The RISE to Intimacy Podcast

Valerie McDonnell, LCSW - Licensed Psychotherapist & Relationship Coach
  • 5.0 (13)
  • Sexuality
  • Updated Weekly

If intimacy feels like pressure instead of pleasure, you're not alone - and there's a reason why. Licensed sex and couples therapist Valerie McDonnell breaks down the real barriers to connection that most people don't even know exist. From performance anxiety and sexless relationships to attachment wounds and nervous system dysregulation, each episode teaches the same tools Valerie uses with private clients. You'll learn how to regulate your body when sex feels triggering, how to communicate without fighting, how to rebuild desire when it's been gone for months or years, and how to stop abandoning yourself in relationships. Whether you're struggling with low desire, erectile dysfunction, people-pleasing in the bedroom, or feeling completely disconnected from your partner, this podcast will help you understand what's really happening and what you can do about it. Tune in for new episodes every Tuesday because trauma doesn't get the last word, and sex therapy isn't for people who are broken - it's for people brave enough to look beneath the surface.

  1. 3d ago

    Sex Therapy and Couples Therapy Shouldn’t Be Separate

    Couples can spend months or even years working on communication, conflict, and trust without ever talking about what is happening in their sex life. Once sexual concerns come up, their couples therapist may refer them to a sex therapist, almost as if sex is a separate problem that needs to be handed off to someone else. Part of the reason is that many couples therapists were never formally trained to talk about sex. That can leave couples doing important work on their emotional connection while their physical connection remains completely outside the conversation, even though the two are often affecting each other. In this episode of The RISE to Intimacy Podcast, I explain why sex therapy and couples therapy are often treated as two separate specialties and why I do not think that reflects how relationships actually work. I also clear up some common myths about what each type of therapy looks like in a session and why couples should not have to choose between addressing their emotional connection and their sex life. 1:59 – How traditional couples therapy differs from sex therapy 3:07 – The training gap most couples therapists face, and the road to sex therapy qualification that I had to travel 4:54 – Why these therapies shouldn’t be considered completely separate from each other 7:42 – Debunking four common myths about sex therapy and couples therapy 9:14 – The one thing you should take away from this episode Mentioned In Sex Therapy and Couples Therapy Shouldn’t Be Separate Sign up for The Quickie Book a Free 30-Minute Consult Leave a rating and review

    Sex Therapy and Couples Therapy Shouldn’t Be Separate

  2. Aug 11

    How Trauma Affects Your Romantic Relationships

    A calm, steady relationship can start to feel like something is missing, even when nothing seems wrong. If you have a trauma history, quiet may be harder to trust than chaos ever was. What feels like boredom or incompatibility may be your nervous system mistaking calm for the absence of love or desire. Trauma can also show up when you pull away as soon as a relationship starts to feel good, use sex or being desired as proof of your worth, or feel drawn to dynamics that do not always make sense to you. These patterns can feel isolating or shameful, especially when you do not understand why they are happening. In this episode of The RISE to Intimacy Podcast, I walk through four specific ways trauma can affect your romantic relationships. I explain what may be happening underneath each pattern and share what can help you begin changing it without treating it like a lifelong sentence. 2:24 – A calm, safe relationship can feel boring after trauma 5:05 – Three ways to stop chasing intensity outside a healthy relationship 7:09 – Core beliefs, self-sabotage, and how trauma affects your romantic relationships 9:44 – When sex or being desired becomes proof of your worth 12:38 – The difference between consensual kink and a trauma response that needs attention 15:42 – Four signs an empowering sexual pattern may have become compulsive Mentioned In How Trauma Affects Your Romantic Relationships How PTSD Affects Romantic Relationships and What Actually Helps Why People Pleasers Lose Desire and How to Reclaim It Sign up for "The Quickie" or Book a Free 30-Minute Consult Leave a rating and review

    How Trauma Affects Your Romantic Relationships

  3. Aug 4

    When Scheduling Sex Helps and When It Makes Things Worse

    Scheduling sex can sound like a practical solution when life is full and intimacy keeps getting pushed aside. It can also leave you feeling like sex has become another obligation on the calendar, especially when the pressure starts building long before the scheduled time arrives. The difference often comes down to what that time is expected to guarantee. When scheduling protects space for connection and leaves room for desire to develop, it can take pressure off. When it starts to feel like a commitment to arousal, intercourse, or orgasm, your nervous system may experience the schedule as a demand instead of an invitation. In this episode of The RISE to Intimacy Podcast, I explain when scheduling sex can help and why it sometimes makes things worse. I also share how to create intentional time for connection without making a specific sexual outcome the requirement. 2:12 – Why the idea that desire must be spontaneous might be quietly setting your relationship up to fail 4:37 – Responsive desire and the real goal of scheduling sex 5:47 – The impact of scheduling sex on highly anxious or neurodivergent people 6:34 – What most sex-positive content leaves out of the discussion 7:26 – The hidden buildup that can start days before the encounter and ruin the moment 9:24 – How a trauma history changes the feel of a scheduled block, and the reframe that makes it safer 10:54 – A four-part framework for trying scheduled intimacy without turning it into a test or obligation Mentioned In When Scheduling Sex Helps and When It Makes Things Worse Esther Perel Come As You Are by Emily Nagoski, Ph.D. Why Great Long-Term Relationships Still Struggle With Sex How to Stop the Pursue Withdraw Cycle Without Blame RISE to Intimacy Free 30-Minute Consult Leave a rating and review

    When Scheduling Sex Helps and When It Makes Things Worse

  4. Jul 28

    How to Ask Your Partner to Go to Couples Therapy

    Couples wait an average of six years after problems start before ever getting help. If you’ve been sitting on the question, “Will you go to couples therapy with me?” you probably understand how that happens. You know something needs to shift, but you’re worried your partner will hear the request as, “Our relationship is failing,” or “You’re the problem.” Even if you never say those words, that energy can show up in your tone and body language. Research on conflict conversations has found that the first three minutes predict, with striking accuracy, how the whole conversation will go. So the words you choose, along with your tone and timing, can make the difference between an invitation your partner is open to and a conversation that turns defensive before it even starts. In this episode of The RISE to Intimacy Podcast, I give you the exact language to use when asking your partner to go to couples therapy. I explain how to use a podcast episode as a lower-pressure starting point, respond to the fear underneath their objections, and pause the conversation if it starts going sideways. I also share why asking your partner to try one session can feel much easier than asking them to commit to therapy without knowing what that commitment will look like. 1:37 – Why the first three minutes of this conversation matter more than almost anything you say after 2:45 – How to choose your approach based on the pattern in your relationship 5:01 – How to broach the subject with your partner in a gentle, non-accusatory way 6:49 – Why your partner might push back, and what to do if the conversation starts moving towards conflict 8:32 – How to introduce couples therapy like an addition to the relationship instead of a verdict on it 10:27 – Why your relationship isn’t doomed if your partner still says no 11:34 – Bringing everything together so you can start applying it today Mentioned In How to Ask Your Partner to Go to Couples Therapy Sexless Relationships Get Worse the Longer You Wait Resentment Is the Silent Killer of Sexual Desire How to Stop the Pursue Withdraw Cycle Without Blame RISE to Intimacy Free 30-Minute Consult Leave a rating and review

    How to Ask Your Partner to Go to Couples Therapy

  5. Jul 21

    How to Know If Mismatched Sex Drives Are a Real Problem

    Your desire for sex doesn’t match your partner’s, and now you’re wondering what that difference says about your relationship. Is this a normal part of being together long term, or a sign that something has started to go wrong? Mismatched sex drives are incredibly common, but that doesn’t mean every desire gap should be ignored. Sometimes the difference comes down to spontaneous and responsive desire. Other times, resentment, pressure, and emotional disconnection have started changing the relationship far beyond what happens in the bedroom. In this episode of The RISE to Intimacy Podcast, I explain how to tell when mismatched sex drives are a normal part of a long-term relationship and when the gap has started causing real damage. I also share the signs that tell me a couple may need support and what we actually work on in sex therapy. 2:13 – Why mismatched sex drives do not mean you’re incompatible 3:09 – How spontaneous and responsive desire create a cycle of rejection and pressure 6:14 – Five signs mismatched sex drives may need outside support 10:40 – Why initiating sex more often can make the problem worse 11:19 – Two responses to sexual rejection that damage the relationship 12:25 – What couples work on first in sex therapy 15:34 – What a fulfilling sex life can look like after sex therapy 17:08 – How to tell if mismatched sex drives are normal or a real problem Mentioned In How to Know If Mismatched Sex Drives Are a Real Problem Why People Pleasers Lose Desire and How to Reclaim It RISE to Intimacy Free 30-Minute Consult Leave a rating and review

    How to Know If Mismatched Sex Drives Are a Real Problem

  6. Jul 14

    Is a Woman’s Orgasm Worth the Effort?

    A viral podcast clip recently claimed that pleasuring a woman during sex has “not much ROI” and that using a vibrator would make him feel “cucked.” Reducing a woman’s orgasm to a business calculation may sound extreme, but the belief underneath it is far more common. Female pleasure is treated as extra, optional, or only worth pursuing when it happens easily. Sex education often skips the clitoris, pornography turns performance into instruction, and penetration is still treated as the main event. That means most of us were never taught how female pleasure actually works. When that becomes the script, a woman’s pleasure is easier to ignore, and the orgasm gap becomes far less surprising. In this episode of The RISE to Intimacy Podcast, I break down the anatomy behind female pleasure and what the research says about how women reach orgasm during partnered sex. I explain what the orgasm gap reveals, why women’s pleasure can disappear from the sexual equation, and how that pattern affects desire, trust, and connection over time. I also share what helps couples create a sex life where both partners feel seen, informed, and genuinely invested in each other’s experience. 0:53 – What one viral podcast remark about "ROI" reveals about a much bigger cultural blind spot around female pleasure 3:14 – The real anatomy of the clitoris and why most people (including many women) only know a fraction of it 6:08 – Why incuriosity is the real issue for some men here, not simply being unaware of where the clitoris is or how to stimulate a female partner 7:54 – How long it takes a woman to orgasm (and why the range matters more than the average) 9:36 – Why lesbian women orgasm at significantly higher rates than heterosexual women (and what it reveals about where the "problem" really lives) 11:03 – How women adapt to consistently absent orgasms and the coping mechanism most don’t even realize they’re using 11:47 – Why faking orgasms starts as self-protection and can lead to a sexless relationship 14:09 – The three-part process used in couples therapy to help a woman reconnect to her own pleasure and openly communicate it to her partner 15:07 – What separates the men who make real progress in this work from the ones who stay stuck 17:53 – Why this matters beyond a single podcast clip 18:47 – What happens when both partners commit to closing the orgasm gap Mentioned In Is a Woman’s Orgasm Worth the Effort? “Pleasure-producing human clitoris has more than 10,000 nerve fibers” | Oregon Health & Science University “How long does it take for a woman to reach orgasm?” | International Society for Sexual Medicine “Devaluing Women’s Orgasm: An Experimental Investigation of Whether, When, and to What Effect Women and Men Reduce the Importance of Women’s Orgasm” | Personality and Social Psychology Bulletin Why You Can Orgasm Alone But Not With Your Partner Why Women Struggle With Desire and Knowing What They Want RISE to Intimacy Free 30-Minute Consult Leave a rating and review

    Is a Woman’s Orgasm Worth the Effort?

  7. Jul 7

    When One Partner Wants Sex and the Other Pulls Away

    When one partner wants sex and the other pulls away, it can start to feel like every attempt at closeness comes with a risk. If you’re the one initiating, you may feel rejected, unwanted, or unsure whether your partner desires you anymore. So eventually, you stop trying altogether, not because the desire is gone, but because the rejection has become too painful to keep risking. Underneath that pattern, both partners are usually trying to protect themselves. One person reaches for sex because it helps them feel connected and reassured, while the other starts experiencing that same initiation as pressure, expectation, or the possibility of disappointing their partner again. The more loaded sex becomes, the harder it is for either of you to feel safe enough to reach for each other in a way that actually lands. In this episode of The RISE to Intimacy Podcast, I explain the dynamics behind the sexual pursue-withdraw cycle and how it impacts both partners’ nervous systems. I talk about why the same couple can be each other’s pursuer and withdrawer, why this pattern often outlasts the arguments it creates, and how the way you say no can be the difference between disappointment and rejection. I also share four strategies you can practice together to interrupt the cycle, rebuild safety around physical intimacy, and start feeling connected again. 2:32 – A brief disclaimer for the partner who withdraws from sex 3:37 – Why the dynamics behind the initiating partner and the withdrawing partner aren’t what they seem 5:54 – How your brain processes constant sexual rejection, and how partners can switch between the pursuer-withdrawer roles  7:37 – Why only addressing the emotional side of the relationship can sometimes make things worse 8:10 – How the nervous system's feeling of unsafety comes into play for both the pursuer and the withdrawer 10:38 – The effects of sexual satisfaction and dissatisfaction on couples, and the difference between a rejection that wounds vs. disappoints 11:45 – Why the absence of fighting about sex anymore might actually be a sign of trouble ahead 13:34 – How the emotional and sexual pursue-withdraw cycles feed each other in a way that worsens both over time 14:25 – Four strategies for rebuilding safety around physical connection without the weight of expectation or risk of rejection 22:05 – What actually creates the sexual pursuit-withdrawal cycle in relationships Mentioned In When One Partner Wants Sex and the Other Pulls Away How to Stop the Pursue-Withdraw Cycle Without Blame Why You Can Orgasm Alone But Not With Your Partner Fixing a Sexless Relationship Starts With Emotional Regulation RISE to Intimacy Free 30-Minute Consult Leave a rating and review

    When One Partner Wants Sex and the Other Pulls Away

  8. Jun 30

    Why Women Struggle With Desire and Knowing What They Want

    You love your partner and want sex to feel close, connected, and mutual, yet desire can still feel harder to access than you think it should. When they ask what you like, what turns you on, or what would help you feel more present in your body, you may not have a clear answer. That confusion can be painful for both of you, especially when your partner experiences your uncertainty as distance, disconnection, or rejection. Those moments make more sense when you look at how early the messages start. Long before you were in an adult relationship, you may have learned that your body was something to monitor, your desire was something to hide, and your sexuality belonged to someone else before it ever belonged to you. Those messages do not disappear just because you are with someone safe. In this episode of The RISE to Intimacy Podcast, I explain why women’s desire can feel so hard to access and why knowing what you want sexually is not as simple as “just tell me what you like.” I trace how shame, fear, safety messaging, and social conditioning shape the way women relate to their bodies and desire. I also share what male partners need to understand, and where women can begin when they’re ready to start reclaiming their sexual desire. 3:37 – How school dress codes teach girls that their bodies are something to monitor, manage, and cover up 5:10 – Why religious messages about purity, temptation, and obedience can be so hard for women to unravel 7:42 – How sexual double standards teach girls to hide desire while boys are praised for expressing it 9:30 – Why family conversations about sex often teach girls fear before they ever learn about pleasure 12:49 – How being taught to stay accommodating and “not too much” follows women into the bedroom 14:15 – How the media, Me Too, and the backlash that followed shaped women’s relationship with sexual safety 17:54 – What reproductive control can do to a woman’s psychological relationship with her own body 21:02 – The question male partners can ask when they want to understand instead of pressure 22:02 – Three starting points for women ready to begin unlearning a lifetime of sexual conditioning Mentioned In Why Women Struggle With Desire and Knowing What They Want Rose McGowan “Hollywood Was Worse Than The Cult I Escaped” | We Need to Talk with Paul C. Brunson Podcast Why You Can Orgasm Alone But Not With Your Partner RISE to Intimacy Free 30-Minute Consult Leave a rating and review

    Why Women Struggle With Desire and Knowing What They Want
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5
out of 5
13 Ratings

About

If intimacy feels like pressure instead of pleasure, you're not alone - and there's a reason why. Licensed sex and couples therapist Valerie McDonnell breaks down the real barriers to connection that most people don't even know exist. From performance anxiety and sexless relationships to attachment wounds and nervous system dysregulation, each episode teaches the same tools Valerie uses with private clients. You'll learn how to regulate your body when sex feels triggering, how to communicate without fighting, how to rebuild desire when it's been gone for months or years, and how to stop abandoning yourself in relationships. Whether you're struggling with low desire, erectile dysfunction, people-pleasing in the bedroom, or feeling completely disconnected from your partner, this podcast will help you understand what's really happening and what you can do about it. Tune in for new episodes every Tuesday because trauma doesn't get the last word, and sex therapy isn't for people who are broken - it's for people brave enough to look beneath the surface.

Information

  • Creator
    Valerie McDonnell, LCSW - Licensed Psychotherapist & Relationship Coach
  • Years Active
    2026
  • Episodes
    32
  • Rating
    Explicit
  • Copyright
    © 2026 The RISE to Intimacy Podcast
  • Show Website
    The RISE to Intimacy Podcast

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