ABSTRACT
This chapter draws on several years’ experience of applying the Institute of Psychosexual Medicine (IPM) approach in a neurorehabilitation setting, at Walkergate Park in Newcastle-upon-Tyne, and both a community service and a brain injury rehabilitation unit in Liverpool. It outlines some models which can be used, and drawn on when appropriate, alongside the skills developed through IPM training. The IPM approach can contribute to addressing sexual problems related to disability. When a patient has brain damage or developmental delay of any form, including learning disability, it is important to take account of their cognitive function. Psychosocial issues indirectly affecting sexual function can be many; for example a need for carers and lack of privacy, transport and access problems restricting social outlets and activities; financial worries; and negative perceptions of disability and body image. In all aspects of disability it is difficult for people to be spontaneous when considering social and leisure activities.
