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Intimacy & Sexual Wellbeing 

Consent. Honesty.Pleasure.

Sex and intimacy are shaped by our relationships, our histories, and the worlds we move through. Messages about sex often come from family, culture, religion, identity, and power, long before we have language for our own desires or boundaries.

 

Sex & Sexuality Therapy 

Sexuality is shaped by personal history, cultural expectations, and the social and relational conditions people move through. Factors such as power, privilege, and oppression, including race, gender, sexual orientation, class, religion, disability, neurodivergence, and cultural norms, influence how desire, pleasure, and intimacy are experienced. Past experiences, including sexual trauma, loss, or moments of connection, can leave lasting impressions on how sexuality is understood and expressed. Sex therapy provides space to examine these influences and their impact on intimacy and sexual well being.​

UnderstandingSexuality as Relational

Sexuality often brings forward a paradox between closeness and autonomy, safety and curiosity, what the mind believes is right or wrong, how the body responds, and what actually feels good in the presence of another person. Sex therapy understands sexuality as relational, shaped through interaction, experience, and attachment, with attention to how meaning and connection develop between people, bodies, and histories.

Pink Mushroom Gills

How I Approach Sex & Sexuality Therapy

My approach to sex therapy centers on pleasure, safety, and connection rather than performance or diagnosis. Sexual concerns are approached through an integrative lens that considers attachment patterns, stress responses, identity, and relational dynamics.

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In practice, this work focuses on how sexuality is experienced across three interconnected areas:

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The body

Noticing physical responses, sensations, pleasure, discomfort, and how the body communicates boundaries, desire, or protective responses, shaped by past experiences.

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The mind

Exploring thoughts, beliefs, fantasies, and internal narratives about sex, including meanings formed through experience, avoidance, or fear.

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Attachment and relationship

Understanding how intimacy relates to safety, closeness, vulnerability, and risk, including relational patterns that influence sexual connection.

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Who This Work May  Support

Sex and sexuality therapy may be helpful when there are shifts in desire or intimacy, differences in sexual needs within a relationship, or challenges feeling present in your body. It can also support experiences of sexual anxiety, shame, or avoidance, as well as the ways stress, trauma, or life changes shape intimacy. This work may include exploring questions of identity or orientation and finding clearer ways to communicate about sex and closeness. The focus remains on your values, boundaries, and what feels most relevant to your life.

​Makando Mutanda, LCSW, MPH
Integrative Mind-Body Therapist

Contact: Makando@selawellness.com

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© 2025 Sela Wellness. All rights reserved.

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