ABSTRACT
A couple’s sexual relationship should be assessed given that it is a way in which couples often express caring for one another. General principles for assessing sex are first discussed, which include the importance of asking all couples about sex, using a biopsychosocial perspective, determining if a problem is primary or secondary and generalizable or situational, and ruling out the possibility of co-occurring sexual disorders. The second section explores common causes of sexual problems, including medical issues, mental health disorders, medications, substance use, performance anxiety, negative sexual beliefs and inhibitions, sexual preferences, and relationship issues. The third section looks at more specific assessment considerations for various sexual disorders that are commonly encountered (e.g., low sexual desire, erectile difficulties, premature ejaculation, anorgasmia, dyspareunia). Protective factors for a sexual relationship are described in the fourth section. The final section explores how to assess for issues around pornography use, a common presenting issue.
