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A certified sex therapist and existential psychotherapist committed to thoughtful conversations about love, desire, & embodiment
Meet Dr. Emma
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Have you ever wondered why desire feels harder than it used to? Maybe you’ve never had a problem before, but suddenly you’re finding that you’re dealing with low desire and libido.
You might find yourself asking why your heart might want closeness, but your body doesn’t seem to follow?
If you’ve ever thought something must be wrong with me, this conversation is for you.
In this episode, Dr. Emma gently challenges the idea that desire disappears because of effort, mindset, or compatibility. Instead, we explore a less understood truth: desire goes offline when the body doesn’t feel safe enough to open.
This is not a conversation about fixing yourself. It’s an invitation to listen to your body, and the wisdom that is there and always has been there… all along.
You’re gently invited to explore, at your own pace:
There is no right speed here. Only listening.
“Desire can’t bloom where the body doesn’t feel safe.”
“This isn’t a mindset issue. It’s a nervous system regulation issue.”
“Safety isn’t the end of eroticism—it’s the beginning.”
00:00 — The Body Knows: Why Desire Goes Quiet
03:30 — Co-Regulation: The Real Foundation of Intimacy
05:45 — Safety as the Antidote to Low Desire and Libido
11:00 — A Personal Story: When the Body Says No
15:00 — Attachment, Biology, and Erotic Availability
20:00 — Erotic Regulation: A Clinical Reframe
28:00 — Safe, Seen, Desired: Closing Reflection
If you love when things get EXTRA nerdy, this section of the show notes is for you!
The references and resources listed here inform the philosophical, social, psychological, and scientific perspectives shared in this podcast. I’m committed to grounding these conversations in current research and established clinical and theoretical literature, especially in a digital landscape where opinion is often presented as fact.
While I do interpret the data through my own clinical training, lived experiences, and philosophical lens, I aim to provide clear foundations for those interpretations. All links were checked and verified at the time of recording, and you’re always welcome to explore the original sources directly.
Barrett, L., & Simmons, W. (2015). Interoceptive predictions in the brain. Nature Reviews Neuroscience, 16, 419–429. https://doi.org/10.1038/nrn3950
Basson, R. (2005). Women’s sexual dysfunction: Revised and expanded definitions. CMAJ, 172(10), 1327–1333. https://www.cmaj.ca/content/172/10/1327
Brotto, L. A., Bergeron, S., Zdaniuk, B., Driscoll, M., Grabovac, A., Sadownik, L. A., Smith, K. B., & Basson, R. (2019). A comparison of mindfulness-based cognitive therapy vs cognitive behavioral therapy for the treatment of provoked vestibulodynia in a hospital clinic setting. Journal of Sexual Medicine, 16(6), 909–923. https://doi.org/10.1016/j.jsxm.2019.04.002
Feldman, R. (2020). What is resilience: An affiliative neuroscience approach. World Psychiatry, 19(2), 132–150. https://doi.org/10.1002/wps.20729
Feldman, R. (2007). Parent–infant synchrony and the construction of shared timing: Physiological precursors, developmental outcomes, and risk conditions. Journal of Child Psychology and Psychiatry, 48, 329–354. https://doi.org/10.1111/j.1469-7610.2006.01701.x
Janssen, E., & Bancroft, J. (2023). The dual control model of sexual response: A scoping review, 2009–2022. Journal of Sex Research, 60(7), 948–968. https://doi.org/10.1080/00224499.2023.2219247
Levine, S. B. (2003). The nature of sexual desire: A clinician’s perspective. Archives of Sexual Behavior, 32, 279–285. https://doi.org/10.1023/A:1023421819465
Porges, S. W., & Dana, D. (2018). Clinical applications of the polyvagal theory. New York: Norton.
Porges, S. W. (2004). Neuroception: A subconscious system for detecting threat and safety. Zero to Three, 24(5), 19–24.
https://www.polyvagalinstitute.org/resources/neuroception
https://www.elitelearning.com/resource-center/rehabilitation-therapy/neuroception-a-subconscious-system-for-detecting-threat-and-safety
Velten, J., Margraf, J., Chivers, M. L., & Brotto, L. A. (2018). Effects of a mindfulness task on women’s sexual response. Journal of Sex Research, 55(6), 747–757.
https://doi.org/10.1080/00224499.2017.1408768
Wang, Y., Vlemincx, E., Vantieghem, I., Dhar, M., Dong, D., & Vandekerckhove, M. (2022). Bottom-up and cognitive top-down emotion regulation: Experiential emotion regulation and cognitive reappraisal on stress relief and follow-up sleep physiology. International Journal of Environmental Research and Public Health, 19(13), 7621.
https://doi.org/10.3390/ijerph19137621
You just heard me talk about desire, intimacy, and the realities of modern relationships.
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