When it comes to discussing sexuality with our clients, occupational therapy practitioners (OTPs) and other healthcare providers can come up with all sorts of justifications not to. But here's the thing: most of these justifications have more to do with our own biases than with the clients themselves. It's time to challenge those biases and ask ourselves, "Why am I avoiding this conversation?"

Here are some common biases that hold us back from addressing sex:

"They have so many other things to worry about right now. Sex is probably the last thing on their mind." 

Look, we can't read minds. We have no idea what our clients are thinking unless we ask them. Just because they don't bring it up doesn't mean they don't have concerns. By initiating the conversation early on, we create a safe space for them to discuss their sexual well-being whenever they're ready.

"I don't want to offend them based on their background or beliefs." 

I've heard it all: "They're conservative," "They're from...

As Sexuality and Intimacy Trailblazers, we know that sexuality and intimacy are important parts of our lives, bringing us joy and enhancing our overall well-being. However, when someone experiences a spinal cord injury (SCI), these aspects can be profoundly affected. Today, we'll discuss when to address these topics, the impacts of SCI on sexual health, specific complications that can arise, and the role of occupational therapy in supporting individuals on this journey.

When to Address Sex and Intimacy:

So, the big question is: when should we start talking about sex and intimacy with SCI patients? 

The answer? at every point in their occupational therapy (OT) engagement! 

It's not about when exactly, but more about what to focus on depending on where the individual is in their injury timeline. In the inpatient setting, when people have recently experienced acute trauma, they may benefit from SCI sexuality education. On the other hand, those receiving outpatient care have more exper...

It's no surprise that as sexual beings we all have our own sexual preferences. Our likes, wants, and needs are unique to each of us and shape our sexual and intimate experiences. But what about our dislikes? Or aversions to certain stimuli? What if the enjoyment and pleasure of sex can quickly turn to pain and kill the mood.  For some of us, this might be when our partner lightly touches our skin or grasps too firmly.  What is this experience like and how can OT play a role in this??? Many of the clients I have work have sensory preferences and high/low thresholds, and this can be even more so for people with autism or sensory regulation difficulties.

A great research article discussing sensory features and sexuality was recently shared with me by one of the authors, Anne Kirby, so naturally I was excited about it and wanted to share it here with you!

 Autistic Narratives of Sensory Features, Sexuality, and Relationships (full article linked here)

Using a qualitative approach, Gray ...

If you've been following along then you know this is the last post of my three part series: The Selfies, Sexplay and Sexual Communication. 

This week we're talking about Sexual Communication. Whether it's with a casual partner, one with relationship potential, or long time partner helping our clients learn how to establish sexual communication in their relationship is an important part of addressing sexuality and intimacy. 

If they are not already communicating about sex with their partner we may need to help them learn how to be the initiator, which can be uncomfortable for them. 

Establishing sexual communication is the foundation of good sexual experiences and most people will find it refreshing to share their preferences and boundaries.

So how do you teach sexual communication??

 Tip #1 - Teach your client to discuss their boundaries/ limits:

While reasons for setting sexual limits widely vary, it is not uncommon for individuals to set sexual limits. Sexual limit setting i...