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INTIMACY AND SEXUAL WELLBEING

A space to explore
sex and intimacy

without shame.

This work is open to anyone navigating questions of desire, intimacy, identity, or connection. You do not need a diagnosis or a defined problem. Curiosity is reason enough to begin.

 

Sessions are available individually or together as a couple.

Pink Mushroom Gills

DOES THIS SOUND FAMILIAR ?

You don't need to be in crisis to begin

Many people come to this work not because something is broken, but because something feels distant, confusing, or smaller than it used to be. Research consistently shows that sexual concerns are among the most common and least discussed human experiences. Whatever brought you here is enough of a reason.

"I want to want my partner. But the desire just isn't there the way it used to be."

 

 

Research by sex educator Emily Nagoski shows that desire is often responsive rather than spontaneous, meaning it arises in the right conditions rather than appearing out of nowhere. This is not a flaw. It is how many people are wired.​

"My body tenses up or goes numb during sex, even when I want to be present. I don't know why."

 

 

The nervous system responds to intimacy the same way it responds to perceived threat through fight, flight, or freeze. This is a physiological response, not a personal failure. It can change with the right support.

"I carry a lot of shame about what I want. I've never really said it out loud to anyone."
 

 

Shame about desire is almost always learned and absorbed from family, culture, religion, or past experiences. It is not evidence that something is wrong with you. It is evidence that you grew up in a world with a lot of complicated messages about sex.

WHAT WE EXPLORE

Sexuality lives in the
body, mind, and relationship

Current research in sexual health, neuroscience, and attachment theory all point to the same conclusion: desire, pleasure, and intimacy cannot be understood through any single lens. Meaningful change requires attending to the whole person.

THE BODY

Your nervous system is the first responder to intimacy. When the body feels safe, pleasure, arousal, and connection become possible. When it doesn't, protective responses take over, often without your conscious permission.

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THE MIND

Sexual desire operates through a dual control model that responds to what is arousing, and a brake system that responds to perceived risk, shame, or threat. For many people, the brakes are overactive, shaped by absorbed beliefs about what is allowed, safe, or deserving. This work examines the internal narratives, fantasies, and fears that organize your erotic world.

THE RELATIONSHIP

Sexual disconnection is almost always relational at its core. The need for secure attachment to feel safe, seen, and chosen is inseparable from the conditions under which desire can genuinely emerge. How we learned to attach in early life shapes our capacity for closeness, vulnerability, and erotic risk-taking as adults. This work holds all of that with care.

READY TO BEGIN?

The first conversation
is 
just a conversation

A free 20-minute consultation is low stakes and completely confidential. You don't need to arrive knowing what to say. Just showing up is enough.

Individual and couples sessions available. Telehealth and in-person options.

​Makando Mutanda, LCSW, MPH

License# 126547
Integrative Therapist

Contact: Makando@selawellness.com

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© 2025 Sela Wellness. All rights reserved.

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