Q: Is it even possible for a couple that stopped having sex to start back up again? My girlfriend and I (we’re both women) have been together for four years, and we haven’t had sex for two. I thought the sex was good before it stopped, but apparently she was going through the motions. She’s a sex worker, and it took her a while to figure out she was not being present, and she wanted to stop having sex with me until she could figure out how to change that. I get that and respect it. We have an open relationship, so I started having more sex with other people. And while it’s fun, I do find myself wishing I could have sex with someone I actually care about—and I only care about her. She says she wants to start having sex with me again, but we don’t really know how to do that. Everything is kind of terrifying and awkward. She said it’s hard to go from sex with zero intimacy into sex with the intimacy turned up to 11. We’re very romantic with each other, and there are other forms of physical affection like kisses and snuggling, but no making out or humping. I love her more than I knew I could love a person, and if we never do figure out how to have sex together, I’ll still stay with her. But for two people who are both highly sexual and want to have sex with each other, we sure are perplexed at how to make this work. —Sex or Romance Dilemma

Mindfulness is the subject of Brotto’s new book, Better Sex Through Mindfulness: How Women Can Cultivate Desire.

“Suffice it to say,” she said, “there is an impressive body of research that supports the practice of mindful sex, and people who otherwise may believe that their minds are incapable of staying still can effectively learn to fully engage their attention to sex and the person(s) with whom they are having sex. It doesn’t matter if you are skeptical about whether mindfulness works or not—if you are willing to learn the skills and apply it to sex, you’re likely to benefit.”

There are solo mindfulness exercises, SORD, and some good, commercially available apps out there that can walk you through them. But if your goal is reconnecting with your girlfriend, Brotto strongly recommends that you two work on mindfulness together.