Reviewing Sexual Wellbeing Goals — Clinician dialogue

Invite and obtain permission

Offer: "Would it be useful to explore reviewing sexual wellbeing goals using an ordinary or fictional example? We can adapt it, observe, or stop." Ask what the person wants from the conversation.

Elicit before teaching

Ask: "How does this show up, if at all, in your own words?" Offer this idea tentatively: Review can consider agency, functioning, relationships, and values without a universal frequency target. Ask what fits and what does not.

Guide the task

Compare a chosen goal with actual experiences and decide what to retain, revise, or discuss with a qualified clinician. Ask for permission before giving an example. Use this fictional illustration if useful: Noah notices improved sleep but ongoing guilt and wants help understanding both.

Reflect and check accuracy

Reflect only what was offered: "I heard you describe ___. What did I miss?" Ask: Which part of the goal or support plan needs revision? Avoid assigning motives or interpreting silence as agreement.

Respond to a mismatch

If the person rejects the frame, say: "Thank you for correcting it. What would be more useful?" Return to their language or choose a different approach.

Close with agency

Ask which observation, question, or support request the person wants to keep. Confirm a manageable ending and appropriate follow-up; do not turn a tentative possibility into a homework obligation.

Prompts for this resource

1. Readiness, permission, cultural context, and access needs to check:
2. Which part of the goal or support plan needs revision?
3. What would tell me to adapt, stop, or seek supervision?