Sex Therapy, Intimacy Counselling, Sexuality Education

Commonly asked Questions and Answers

Are your services covered?

“Sexologists and sexology are currently not covered by Manitoba Health. If you have third party insurance, please check whether this service is covered or covered under health spending accounts. If you have EAP (Employment Assistance Program), please check with your group insurance provider.”

Why are you located at the North Trauma & Resource Centre (NTRC)?

“While the NTRC primarily focuses on with the effects of trauma, other services include couples and family therapy, psychology services, education services and sex therapy. For some clients trauma work is adjunct to sex therapy. For others it is not. Should you have any concerns, please let me know so we can come up with a plan (or even different location) that is most comfortable for you.”

Do you intimately touch or have sex with your clients?

“No. I provide talk therapy only. I am guided by ethical and professional guidelines that prohibit sexual touch with clients.”

What happens at the first session?

“The first session allows for an opportunity for us to get to know each other.  I will review your  intake forms and will ask questions about your concern. I will most likely ask you a bit about your history which may include your relationship history, sex history, family history and health history. Depending on what emerges from first session, we’ll discuss how we can proceed to addressing your concerns.

If sex therapy or my services are not appropriate or beyond my scope of practice, your session fees will be waived and I’ll suggest appropriate referrals. ”

When should I/we see a sex therapist or clinical sexologist?

“Anytime you have a sexuality or intimacy related question, concern, or issue, I recommend seeing a sex therapist for an initial consultation. It’s important to debunk some of the myths, misconceptions and incorrect information about sexuality, sex and intimacy. Sometimes clients see me to have a general chat – not necessarily because there’s a situation, but to help bounce ideas and share thoughts. Others have specific concerns they want to address for themselves, relationship or their family.

There may be times where sex therapy is contraindicated. In other words, it may not be the best time to start sex therapy. If sex therapy is too early or is beyond my skill set, it is my ethical duty to inform you of this information so you can make informed choices.”

What is your stance on…?

“Some have asked my stance on certain sexuality topics such as abortion, certain fetishes, same-sex marriage, multiple sex partners, and sex and drugs. Before answering these questions, I will most likely ask you ‘Why is it important for you to know?’ My intention is not to deflect but to help understand and be critically aware of how my response could impact you, your progress, and the clinical setting. Regardless, know that my attention is committed to your needs and hopes.”

How many sessions will it take for things to change?

“That is going to depend on what the issue is about, your (and your partner’s) willingness and determination for change, your feelings about addressing difficult subject matters, and other issues that may be beyond your control ex. physical health, mental illness, etc.”

When are we done therapy or counselling?

“My hope is to only have the necessary number of sessions needed for adaptable and sustainable change. After a few sessions, we will evaluate if you are on a positive path and whether more sessions may be helpful. I officially close your file after 6 months if there is no contact. Regardless, once we close our sessions, you are welcome to contact me at any time. It’s common for clients to contact me on occasion for a ‘tune-up’, re-visit, or to consult on a sex and sexuality matter.”

Winnipeg is such a small city. How do you handle confidentiality?

“A confidentiality agreement is signed before we start talking and you are protected under The Personal Health Information Act. Any disclosure of your identity will be with your verbal or written consent. In social situations, unless we have a pre-existing relationship or if pre-negotiated, I will not approach or acknowledge you publicly.”

What if I see you in public?

“I do welcome general pleasantries if you see me publicly however I will not approach you. This is to protect your right to privacy. Also if I am with another person, to protect their privacy, there will be no social introductions.”

Can I call you my sexologist in public or to my friends?

“How you refer to me is completely up to you and your comfort level.”

I’m feeling uncertain about seeing you. I prefer seeing a female therapist.

“I respect that your uncertainty is a real and fair feeling. My hope is that you receive individualized care that will help you move forward. I’m happy to provide a referral to another therapist (or appropriate clinician). Also know that you are welcome to meet me as a kind of meet-and-greet to get to know me better as a person, educator and clinician.”

Do I call you “Dr. Reece”, “Dr. Malone”, “Reece”?

“That will be completely up to you and your comfort level. In more formal settings, such as lectures or conferences, I’m introduced as Dr. Malone. Otherwise I’m comfortable by you calling me by my first name so long as it will not compromise our professional relationship.”

Do you accept hugs?

“If appropriate, yes. However I do not initiate hugs with clients.”