Clinicians can, rightfully so, feel cautions to challenge what clients admit as cultural messages. For example, "I grew up in a Catholic home and still view sex as 'dirty' and 'sinful,' and I’m having a hard time enjoying it,” or “My culture values young women, and women over 40 aren’t considered attractive anymore…

The history of how society has molded perceptions of women is a multifaceted narrative that has endured for centuries, influenced by cultural, regional, and media representations. Women have often found themselves defined by preconceived notions imposed upon them by others, commonly men. Within this context, different groups of women have experienced a spectrum of stereotypes, ranging from asexualization to sexualization, hypersexualization, and fetishization.

Before you read on, here's a self-assessment to stoke self reflection.

Take a look at Victoria's Secret's website and Rihanna’s SavagexFenty website. Ask yourself: “if my sex and intimacy occupational therapy practice was either Victoria’s Secret or SavagexFenty, which one would it be?”

When I first started addressing sexuality with clients and making recommendations for sex toys I went through the steps of printing out a screen shot of a vibrator on a work computer, folding it in half, and slyly giving it to my client in front of their families.

But now, thanks to the folks at Direct-Rec App, OT clinicians can share sexual wellness products directly and privately with their clients. Dang… where was this 10 years ago!?

The University of Pittsburgh COTAD (Coalition of Occupational Therapy Advocates for Diversity) Chapter conducted a training on "Culturally Inclusive ADLs" that, with their permission, I had to pass along to my crew! Their personal mission is to promote diversity, equity and inclusion within the Pittsburgh OT community and empower students to be more comprehensive and effective clinicians. How awesome is that!?