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Before you read on, here's a self-assessment to stoke self reflection.  

Take a look at Victoria's Secret's website and Rihanna’s SavagexFenty website.  Ask yourself: “if my sex and intimacy occupational therapy practice was either Victoria’s Secret or SavagexFenty, which one would it be?”

Here are some questions: 

1. If you have patient handouts, who is visually represented in them?
2. What clients do you address sex and intimacy with and which ones do you hesitate to address it with?
3. Do you ask your clients what kind of sex they have or what it typically looks like?  
4. Are you comfortable celebrating the expansive forms of sexuality and ways sexual activity can be engaged in?  Does this acceptance translate when you’re working with your clients?

Last week, I wanted to buy a few new pieces of lingerie. Like an old habit, I typed Victoria’s Secret into my google search bar and went to the...

When I first started addressing sexuality with clients and making recommendations for sex toys I went through the steps of printing out a screen shot of a vibrator on a work computer, folding it in half, and slyly giving it to my client in front of their families.  

But now, thanks to the folks at Direct-Rec App, OT clinicians can share sexual wellness products directly and privately with their clients.  Dang… where was this 10 years ago!?   

Ok, so what is Direct-Rec? 

Direct-Rec is a new app that can help clinicians share equipment and product recommendations quickly and securely with patients. The folks at Direct-Rec teamed up with the OT educators at the OT After Dark Podcast to create a category of sexual wellness products with information on how the products can be helpful to specific patients based on their specific challenges, sexual goals, or interests.  This might be a vibrator with an extended reach, slings and supports to...

I recently attended a webinar by Dr. Farris on Sexuality and Intimacy After Brain Injury with the Brain Injury Association of America. It was a great presentation that shed light on some important points that we as OTs should be making sure to address and incorporate into our practice.  

Consider the Partner

When it comes to addressing sexuality and intimacy with a client after brain injury it’s important to consider the impact on the partner, too. How has this injury impacted the couple? What is the partner’s comfort level with addressing sex and intimacy?

Studies have shown that, often, the client is typically comfortable with discussing changes in their sexual function with their healthcare providers and many individuals who did not receive sexual counseling within the first year after an injury wish they would have.

The impact of a brain injury doesn’t stop with the person directly affected. It’s not uncommon for the...

Something OT practitioners need to keep in mind as we (humbly) approach the topic of sex with clients is how people can have sex in countlessly different ways –many that may be unfamiliar to us, and some of ways that may even be considered…

Kinky.

Kink is a broad term that describes aspects of sexuality that fall outside of the mainstream ideas of sexuality. In more detail, The Kink Clinical Practice Guidelines Project defines kink as “…sexual identities, erotic behaviors, sexual interests and fantasies, relationship identities, relationship orientations, and relationship structures between consenting adults not accepted by the dominant culture. We specifically include BDSM (Bondage/Discipline,  Dominance/Submission, Sadism/Masochism), Leather, and Fetish as important parts of the umbrella term of kink” (p. 4). 

 The Kink Clinical Practice Guidelines Project is composed of a multidisciplinary team of healthcare providers, therapists,...

What’s an OT to do when Valentine’s Day is approaching, the clinic is covered in hearts and cupids, you're wearing red or pink on every portion of your body, yet your client shows up and says, “I’m dreading Valentine’s Day.”

You dig a little deeper.  

They say, “I’m dreading Valentine’s Day, because I know my partner will want to have sex with me and I have no desire for it.”

Ok, ok, ok, before you freeze up eyes wide open, here’s what you talk about:

Validate them: The hardest part about low desire when “sex is the last thing on your mind” is when it’s met with your partner’s higher desire – among all the things you’re juggling this can feel like a recipe for inadequacy, insecurity, resentment, guilt.

Knowledge is pleasure!  When your clients can understand the changes that happen in their body and how this impacts sexual health, they can also enlighten your partner...

I had the pleasure of speaking with Dr. Sam for my latest Teach Me Sex episode and it was a great one! Dr. Sam DuFlo PT, DPT, PRPC is a physical therapist as well as the owner and founder of Indigo Physiotherapy, based in Maryland.  She and her team of fellow healthcare workers including PTs, lactation consultants, Craniosacral therapists and bodywork therapists focus on pelvic health, pelvic physical therapy, prenatal and postpartum training, oncology and women’s/men’s/pediatric/transgender health concerns. You can learn more about Dr. Sam and Indigo Physiotherapy here!

Dr. Sam is passionate about the care she and her team provide. It was when she realized that she wanted a space where she can provide treatments that are more trauma aware, pleasing to the senses and not so much like the traditional healthcare settings (fluorescent lighting, sterile environment, etc.) that she set out to start Indigo...

I’m SO excited to share my latest “Teach Me Sex” interview with you. It was juicyyy!

I had the pleasure of speaking with Sormeh, a fellow OT and recent OTD graduate. Sormeh's identities include queer, first generational woman of color, and hard fem. She has been active in the queer community for just over a decade and was previously active in the polyamory community.

To Sormeh, queerness falls on a spectrum. It involves all sorts of people, bodies, and includes whatever body parts those individuals do or don’t have. It also shouldn’t be dependent upon how others view you. I think this explanation is a great reminder that sexual identities aren't simply one size fits all terms. - they are identities NOT terms or categories. There are many qualities and traits that fall within an individual’s sexual identity that are unique to them. And sexual identity isn’t defined by how someone looks or how they are viewed by others....

One question I often get asked is, how should I address sexuality and intimacy with teens and young adults? And I get it... it sounds like it can be an uncomfortable conversation to have! But, I'm here to tell you it doesn't need to feel that scary. There are a handful of topics that fall within our scope of practice and relate to sexuality and intimacy.  

If you haven't already heard of the podcast OT After Dark, it's another great resource for learning more about this niche world of sex, intimacy and OT. Episode 19, Accessible Sex Education: Addressing the Sexual Needs of Individuals with IDD (Intellectual and Developmental Disability) is a great listen and is available on Spotify and apple podcast!

In this episode Dr. Elizabeth Schmidt, PhD, shares her dissertation research and current recommendations on how to address sexuality and intimacy with teens, young adults and more specifically individuals with IDD. 

Individuals with IDD...