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Talking About Sex in Psychotherapy

A Guide for Every Therapist

Kathryn S. K. Hall

$108

Paperback

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English
American Psychological Association
02 December 2025
Unlocking the Therapeutic Potential of Sexuality

Sexuality is intricately woven into every facet of a person's life, often presenting unique challenges and amplifying other psychological issues. Despite its significance, many therapists shy away from addressing sexual topics in sessions, opting instead to refer patients to specialized sex therapists.

This indispensable guide empowers mental health clinicians to seamlessly integrate discussions of sexuality into their therapeutic practice, dismantling the barriers that often leave this vital aspect of patients' lives unaddressed.

Through compelling case studies, Kathryn S. K. Hall illustrates how core therapeutic skills such as empathy and active listening can be effectively employed to navigate sexual topics with confidence and sensitivity. Clinicians will learn how to introduce and respond to discussions about sex, maintain professional boundaries, and address common issues such as shame, desire discrepancies, sexual trauma, and atypical sexual interests.

Whether the therapy is for individuals or couples, this book equips practitioners with the foundational knowledge and practical strategies necessary to incorporate sexuality into ongoing treatment. By doing so, clinicians can enhance patient outcomes and cultivate deeper, more meaningful therapeutic relationships.
By:  
Imprint:   American Psychological Association
Country of Publication:   United States
Dimensions:   Height: 229mm,  Width: 152mm, 
ISBN:   9781433844102
ISBN 10:   1433844109
Pages:   291
Publication Date:  
Audience:   Professional and scholarly ,  Undergraduate
Format:   Paperback
Publisher's Status:   Active
Introduction: The Importance of Talking About Sex in Psychotherapy Part I. Foundations Chapter 1. The Evolution of the Revolution: Foundational Models of Human Sexuality Chapter 2. How to Talk about Sex in Psychotherapy Chapter 3. Ethical Boundaries Part II. Clinical Applications Chapter 4. Shame Chapter 5. Dilemmas of Desire Chapter 6. Working With Survivors of Childhood Sexual Abuse Chapter 7. Kinky Sex Chapter 8. Sexual Issues in Couples Therapy Chapter 9. Problematic Porn Chapter 10. Consensual Nonmonogamy Conclusion: Sex Is Not a Specialty Appendix A. Women’s Sexual Arousal Appendix B. Men’s Sexual Arousal Appendix C. Sensate Focus Instructions for Clients Appendix D. Resources References

Kathryn S. K. Hall, PhD is a licensed psychologist with over four decades of experience in sex therapy. She has coedited three influential books, including two editions of Principles and Practice of Sex Therapy and The Cultural Context of Sexual Pleasure and Problems: Psychotherapy with Diverse Clients. Dr. Hall has lectured widely and written extensively about human sexuality and has provided training in sex therapy to graduate students and professionals. She is the book review editor for the Journal of Sex and Marital Therapy and is a past president of the Society for Sex Therapy and Research. Visit drkathrynhall.com.

Reviews for Talking About Sex in Psychotherapy: A Guide for Every Therapist

""Talking About Sex in Psychotherapy breaks the silence around one of the most crucial—and most neglected—topics in clinical work. This book makes talking about sex in psychotherapy feel not just possible, but essential. Compelling case studies offer a candid look at the real dynamics and transformative potential of therapeutic work involving sexuality. As someone whose life work was spent training therapists, I recommend this provocative, yet practical, book for training programs and for practicing therapists whose education left the topic of sex unaddressed. Every therapist should read this book because staying silent on this topic can harm our clients."" - Laurie Mintz, PhD, Emeritus Professor, University of Florida, Gainesville; author of A Tired Woman's Guide to Passionate Sex: Reclaim Your Desire and Reignite Your Relationship; and Becoming Cliterate: Why Orgasm Equality Matters—And How to Get It. From anecdotal to practical research-supported methodology, this book provides applicable therapeutic intervention through case studies and research. There is a smorgasbord of sexuality topics covered, so that novice and advanced therapists can get something from the chapters."" - Lexx Brown-James, PhD, LMFT, CSE, CSES, Director of The Institute For Sexuality & Intimacy, LLC, Philadelphia, PA ""Drawing on 4 decades of clinical experience with individuals and couples, Kathryn S. K. Hall makes a compelling case for the essential role of open conversations about sex in psychotherapy. She offers thoughtful, practical guidance on how therapists can approach these often sensitive topics with confidence and care. Rich and engaging case examples bring her insights to life, making the book not only informative but also highly readable."" - Cynthia A. Graham, PhD, Distinguished Professor in Gender Studies and Senior Scientist, The Kinsey Institute, Indiana University, Bloomington ""Despite sexuality’s critical role in the human experience and the prevalence of clients’ struggles in this domain, therapists too often avoid conversations with their clients about sex—either because of their own discomfort, limited skills, or a misguided belief in “respect for privacy” regarding sexual issues. Kathryn S. K. Hall offers an essential guide for all therapists who need help talking about sex in psychotherapy. This marvelous resource begins with critical foundations for talking with clients about sex—explicating basic principles for prompting the conversation, navigating clients’ challenges in the dialogue, and recognizing ethical boundaries. Hall then extends these principles to critical issues such as shame, struggles with sexual desire, sequelae of childhood sexual abuse, and various sexual issues in couple therapy. Enlightened discussion is also devoted to problematic pornography and addressing sexuality with clients in consensually nonmonogamous relationships. Talking About Sex in Psychotherapy should be in every clinician’s library and will facilitate effectiveness across a broad spectrum of clients with diverse sexual challenges."" - Douglas K. Snyder, PhD, Professor Emeritus of Psychological and Brain Sciences at Texas A&M University, College Station; coauthor of Getting Past the Affair: A Program to Help You Cope, Heal, and Move On—Together or Apart and coeditor of The Clinical Handbook of Couple Therapy ""Kathryn S. K. Hall offers a clear, concise, and comprehensive guide to understanding and working with sexuality that should be essential reading for all psychotherapists. Moving against the grain of outsourcing this topic to a small group of niche specialists, she provides a state-of-the-art guide to how all therapists can better understand and work with sexuality. Including chapters about ethics, open relationships, kinky sex, couple therapy, and pornography, this is very much a 21st century guide to this work that provides the information that today’s therapists need. Well written and filled with illustrative case examples, this book should be in every psychotherapist’s library."" - Jay Lebow, PhD, ABPP, Clinical Professor and Senior Scholar, Family Institute at Northwestern and Northwestern University, Evanston, IL


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