What if all that online sex advice never hits because it genuinely doesn't work the way your brain does?
In this episode of The Embodied Podcast, I'm joined by clinical sexologist, licensed sex therapist, and ADHD researcher Dr. Leann Borneman for an in-depth conversation about ADHD, sex, desire, relationships, kink, and what she calls "erotic accommodations."
Dr. Leann's work explores how executive functioning, nervous system regulation, stimulation thresholds, working memory, and attention can affect our ability to access desire and intimacy. Sometimes people genuinely want sex, enjoy sex once they're having it, and feel attracted to their partner—but still struggle to initiate or transition into the experience.
That distinction opens up an entirely different conversation about what "low desire" can actually mean for people with ADHD.
We also explore Dr. Leann's research into ADHD and BDSM, including her observation that kink may sometimes function as an accommodation rather than simply a sexual preference. Increased sensation, novelty, structure, explicit communication, anticipation, and clear parameters can all change the conditions under which an ADHD brain is able to engage.
In this episode, we discuss:
• How ADHD can affect sex, desire, and intimacy
• Why low desire may sometimes be an access problem
• Sex as an executive functioning demand
• Spontaneous vs. responsive desire
• Executive function barriers in relationships
• ADHD, emotional regulation, and rejection sensitivity
• Why initiation can be difficult even when you want sex
• Kink and BDSM as potential erotic accommodations
• Why intense sensation can help some ADHD brains come online
• The value of explicit communication in kink and non-monogamy
• Context-dependent desire and why your preferences can change with different people
• Parenting, overstimulation, and sexual bandwidth
• Creating an "à la carte" approach to intimacy
• Why a bridge into sex doesn't guarantee capacity for sex
• Working memory, physical cues, anticipation, and desire
• Building relationships and sexual experiences around how your brain actually works
Dr. Leann also shares practical examples from her own marriage and clinical work—from bandwidth check-ins and intimacy menus to understanding why a sexy text at noon doesn't necessarily mean an ADHD brain will still be sexually engaged at 10 PM.
This conversation offers a much wider way of thinking about sexuality and neurodivergence: instead of assuming something is wrong when sex, desire, or relationships aren't working the way we're told they "should," what happens when we get curious about the conditions our individual brains and bodies actually need?
Thanks for listening!
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Connect with Dr. Leann Borneman:
https://linktr.ee/Bornemancoaching
Connect with Elizabeth:
https://elizabethdialto.com/links