I often get asked by OTs how I create a private space to bring up the topic of sex. But, let’s be honest. It’s just not realistic. We’d be waiting for a long time before the opportunity of a private moment presented itself, especially in an acute care setting. Between the client's family and friends, nurses, doctors, and hospital staff you can almost guarantee there’s always someone in the room. Or think about a busy pediatric outpatient clinic with all of the families and children in the gym. Think there's always going to be privacy to ask about sexual development and concerns and questions parents may have?