Disability, Sexuality & Intimacy

Disability, Embodied Difference & Sexuality

Sexuality does not disappear with illness, injury, or disability. And yet so much of the world, including the world of clinical care, behaves as though it does.

If you are living with a disability, chronic illness, chronic pain, fatigue, or a significant change in physical function, you deserve support that takes your full humanity seriously. That includes your desires, your relationships, your body, and your pleasure.

At the San Francisco Intimacy and Sex Therapy Centers, we approach this work with both clinical depth and genuine understanding. We know how profoundly the body shapes our sense of self, our confidence, and our capacity for connection. We also know how much it matters to work with someone who does not treat disability as a footnote, or as something to work around, but as a real and valid part of who you are.

Together we explore what intimacy, desire, and embodied pleasure look and feel like for you, in the body you actually have. That might mean adapting to a new diagnosis, reimagining what sex and connection can be after a significant physical change, or navigating a relationship where one or both partners are living with disability. It might simply mean finding your way back to yourself after a long time of feeling cut off from your own body and aliveness.

All sessions are available online, making this work accessible regardless of mobility, fatigue, geographic location, or any other barrier to in-person work. You do not have to be able to get to an office to deserve this support.

You are welcome here exactly as you are.

Who This Work Is For

This work is for anyone whose relationship with their body has been shaped by disability, chronic illness, or physical change. That includes people living with spinal cord injuries, multiple sclerosis, chronic pain conditions, neurological disorders, acquired disability, post-surgical changes, and chronic fatigue, among many others. It is also for the partners, spouses, and loved ones of disabled people who are navigating intimacy and connection in the context of physical change.

You do not need a specific diagnosis to be welcome here. If your body has changed in ways that have affected how you experience yourself, your desire, or your relationships, this work is for you.

What We Explore Together

The questions that come up in this work are as varied as the people who bring them. Some clients come wanting to reconnect with desire and pleasure after a long period of feeling disconnected from their bodies. Others are navigating what intimacy looks like now that their body works differently than it used to. Some are dealing with grief around physical loss, or trying to communicate their needs to a partner who does not fully understand what they are going through. Others simply want a space where their full humanity, including their sexuality, is taken seriously by someone who genuinely understands.

Accessibility

All sessions are conducted online, making this work accessible regardless of mobility, fatigue, pain levels, or geographic location. You do not need to be able to leave your home to access support. Sessions are available across time zones for clients throughout the United States and internationally.