Radical
Relationship
Transformation
Shira Hearn, LMFT
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Shira
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RADICAL RELATIONSHIP TRANSFORMATION
Sex Therapy in
Joplin, MO
for Couples
Sex has become the thing you fight about. Or the
thing you don't talk about at all.
One of you misses feeling wanted. The other misses being able to
touch without wondering what it will lead to. Or sex has become
painful, unpredictable, or so loaded that avoiding it feels easier than
trying again.
I help couples talk about what is happening, understand the pressure
and distance that have built around it, and work toward a sexual
relationship that feels good to both of you.
Request an appointment
↗
ROOM FOR BOTH OF YOU
90 minutes · $250 · In person in Webb City, serving the Joplin area
REAL LIFE. REAL INTIMACY.
It Looks Easy
on Television
On television, sex is two people deciding at roughly the same moment
that now would be a good time. Nobody is tired. Nobody has to be up
at five. Nobody said the wrong thing at dinner and spent the rest of the
evening quietly trying to fix it.
Then again, everybody's house is always clean on television too.
Nobody is stepping over a laundry basket on the way to the bedroom.
Nobody has had the dishwasher conversation four times that week.
Real intimacy happens in an actual house, between two people with
bodies, histories, and lives that don't conveniently disappear at
bedtime.
You are not broken because it is harder than it
looks.
DOES ANY OF THIS FEEL FAMILIAR?
What Couples Bring
Here
Different levels of desire.
One of you wants sex more often, and the
difference has become a source of hurt,
pressure, or resentment.
A sex life that has gone quiet.
You love each other, but you have stopped
reaching for each other and don't know
how to start again.
Worry about how sex will go.
Difficulties with erections, arousal,
ejaculation, or orgasm have made intimacy
feel like a test.
Pain or discomfort.
You want help talking about what hurts
and how it is affecting your relationship,
alongside appropriate medical care.
Changes in your body or your
life.
Pregnancy, menopause, illness, cancer
treatment, or exhaustion have changed
what intimacy feels like.
Sex after betrayal.
You are trying to understand what
closeness can look like while trust is still
being repaired.
You don't need to know which category fits. We can start with what has been happening.
UNDERSTANDING WHAT HAPPENS BETWEEN YOU
When Even a Kiss
Feels Complicated
For some couples, the pattern starts with one person reaching for sex
because they miss feeling close. The other feels pressure, worries about
disappointing them, or knows it might hurt. They pull back. The first
person feels rejected and tries harder to get an answer. Now both of you
are bracing for the next conversation.
Eventually, even ordinary affection can feel loaded. A kiss becomes a
question. Going to bed becomes a negotiation.
Using Emotionally Focused Therapy, I help you slow those moments
down and understand what each of you is experiencing. We work on
asking for closeness, talking about desire, and hearing each other's limits
without repeating the same argument.
Your wish to feel wanted
matters. So does your
freedom to say no. Both
belong in the conversation.
We also pay attention to the physical side. Medication
effects, hormonal changes, pain, and illness can affect
sex. When a concern needs medical assessment, I will
encourage you to get that care while we work on its
impact on your relationship.
A PLACE TO SAY IT OUT LOUD
What Actually
Happens in the
Room
Sex therapy here is conversation. You stay fully clothed, and there is no
physical examination or sexual activity in sessions.
We talk about what has changed, what feels difficult, and what each of
you hopes could be different. I help you have the conversations that
keep getting cut short, turning into a fight, or ending with someone
apologizing for how their body feels.
You can begin with, “I don't know how to talk about this.” That gives
us somewhere to start.
The aim is for you to have more choice, more understanding, and room
for pleasure and affection that you both want. Neither of you is required
to have sex as part of this work.
Shira Hearn
Licensed Marriage and Family Therapist
Missouri #2022045023
MEET SHIRA
A Therapist Who
Works With Couples
I'm Shira Hearn, a Licensed Marriage and Family Therapist. My
practice is devoted to couples, and sex is something we can talk about
directly here.
I use Emotionally Focused Therapy to work with the patterns between
you. If you keep leaving conversations feeling rejected, pressured,
ashamed, or misunderstood, we look closely at how that happens and
practice responding differently in the room.
You can read more about how sex therapy and EFT work together, couples therapy
in Joplin, MO, and what the EFT research actually shows.
THE PRACTICAL PART
All the Fine Print
Sessions are 90 minutes at $250, in person at my office in Webb City.
I work with couples: married, engaged, or in a committed relationship.
Both partners attend.
I am self-pay and do not bill insurance. If you plan to use an HSA or FSA,
check your plan's requirements; I can provide a receipt.
Sex therapy is part of our couples work, with the same session fee.
BEFORE YOU BOOK
Questions You
Might Be Asking
What if our relationship is good except for sex?−
That is enough reason to come. We can focus on the sexual concerns
and the strain they are creating between you.
Do we have to be having sex to come?−
No. Whether sex has become infrequent, has stopped altogether, or
has always been difficult, we can begin with where you are.
What if one of us is embarrassed or skeptical?−
You can say that. We can talk about what you are worried therapy will
involve before asking you to go further.
WE CAN START HERE
You Don't Need to Have the
Words Ready
You have probably rehearsed this conversation enough times already. You
don't have to explain your whole sex life when you reach out. “We need help
with intimacy” is enough to get started.
Read what sex therapy involves and how EFT helps. When betrayal is part of the concern, explore affair recovery and rebuilding intimacy after infidelity.
Request an appointment
↗
Call or text 417-768-9089
Radical Relationship Transformation
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© 2026 Radical Relationship Transformation · Shira Hearn, LMFT · Webb City, Missouri