Home / How it works
A conversation
you can actually have.
Couples therapy, with room to talk directly about sex. Fully clothed. At your pace. With both of your experiences in the room.
Start with what’s happening.
At the first appointment, we talk about what brought you in, what each of you has been experiencing, and what you hope could be different. Relevant relationship and health history can help us understand the concern.
You do not need to agree on an explanation before coming. You also do not need to tell the whole story at once.
Understand the pattern.
We look at the moments that keep repeating: an attempt to connect, a response that hurts, and the ways each of you reacts. An Emotionally Focused Therapy approach helps make space for the feelings and needs underneath those reactions.
For sex-and-intimacy concerns, we also talk about boundaries, expectations, and the meaning you each give to sex. When physical symptoms are involved, appropriate medical care may be part of the plan.
Decide what to work toward.
We identify goals together. Those might include talking without the conversation escalating, understanding desire differences, responding differently when sex is difficult, or finding closeness that both partners welcome.
There is no promised number of sessions or guaranteed outcome. The pace and direction depend on your situation, and we check in about what is helping.
The questions people often have.
Do we both come to the appointment?
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What actually happens in sex therapy?
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What if we are embarrassed?
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Do we have to agree about the problem?
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Will we be told how often to have sex?
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Can faith be part of the conversation?
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Are appointments online?
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Do you offer a free introductory call?
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NOT SURE WHERE TO BEGIN?
Find your starting point.
Try a short, private reflection on desire, comfort, and connection.
About 2 minutes · No email needed
THE PRACTICAL PART
Room for both of you.
In-person couples therapy with Shira Hearn, LMFT.
• $180 per session
• 60 minutes
• Webb City office · Joplin area
• Self-pay · No insurance billing
A DIFFERENT CONVERSATION