Jon Prezant
THERAPY FOR LOW AND MISMATCHED DESIRE
When one of you wants sex more than the other
SEX THERAPIST FOR COUPLES WITH DIFFERENT LEVELS OF DESIRE
JON PREZANT, LCSW, MA, CST — AASECT-CERTIFIED SEX AND COUPLES THERAPIST
Therapy for couples where one of you wants sex more than the other, or where desire has faded for both of you and neither knows how to bring it up anymore. I’m a licensed clinical social worker and an AASECT-certified sex and couples therapist, and I work online across New York, New Jersey, New Hampshire, and Florida.
Mismatched desire is one of the most common sexual issues couples face, and the usual advice makes it worse: schedule it, try harder, spice it up. In my experience the problem is rarely the lower-desire partner being broken. It’s the pattern the two of you have built around sex, where one pursues, the other avoids, and both end up feeling rejected. We work on that pattern, and on the capacity each of you has to want and be wanted.
What I work with: one partner who always initiates, sex that has become a source of tension, desire that faded after kids, stress, or years together, sex that feels like an obligation, and differences in what each of you actually wants in bed. When desire changes suddenly, I’ll also suggest a medical check, since hormones and medications can play a part.
I hold an MSW from Yeshiva University, an MA in Trauma and Crisis Studies from Tel Aviv University, and certification in sex therapy through AASECT and the Modern Sex Therapy Institutes. I live in Brooklyn with my husband and our dog, Bernie.
WHAT CLIENTS BRING IN:
I'M ALWAYS THE ONE WHO INITIATES
You're tired of asking and tired of hearing no. Each rejection feels personal, even when you know it isn't. We look at what each no means, for both of you.
IT FADED FOR BOTH OF US
No one is chasing anyone anymore. Sex just stopped. Often there's still desire underneath, buried under routine, resentment, or things never said.
I DON'T WANT IT AND I FEEL GUILTY
You love your partner and don't understand where your desire went. The pressure makes it harder to feel anything. We take the pressure off so something else can show up.
WE WANT DIFFERENT THINGS
Sometimes the gap isn't how often but what kind. Different fantasies, different pacing, different ideas of what counts as sex. We make room to talk about it without shame.
Your Questions, Answered.
What to expect when you start working on this.
HOW THERAPY WORKS
Will you give us homework?
Sometimes, and never as a performance test. Any exercises are there to help you notice what’s happening, not to hit a quota.
Is this sex therapy or couples therapy?
Both. Desire problems live in the relationship and in each person, so I work with both at once. It’s exactly where sex therapy and couples therapy meet.
What if the problem is medical?
If hormones, medications, pain, or a health change might be involved, I’ll recommend seeing a physician, and I work alongside medical providers when that’s useful.
Is This For Me?
Is it normal for desire to fade in a long relationship?
Common, yes. Inevitable, no. Some couples find their sex life gets better in later years, once they stop measuring it against how it felt at the start.
My partner thinks I'm the problem.
That’s usually where couples start. It’s rarely where they end up. Desire is shaped by both people, and the work reflects that.
Can I come on my own?
Yes. Individual work can help you understand your own desire. For a mismatch, working together usually moves faster.
Where I work
NYC and all of New York State, New Jersey, New Hampshire, Florida. All sessions online.
Work With Me
Jon Prezant, LCSW, MA
LOW DESIRE THERAPIST IN NY, NJ, NH, FL
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- Free 15-minute consultation
- AASECT-Certified
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My Blogs
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