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If You're a Therapist, You Should Always Ask About Sex Pain

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28.04.2026

The Fundamentals of Sex

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Do you ever ask your clients if they’re having pain with sex?

Many therapists worry about exceeding their scope of practice, or fear that getting too far into the nitty-gritty details of a client’s sex life will be perceived as weird or creepy.

I understand the worry. But if you avoid talking about unwanted sex pain, it may lead to further complications the longer the issue goes ignored or untreated.

The truth is, if you don’t ask about sex issues, it’s very likely that your clients won’t bring them up themselves. That means you can be missing very serious issues — and huge aspects of your clients’ relational dynamics — unless you take the leap and get the conversation started.

In fact, I can’t tell you how many clients I’ve seen who told me that they dealt with sex........

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