Depth at every level —
where modern life meets the unconscious.
Juliane Maxwald, LP
Psychoanalyst · Relationship & Sex Therapist · Author
Let’s talk about sex, ambition, intimacy, and everything underneath.
What shows up in bed, in love, or at work is never just about performance —
It’s rooted in who we are, what we’ve lived through, and how we long to be known.
I’m Juliane Maxwald,
a New York–based psychoanalyst, relationship and sex therapist, and author. For over two decades, I’ve helped individuals and couples explore the unconscious patterns that shape their emotional, sexual, and professional lives — and supported them in creating more grounded, connected ways of living.
Whether you’re navigating low desire, infidelity, compulsive behavior, communication breakdowns, anxiety, depression, or career dissatisfaction — or simply seeking more alignment in love, work, or life — I offer a space to slow down, listen deeply, and move toward meaningful change.
My approach integrates contemporary psychoanalysis, relationship and sex therapy, and somatic awareness, helping clients attune to the emotional signals held in the body. For coaching clients, I draw on insight-oriented tools that link inner conflict with outer performance, creativity, and relational success.
Together, we won’t just manage symptoms — we’ll explore what your experience is trying to reveal: your needs, your history, and your capacity for intimacy, creativity, and change.
What brings people here —
People come to therapy for many reasons—some clear, others harder to name.
Sometimes it starts with a crisis — a rupture, a loss, a breaking point. Other times it’s quieter, just a low-level restlessness or sense that something’s off, even if life looks fine on the outside.
Whether you arrive with a sexual concern, a relational wound, or a longing to grow—emotionally, professionally, or erotically—we’ll explore what’s beneath the surface and what’s possible from here.
Together, we’ll create space to listen deeply, relieve what feels overwhelming, and move toward lasting change.
Here are some areas we might explore together:
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Low or no desire · Erotic mismatch · Shame · Infidelity · Kink · Open relationships · Fantasy · Emotional distance
Exploring sexuality here means moving past labels of “normal” or “broken.” Together we’ll create space to name desires, loosen shame, and reconnect with intimacy on your own terms.
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Conflict avoidance · Repeating patterns · Feeling unseen or disconnected · Repair after betrayal · Communication breakdowns
In this work, we slow down the cycle. Whether it’s rebuilding after hurt or finding words when they’ve gone missing, therapy becomes a place to practice new ways of being with each other — and with yourself.
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Addiction and compulsive behaviors · Anxiety and depression · Porn use · Perfectionism · Trauma · Family of origin issues
These patterns often began as strategies to get through pain. Here, they can be understood with compassion and therefore shifted, so you feel more choice and less burden in daily life.
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Burnout · Creative blocks · Success without satisfaction · Leadership pressure · Shifts in identity or purpose · The emotional toll of “high functioning”
We will explore the gap between how life looks and how it feels, all while honoring the pressures you carry while also creating room for relief, clarity, and purpose that feels sustaining.
Whether working together in a clinical or coaching capacity, you can expect a steady, human space where shame loosens its grip and your story can be truly heard.
New Books from Juliane & Routledge and Beyond
For clinicians:
Psychoanalytic Sex Therapy: Exploring the Unconscious Life of Sexuality
A clinician’s guide to working with erotic symptoms, fantasy, trauma, and relational repair.
For the public:
A Guide to Confidence, Connection, and Communication
Talking About Sex is a warm, intelligent, and practical guide to help you (and your partner) speak honestly about desire, pleasure, and intimacy. Blending insights from psychoanalysis, attachment theory, and modern sex therapy, the book offers reflection prompts, conversation starters, and real-world examples to make sexual communication feel natural and empowering.
This book is perfect for: individuals and couples who want to understand their sexual selves, improve communication, and build emotional and physical intimacy.
Talking About Sex: A Guide to Confidence, Connection and Communication
A warm, practical companion for individuals and couples who want to feel more at ease with their sexuality and each other.
