Sex After Trauma: How PTSD Affects Sexual Intimacy

A Little Help For Our Friends

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The invisible connection between trauma and sexual intimacy affects countless relationships, yet remains largely hidden in silence and shame. In this episode, we dive deep into why PTSD creates significant barriers to healthy sexual function—even when the original trauma had nothing to do with sex.
Sexual arousal shares remarkable physiological similarities with threat response, creating a devastating paradox for trauma survivors. The racing heart, flushed skin, and heightened sensitivity that should signal pleasure become warning signs of danger to a traumatized nervous system. Beyond the physiological responses, trauma rewires our capacity for connection. Partners often interpret this withdrawal as personal rejection, creating a destructive cycle that leaves both feeling isolated and misunderstood.
If you or someone you love struggles with trauma's impact on intimacy, know that recovery is possible. Effective trauma treatment can help break the association between arousal and threat. Partners play a crucial role by educating themselves about PTSD, creating safety without enabling avoidance, and maintaining patience through the healing process. Digital self-help resources and specialized trauma therapy can provide accessible starting points for reconnecting with your capacity for intimacy after trauma.
**Have you noticed how trauma affects your relationships? Healing happens when we break the silence around these struggles. If you walk to talk through it and get help, book a call with Dr. Kibby.

Resources:

• PTSD Coach Mobile app

• Rebound Health

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Chapters

1. Introduction to PTSD and Sexual Dysfunction (00:00:00)

2. Understanding PTSD Symptom Clusters (00:03:46)

3. Hyperarousal and Sexual Intimacy (00:10:01)

4. Trauma and Intimate Connections (00:20:34)

5. Trauma Treatment vs. Medication (00:30:03)

6. Supporting Partners and Resources (00:49:27)