One of our therapists said intimacy in a marriage reflects how the relationship is doing. For us, where it’s infrequent, that demonstrated how the connection at a physical and emotional level had a disconnect. It’s normal for intimacy to be impacted when there are mental health issues. Anxiety and depression greatly are impacted. If your loved one is on medication, it can lower the libido and drive for intimacy. The main thing is to try to not take it personally, identify it as an issue, discuss it as a couple, and figure out how you want to work together to resolve. This can include creating a schedule, identifying creative ways for intimacy, getting external help from a therapist or doctor, and so on. You must identify what works for you, but don’t ignore or give up on this. I know this can be a very shameful and embarrassing area in our overly sexualized culture. Remember that it’s very common with mental health struggles, and you can work together through it. Try to be understanding and not critical.