Abstract
Sex therapy is far more than the simple application of specific techniques in the management of specific sexual dysfunctions. It requires a skilled therapist who can interpret behavioural, cognitive, supportive and educational elements in a treatment package in an elegant way. An individually tailored approach, rather than a standard one, that considers the individual or couple as unique should be preferred for successful intervention. Cultural and marital relationship issues must also be considered when dealing with couples. This paper discusses some of the difficulties encountered at various stages of sex therapy, including the assessment stage, and suggests strategies that the therapist may use to facilitate progress in treatment when such difficulties arise.