Understanding And Resolving Intimacy Issues In Relationships

Medically reviewed by Corey Pitts, MA, LCMHC, LCAS, CCS
Updated November 26, 2024by BetterHelp Editorial Team
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Intimacy can be defined as a closeness between two people, including friends, family members, or romantic relationships. While intimacy in a romantic relationship may refer to physical or sexual intimacy, other forms of intimacy can also exist, including emotional intimacy, spiritual intimacy, and intellectual intimacy, to name a few. Developing an emotional closeness and healthy intimate connections can lead to fulfilling and long-lasting adult relationships. 

In some cases, intimacy issues may impact intimate relationships. These issues can stem from various causes and develop before and after a relationship begins. Although ups and downs and relationship issues can be normal occasionally, these challenges can often be resolved by implementing healthy intimacy strategies, such as open communication, self-reflection, and seeking professional help. Below, explore intimacy issues, how to identify them, and strategies for resolving them. 

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Navigate intimacy issues in therapy

Understanding intimacy issues

Due to the wide variety of intimacy types, individuals in relationships may experience a range of unique intimacy issues. These challenges may impact one form of intimacy in a relationship but not others. For example, a couple may have a deep emotional or spiritual connection but struggle to be physically intimate. Challenges with intimacy of any type can negatively impact a relationship and make it difficult to grow and develop as a couple. 

Intimacy issues can vary based on each person’s history and relationship dynamics. In terms of sexual or physical intimacy, there can be intimacy issues when one person in a romantic relationship finds it challenging or uncomfortable to engage in physical affection. With emotional intimacy, one partner may struggle to share their innermost feelings, creating an emotional distance between both parties in a relationship. While intimacy issues may vary widely, potential causes could include the following: 

  • Trauma: Those who have experienced trauma such as physical, emotional, or sexual abuse may have a fear of intimacy due to their past experiences. These experiences may also be triggered when engaging in intimacy with a new partner, which can lead to relationship issues and intimacy avoidance. 
  • Low self-esteem: If one partner or both have low self-esteem, they may struggle to engage in physical contact or affection. Emotionally, a person with low self-esteem may not want to risk opening up or sharing their thoughts or ideas with their partner, making it challenging to grow and develop a relationship. 
  • Mental health conditions: Anxiety disorders, depression, or other mental health conditions can impact intimacy. A person with an anxiety disorder may develop a fear of intimacy due to their mental illness, potentially causing challenges in relaxing and being comfortable within a relationship. 
  • External stressors: Many stressors, including work-related stress, financial stress, or challenges with personal health, may negatively impact intimacy. 
  • Communication breakdowns: When couples are unwilling or have challenges communicating effectively, they may experience intimacy issues, as they may struggle to explain or identify what they want from the other person. 
  • Physical factors: In some cases, physical issues like sexual dysfunction or health conditions may make it challenging to be physically intimate, which may impact other forms of intimacy. 

While these factors may influence or cause intimacy issues, other aspects of a relationship may also lead to challenges. Intimacy issues, especially in long-term relationships, may be difficult to avoid. However, by understanding the risk factors and how to identify intimacy issues early, you may better manage them as they arise. 

A man sits in a chair in the kitchen as his female partner stands behind him and leans down to wrap her arm around him with a sad expression.

Identifying intimacy issues in your relationship

Solving intimacy challenges in a relationship may start with early identification. By identifying concerns early, you and your partner or loved one can work together to improve intimacy and overcome challenges. The signs of intimacy issues may vary from person to person and can be divided by intimacy type to include the following: 

  • Physical intimacy issues: Warning signs of physical intimacy issues may include a decrease in physical affection or sexual activity and an avoidance of physical contact, including hugging, holding hands, and kissing. 
  • Emotional intimacy issues: Relationships that involve low emotional intimacy may lack connection or closeness. You and your partner may experience a lack of empathy for one another or find it difficult to share feelings or thoughts. 
  • Intellectual intimacy issues: Intellectual intimacy issues may include a reduction in intellectual conversation or the sharing of thoughts or ideas. You may avoid discussing stimulating conversation topics that would ordinarily interest you. 
  • Experiential intimacy issues: Instead of spending time together and experiencing events and activities as a team, experiential intimacy issues may cause partners to seek independence and avoid each other.  
  • Spiritual intimacy issues: For couples with intense spiritual intimacy, an increase in divergent spiritual or religious beliefs may be a sign of intimacy issues. For example, there may be a lack of shared spiritual practices in situations where you would ordinarily participate together. 
These signs are not all-inclusive, and your relationship and patterns of intimacy may change naturally over time. Changing patterns of intimacy may not indicate that you and your partner or friend will experience intimacy issues. However, you might consider periodically reflecting on your sense of intimacy and communicating your feelings with your partner. In cases where intimacy issues are present, recovery can be possible, and you and your partner may choose to take steps to resolve the situation.

Strategies for resolving intimacy issues

Resolving intimacy issues may involve a multifaceted approach in which individuals work together and independently to improve a relationship. As a starting point, couples and those in intimate relationships may try to build on a foundation of open and trusting communication. Honest dialogue can enable each person in a relationship to communicate their needs and wants without fear of judgment, which may align them on a deeper level. Techniques for improving communication can include active listening and communicating with empathy.

In addition to improving communication skills, pairing mindfulness with self-reflective activities may improve connection in a relationship. Engaging in self-reflective mindfulness, such as meditation or journaling, may help you identify areas of intimacy that are strong and areas that could use improvement. Doing so may allow you to communicate these areas more effectively with your partner and make a plan together to move forward and build intimacy. 

Depending on the type of intimacy lacking in your relationship, you might try to participate in activities or games to improve these areas. For example, a couple struggling with physical intimacy may intentionally find time for physical touch or take steps to increase physical attraction through a fun couple’s card or dice game. If a couple is emotionally disconnected, they may engage in activities to build trust and foster closeness. For example, they could try having conversations when both parties are vulnerable in a safe space. 

A man sits at a kitchen counter with his laptop open infront of him with a troubled expression as his male partner stands infront of him looking sad.
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Navigate intimacy issues in therapy

Seeking professional help

While it is possible to improve relationship intimacy on your own, you may learn new skills by working with a therapist or other mental health professional. Couples therapists or therapists with experience working with intimacy issues can help you identify potential intimacy problems or pitfalls in a relationship and work to overcome them. 

Attending therapy in person may involve finding a local therapist who fits your needs and commuting to their office for therapy sessions. For busy professionals, seeing a therapist who fits your needs and lives in your town can be tricky. Online therapy platforms like BetterHelp for individuals or Regain for couples may bridge this gap. Online, you can connect with a therapist based on your unique needs in a database of over 30,000 therapists. In addition, you can choose a session time that works for you and your partner.  

Online therapy is an effective way to build intimacy and manage intimacy issues that may arise over time. An online therapist may use various techniques, including role-playing or engaging in reflective discussions, to understand you and your relationship better and provide support. 

Takeaway

Building intimacy with a partner, friend, or family member can take time, and issues may arise. Identifying and managing these issues early on may be a step to overcoming them and moving forward with your relationship. In some cases, you and your partner might choose to work with a professional who can provide you with extra support and guidance during challenging times. Consider connecting with a therapist online or in your area to get started.
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