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In my blog, I explore a wide range of topics related to relationships, sexuality, and mental well-being. Each post is designed to provide insights, practical tools, and fresh perspectives to help you navigate the complexities of love, intimacy, and personal growth. Whether you're looking to deepen your connection with your partner or enhance your overall well-being, my articles offer valuable guidance grounded in my work as a sexologist and therapist.

When Your Partner Has a Disorder and the Sex Stops: Supporting Them Without Losing Yourself

codependency couplestherapy intimacyissues mentalhealthandsex ocddepressionanxiety relationshipstruggles resilienceinlove selfcareforpartners sexualwellbeing supportingapartner Apr 15, 2025

 

Introduction

It’s incredibly challenging when a partner has a disorder—be it OCD, depression, anxiety, or any personality-related issue—and sex all but disappears from the relationship. Out of love and loyalty, we may push our own needs aside, feeling guilt or shame for wanting intimacy. Meanwhile, we watch our partner struggle with symptoms that are beyond their immediate control.

This article is aimed at those who support a partner through such difficulties. We’ll explore why your voice is also vital in the healing process, how to spot the difference between resilience and losing yourself, and why professional guidance can help you both move forward—together or individually.


When Your Partner’s Struggle Becomes Your Own

The Guilt of “Needing More”

When sex diminishes or stops, many supporting partners feel conflicted. On the one hand, it may seem selfish to yearn for physical closeness when your loved one is battling a mental or emotional challenge. On the other hand, your needs don’t just vanish because your partner is unwell. It’s natural to crave connection, but this can be overshadowed by shame for wanting “more” in the midst of your partner’s struggle.

Key Insight: Recognising that your needs are valid doesn’t minimise your partner’s disorder. It merely acknowledges the complexity of two lives entangled by love, support, and a shifting dynamic in intimacy.


The Risk of Losing Yourself

When Resilience Becomes Enabling

Being resilient can be a gift—staying the course, offering support. However, it’s easy to blur the lines between devoted partner and rescuer. You might slip into doing so much emotional labour on your partner’s behalf that you start to lose track of your own identity.

Potential Co-Dependency
This pattern can morph into a co-dependent cycle: you bear the emotional weight, they lean heavily on you. Neither of you fully addresses the root issues. Checking in with your partner—maybe even pointing out the possibility of a co-dependent dynamic—could spark a more balanced approach to healing.


The Disorder Takes Centre Stage

The Impact on Intimacy

Conditions like depression, anxiety, or other disorders can manifest physically, for example through dyspareunia (painful intercourse), vaginismus, or erectile dysfunction. Even without a direct physical symptom, the mental strain alone can stifle sexual desire or create performance anxiety. The result? Fear around intimacy—for both parties.

Downward Spiral
Not only does your partner face the challenge of the disorder itself, but now an added layer of sexual complications emerges. You, in turn, might feel stuck, unsure of how to be supportive while also grappling with unmet emotional and physical needs.


Honouring Your Own Voice and Boundaries

It’s OK to Question Your Limits

Love can make us feel that we must endure, come what may. But each situation is unique, and there’s no absolute right or wrong in deciding whether to stay or to end the relationship. Honouring your own values—knowing what you can realistically handle—can guide you towards a decision that, while difficult, might be necessary for both your mental health and that of your partner.

Self-Integrity
Recognising the gravity of your partner’s disorder doesn’t negate your own sense of self-worth. Sometimes, acknowledging you’ve reached your limit can be the most honest act of love for all involved.


Seeking Professional Help—For Both of You

Couple’s Therapy and Beyond

If intimacy has dwindled due to a disorder, working with a couples therapist can help you both identify strategies to reconnect. Rather than allowing the condition to dominate, therapy can reorient you as a team—working alongside each other rather than feeling pitted against a one-sided struggle.

A Word on Roles
You are not your partner’s therapist. Encourage them to seek individual treatment for their symptoms, but ensure you pursue your own support as well—whether that’s therapy, coaching, or a support group.


Communication and Collective Healing

Address the “Pink Elephant” Early

If your partner’s disorder leads to a sudden change in sexual intimacy, don’t wait until resentments build to address it. Open conversations, though tough, prevent unspoken tensions from becoming embedded in your relationship’s foundation. Naming the issue lays the groundwork for empathy, planning, and shared solutions.

Nurturing Self-Responsibility
Ultimately, each adult is responsible for his or her emotional state. Being transparent about how you feel, encouraging them to talk about their own experiences, and jointly seeking ways to cope can fortify your bond—even amidst struggle.


Conclusion

Supporting a partner through a disorder that disrupts your sex life isn’t straightforward. It tests resilience, triggers guilt, and can lead to hidden resentments. It can also reveal depths of compassion and love you might not have known you possessed. The key is to recognise your own role and your limits—to see the difference between standing by someone and losing yourself.

Remember: You can be loving, patient, and committed while still protecting your emotional health. By addressing these complex dynamics head-on, seeking professional help, and maintaining honest communication, you can decide whether to remain in the relationship or step away—whatever path best honours both your partner’s healing journey and your own well-being.

Vaya Con Dios

Need more help

Sometimes we all need a little extra support, and that's okay. If you're feeling stuck, struggling with a relationship, or simply want to make positive changes in your life, I’m here to walk that journey with you. The most meaningful step for you is to reach out and try a free session to see if we can resolve this.

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