Abstract
With the proportion of older persons in the population increasing, therapists can expect to see more older clients with sexual and intimacy problems. The challenge in treating these problems stems from three factors: (1) Therapists need to be aware of medical developments in the field of sex therapy, especially the newer diagnostic methods and treatments such as penile prostheses and injections; (2) the problems of older clients can be quite complex due to the interactive influences of biology, personality, relationship history, and social factors associated with aging; (3) practitioners need to appreciate the emerging contributions of systems concepts derived from family therapy that can add to the effectiveness of standard sex therapy approaches.