​Survivors’ experience of sex and sexuality can profoundly alter following a brain injury, yet this is rarely talked about with others, or asked about by professionals. I have many years’ experience of working with both survivors who are single and those in a relationship (working with their partners too in couples sessions), to think about post-injury changes in sex drive (more or less), sexual attraction and orientation, expression of sexuality, meeting others for sexual contact, communication around sexuality. I use specific psychosexual techniques in my therapy work, and I am keen to have frank, open, explicit but safe conversations about sex in my sessions.

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