When it comes to sexual issues, some of us may be avoiding the subject with clients while others are in danger of working beyond our competency. Where do the borders lie between ‘regular’ therapy and sex therapy? What kinds of physical difficulties and relational concerns can we listen out for? How might we make informed choices about professional development and referral? Beginning a new blog series, psychosexual therapist, supervisor and author Cate Campbell outlines the numerous ways that sexual issues may show up in therapy – or be lurking just out of sight.