my article: Common Misconceptions About Sex Therapy).

With over 20 years of experience, I have helped many individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Other Articles:

What is Emotionally Focused Therapy (EFT) For Couples?

What is Sex Therapy?

What Are Common Issues Discussed in Sex Therapy?