Sex and intimacy have been described as the last taboo in dementia care. As counsellors seeking to engage with the whole person, we cannot afford to dismiss their potential place in our clients’ lives so easily. In the penultimate part of her myth-busting series about the value and diversity of counselling people with a dementia, Danuta Lipinska talks sex – taking in client disinhibition and therapist discomfort, legal and reproductive health contexts, and the challenges of internet dating when you may not be able to remember your way home.