Therapy for Fear of Intimacy in Texas

Are You Experiencing Fear Around Sex And Intimacy?


  • Fear of Rejection: Worrying about being turned down or judged by others.

  • Emotional Vulnerability: Struggling to open up and share feelings.

  • Past Trauma: Carrying unresolved trauma from past relationships.

  • Performance Anxiety: Feeling pressure to meet certain expectations in intimate situations.

  • Erectile Dysfunction

  • Delay or Inability to Orgasm

  • Low Self-Esteem: Having a negative self-image and feeling unworthy of love.

  • Fear of Intimacy: Being afraid of getting too close to someone.

  • Trust Issues: Difficulty trusting others due to past betrayals.

  • Communication Barriers: Struggling to express needs and desires.

  • Social Anxiety: Feeling nervous in social situations, leading to isolation.

  • Fear of Being Hurt: Worrying about emotional pain from potential breakups.

  • Physical Discomfort: Experiencing unease with physical closeness.

  • Guilt and Shame: Feeling ashamed about past actions or behaviors.

  • Overthinking: Constantly analyzing and doubting interactions.

  • Fear of Commitment: Hesitating to enter long-term relationships.

  • Negative Self-Talk: Internal dialogue that undermines confidence.

  • Loneliness: Feeling isolated and disconnected from others.

  • Inconsistent Boundaries: Struggling to set and maintain healthy boundaries.

  • Comparisons: Comparing oneself unfavorably to others.

  • Fear of Vulnerability: Avoiding situations that require emotional exposure.

  • Intimacy Avoidance: Actively avoiding situations that could lead to closeness.

What Is Fear of Intimacy?


Couple intimacy anxiety
  • Overanalyzing Relationships: Fear of intimacy can cause individuals to overanalyze their relationships, constantly questioning their partner's feelings or intentions, and worrying excessively about the stability of the relationship.

  •  Sexual Anxiety: In some cases, fear of intimacy also includes sexual anxiety, where the person may feel uncomfortable or fearful about sexual closeness, leading to avoidance of sexual activities.

  •  Perfectionism: Some people with fear of intimacy may feel the need to be "perfect" before they can be loved, fearing that any flaws will lead to rejection.

  •  Low Self-Esteem: Fear of intimacy is often linked to low self-esteem, where the person doubts their worthiness of love and affection.

Fear of intimacy is a type of anxiety that shows up in situations where a person is expected to form close, personal, and often romantic or sexual relationships with others.  Fear and anxiety around intimacy and sex can manifest in several different ways including emotional discomfort, fear, avoidance and difficulty in developing or keeping deep connections with others.

  • Fear of Vulnerability: People with fear and anxiety around intimacy may worry that opening up emotionally will lead to rejection, judgment, or betrayal.

  • Difficulty Trusting Others: Trust issues are common, where the person may find it hard to believe that others have their best interests at heart. This can stem from past experiences of hurt or betrayal.

  •  Avoidance of Close Relationships: People with fear of intimacy might avoid forming close relationships. They may keep others at a distance, avoid serious commitments, or end relationships prematurely to protect themselves from perceived risks.

  •  Fear of Rejection: Underneath fear of intimacy is often fear of rejection. The person might worry that if others truly get to know them, they will not be accepted or loved.

  •  Emotional Withdrawal: In situations where closeness is expected, individuals with intimacy anxiety might emotionally withdraw or shut down as a protective mechanism.

  • Ambivalence in Relationships: A person with fear of intimacy may experience ambivalence, where they desire closeness but simultaneously fear it. This push-pull dynamic can lead to confusion and stress in relationships.

Here's How It Can Show Up:

Cognitive Behavior Therapy (CBT) Can Help

CBT helps people with intimacy anxiety by addressing the cognitive, emotional, and behavioral aspects of their anxiety around closeness, connection, sex and intimacy. As a clinician, I use various skillful interventions to help clients learn to challenge their fears, develop healthier thinking patterns, and build the skills they need to form and maintain close, fulfilling relationships.  Interventions address areas around:

cbt word made from toy cubes with letters.png

  • Identifying Negative Thought Patterns

  • Challenging and Replacing Negative Beliefs

  • Addressing Avoidance Behaviors

  • Improving Emotional Regulation

  • Building Trust and Interpersonal Skills

  • Addressing Core Beliefs Around Self-Worth, Vulnerability, Intimacy, Relationships

  • Enhancing Problem-Solving Skills

  • Enhancing Intimacy Skills and Mindset

  • Track Progress

  • Relapse Prevention

  • Empowerment

Some of the tools I use include: Homework, Journaling, Affirmations, Restructuring Thoughts, Relaxation skills to regulate the nervous system, Coping Skills, Social Skills, Interpersonal Skills, Intimacy Skills and Psychoeducation.

I Help Clients In:


  • Emotional Connection: Longing for deep, meaningful connections.

  • Trust and Safety: Wanting to feel secure and trusted in relationships.

  • Authenticity: Desiring to be authentic and accepted for who they are.

  • Healthy Boundaries: Establishing and respecting personal boundaries.

  • Mutual Respect: Seeking relationships based on mutual respect and understanding.

  • Open Communication: Yearning for open, honest conversations.

  • Self-Acceptance: Achieving a positive self-image and self-acceptance.

  • Healing Past Wounds: Wanting to heal from past traumas and hurts.

  • Emotional Support: Desiring emotional support and encouragement.

  • Physical Comfort: Feeling at ease with physical closeness.

  • Intimacy Skills: Learning skills to enhance intimacy and connection.

  • Confidence in Relationships: Building confidence in forming and maintaining relationships.

  • Empathy and Understanding: Seeking partners who empathize and understand their feelings.

  • Stable Relationships: Desiring stable and long-lasting relationships.

  • Shared Values: Looking for partners with similar values and goals.

  • Joy and Fulfillment: Experiencing joy and fulfillment in intimate relationships.

  • Balanced Dependency: Achieving a balance between independence and emotional dependency.

  • Mutual Growth: Engaging in relationships that promote mutual personal growth.

  • Positive Self-Talk: Cultivating a positive internal dialogue.

  • Freedom from Fear: Overcoming fear and anxiety to enjoy closeness and connection.

At Solutions Behavior Health Services, Inc.  I offer online therapy throughout the state of Texas and particularly in Houston, Austin, Dallas, San Antonio and surrounding areas. 

Online Counseling Throughout All of Texas.

Questions before getting started? Get in touch.