Assessing a client or patient’s (C/P) sexual issues requires knowledge of how to conduct an initial interview and determine the level of counseling the C/P may need to optimize sexual function and pleasure. A practical brief sexual history model is presented in *Fundamentals of Assessment, Pt. 1 and Pt. 2*, alongside a more in-depth sexological ecosystemic approach to identify specific contributing factors. Ensuring an atmosphere of safety for discussing sexual issues is covered in *Trauma-Informed Care and Sexuality Counseling*.

Gain an understanding of the solution-focused approach to counseling as a brief method for resolving sexual complaints and learn to formulate a solution-focused treatment plan for either an individual or a couple. Understand when and how sensate focus can be used in the treatment of various sexual issues, such as arousal problems, orgasm difficulties, erectile dysfunction, and premature ejaculation. Observe a role-play between a nurse practitioner and a surrogate client to reinforce the importance of rapport and brief counseling approaches, as well as how to refer to a sex therapist—a psychotherapist trained in treating sexual disorders. Discover which sexual aids and lubricants might be recommended to clients or patients based on their complaints.

Understand the necessity and importance of practicing culturally sensitive sexual medicine. Create a welcoming practice for a diverse population, acknowledging that sexual attitudes, behaviors, and beliefs vary across cultures. Honor the client or patient’s (C/P’s) autonomy and build knowledge and skills so that the C/P can make informed decisions. Employ culturally sensitive intake practices, such as being affirming, nonjudgmental, and aware of one’s own cultural biases.

Identify the profound mental, psychological, physical, and relational impacts of cancer, including breast and prostate cancer. Use a collaborative, inclusive, ecosystemic approach to gather information and create a specific treatment plan for cancer survivors and their partners to heal from the sexual and relational late effects of a cancer diagnosis. Employ Medical Family Therapy (MedFT) to understand systemic changes in a couple’s relationship resulting from a cancer diagnosis. Apply evidence-based interventions to diminish or resolve sex and relationship problems related to the cancer diagnosis.