In desire, there must be some small amount of tension. And that tension comes with the unknown, the unpredictable. You can close yourself off at home and say, "Whew, at last I'm in a place where I don't have to worry," or you can keep yourself open to the mystery and elusiveness of your partner.

I have more than thirty thousand hours of family and relationship counseling experience under my belt. Over the years, I have seen changes in relationship trends walk through my therapy office doors. My richest gifts are translating the complexities of love and desire in modern relationships into something simple and accessible. I can offer informed advice that makes people feel comfortable, knowledgeable, and confident.

Success, to me, is helping one person or many people counter the isolation and pseudoconnectivity of our lives by boosting their ability to connect to themselves and to others.

At this point, we are living one of the greatest experiments in humankind - to create something that has, throughout history, been considered a contradiction in terms - a passionate marriage. Passion has always existed, but it took place somewhere else. Everything that we wanted from a traditional marriage - companionship, family, children, economic support, a best friend, a passionate lover, a trusted confidante, an intellectual equal - we are asking from one person what an entire village once provided. And couples are crumbling under the weight of so much expectation.

Most affairs do die a natural death. Today, you look at your partner's phone to find out the weather, and you find out about a lover. It has never been as easy to cheat as it is today, and it has never been harder to keep a secret.

People grow up learning to be silent about their sexuality, so where are they going to learn to talk about it when they are in a relationship? Shame, guilt, ignorance, reservation, prudishness, all kinds of different cultural systems and social stereotypes shroud sexuality in secrecy and in silence. And there's the romantic notion. "If I say in the beginning, that I am missing something, you are instantly going to think that means you are not enough."

The very ingredients that nurture love - mutuality, reciprocity, protection, worry, responsibility for the other - are sometimes the very ingredients that stifle desire.