Julia Spenadel, Counseling and Art Therapy, PLLC
Sex Positive &Couples Therapy

Relationships, Nervous Systems, and Connection
Relationships are shaped by attention, communication, desire, and the nervous system. Research in attachment theory, interpersonal neurobiology, and emotion regulation consistently shows that when these systems fall out of sync, people experience disconnection, frustration, or feeling unseen (Bowlby, 1988; Siegel, 2012; Porges, 2011). These experiences are not personal failures. They are patterned responses shaped by relational history, stress, and neurobiology.
Therapy offers a space to slow things down, notice these patterns as they unfold, and explore what is happening beneath the surface without judgment or pressure to immediately fix anything. When people feel emotionally safe and understood, nervous system regulation improves and new relational behaviors become more accessible (Johnson, 2019).
My work with individuals and couples is grounded, relational, and sex-positive. This means identities, experiences, boundaries, and curiosities are met with openness and respect. Contemporary relational research emphasizes that growth occurs through attuned, non-pathologizing connection rather than correction or performance (Jordan, 2018).
A Sex-Positive, Non-Pathologizing Approach
Sex-positive therapy is not about pushing intimacy or defining what sex should look like. It’s about creating space to explore what feels authentic, meaningful, and supportive for you.
This work can include:
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Navigating differences in desire or intimacy
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Exploring shame, anxiety, or avoidance around sex
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Understanding how communication styles impact closeness
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Building comfort with partners kinks, boundaries, and consent.
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Reconnecting with your body in ways that feel safe and curious and maybe even fun!
Couples & Relationship Work
Couples therapy isn’t about deciding who’s right. It’s about understanding patterns, how you move toward or away from each other, how conflict unfolds, and how needs get expressed (or missed).
In couples work, we may focus on:
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Communication and emotional attunement
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Conflict cycles and repair
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Emotional and physical intimacy
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Navigating transitions, stress, or mismatched needs
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Strengthening connection without losing individuality
The goal is not perfection, but greater clarity, compassion, and flexibility in how you relate to one another.
Neurodivergence, Attention, and Relationships
Neurodivergence affects all aspects of an individuals life. It influences emotional regulation, follow-through, intimacy, and how people experience connection.
You might notice:
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Difficulty staying present in conversations or during intimacy
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Feeling overwhelmed by expectations or routines
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Misunderstandings around effort, attention, or care
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Internalized frustration or self-criticism
Therapy can help make these patterns visible and workable. We focus on understanding how your brain works, building self-compassion, and creating relational strategies that actually fit real life.
Working With Individuals
For individuals, therapy may focus on:
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Identity and self-understanding
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Relationship patterns
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Sexuality and body awareness
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ADHD and attention regulation
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Building more ease and intention in daily life
This is a space to reflect, experiment, and reconnect with yourself in ways that feel steady and supportive.
A Creative, Experiential Space
While not required, creative and experiential approaches are available for those who find that talking alone doesn’t always capture the full picture. Visual tools, gentle exercises, and mindfulness-based practices can help make abstract experiences more concrete and accessible.
You do not need to be “artistic.” Creativity here is simply another way to notice, explore, and understand.
Moving Forward
Therapy doesn’t require crisis to be worthwhile. It can be a place to deepen insight, improve connection, and make intentional shifts, individually or together.