Couples Sexology and Relationship Sexual Health (CBT)
By Dr. Ruja Shrestha
CBT-based couples therapy for relationship sexual health and intimacy
Dr. Ruja Shrestha
Psychiatrist & CBT Therapist
Services & Capabilities
Joint assessment of relational and sexual dynamics
Communication skills training for sexual needs and boundaries
Resolving desire discrepancy through structured CBT
Rebuilding intimacy and trust after breaches
Managing life transitions affecting the sexual relationship
Home practice exercises for sustained improvement
About This Service
Sexual health is a vital component of relationship wellbeing, yet many couples in Kathmandu struggle to maintain a satisfying sexual connection amidst the demands of daily life. Dr. Ruja Shrestha provides specialized CBT-based couples sexology therapy designed to help partners rebuild intimacy, improve communication, and overcome sexual challenges together.
Unlike individual therapy, couples sexology addresses the relational dynamics that influence sexual satisfaction. Dr. Shrestha works with both partners simultaneously, creating a safe space where each person can express their needs, concerns, and desires. Her approach is particularly effective for couples who have experienced a gradual erosion of intimacy, specific sexual dysfunctions, or life transitions that have disrupted their sexual connection.
Treatment Approach
The couples sexology protocol follows a structured yet flexible framework: (1) joint assessment of relational and sexual dynamics, including individual interviews and couple sessions; (2) communication skills training specifically focused on sexual needs, boundaries, and desires; (3) resolving desire discrepancy through structured CBT exercises that help couples find mutually satisfying sexual patterns; (4) rebuilding intimacy and trust after breaches such as affairs or emotional disconnection; (5) managing life transitions including parenthood, career changes, health issues, and aging; and (6) home practice exercises that couples complete between sessions to accelerate progress.
Conditions We Treat
Benefits of This Approach
Rebuild emotional and physical intimacy
Resolve desire discrepancy and mismatched libidos
Improve communication about sexual needs and boundaries
Overcome sexual avoidance patterns together
Navigate life transitions without losing sexual connection
Restore trust and vulnerability in the relationship
Frequently Asked Questions
How are couples sexology sessions structured?
Sessions typically begin with both partners present for joint discussion, followed by individual time with each partner when needed. Dr. Shrestha ensures balanced participation and provides structured exercises for couples to practice between sessions. Most couples attend weekly or bi-weekly for 8-16 sessions.
What if one partner is more willing to participate than the other?
This is very common. Dr. Shrestha begins by understanding each partner's concerns and motivations individually, often starting with the willing partner while gently inviting the hesitant partner. Many initially reluctant partners become engaged once they see the process is non-judgmental and practical.
Can couples sexology help if we have not had sex in years?
Yes, this is one of our most successful treatment areas. Dr. Shrestha uses a graduated approach that begins with non-sexual intimacy exercises and gradually rebuilds physical connection at a pace both partners find comfortable. Many couples resume sexual activity within 4-8 sessions.
Is this appropriate for unmarried couples in Nepal?
Dr. Shrestha welcomes all couples regardless of marital status. All sessions are completely confidential, and the therapeutic approach respects each couple's values, cultural background, and personal boundaries.
Why Choose Dr. Ruja Shrestha?
Expert Care
10+ years of specialized experience
100% Confidential
Your privacy is our top priority
Evidence-Based
Following WHO-standard treatment protocols
Book a Consultation
Schedule a confidential consultation with Dr. Ruja Shrestha for Couples Sexology and Relationship Sexual Health (CBT)