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Psychological Approached to Sexual Health and Sexual Dysfunction: A Clinical Framework for Mental Health Professionals

$229.00

6 Hours  |   Pre-approved for CEUs

Presenter
Presented by Tami-Lee Duncan, M.Ed, R.Psych
Date and Format
November 2, 2026
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LIVE STREAM: November 2, 2026 from  8:30am – 4:00pm PST (Vancouver, BC) Please adjust your start time according to your specific time zone. 

ON-DEMAND: Recorded footage & course content (certificate, videos, quiz) will be available until December 6, 2027. Please allow 1-3 business days for footage to be processed. Extensions cannot be granted under any circumstances.


This workshop is designed for psychologists, counsellors, social workers, marriage and family therapists, and other mental health professionals who work with adult clients in any clinical context. The goal is not to train attendees as sex therapists, but rather to give the average clinician enough foundational knowledge and a practical assessment framework to have these conversations with confidence and comfort – to know what they are hearing, to ask the right questions, and to recognize when a concern warrants referral to a specialist.

Sexual health concerns are common in general clinical practice and consistently under-addressed. Many clinicians report discomfort initiating these conversations, limited training in assessing sexual concerns, and uncertainty about what falls within their scope. This workshop addresses all three.

  • Identify and distinguish DSM-5-TR sexual dysfunction diagnoses across assigned-male and assigned-female presentations
  • Differentiate between clinical and subclinical sexual health concerns and determine when referral to a specialist is appropriate
  • Describe how depression, anxiety, trauma, shame, relationship dynamics, and psychotropic medications can contribute to sexual dysfunction
  • Apply a basic questioning framework to initiate and conduct sexual health conversations in general clinical practice
  • Use practical language strategies to discuss sexual health topics with clients with confidence and comfort
  • Identify common presentations requiring specialist referral and outline appropriate referral pathways

Morning Session (8:30 AM – 12:00 PM)

Module 1: Sexual Dysfunction and the DSM-5 

  • Overview of the sexual response cycle and DSM-5-TR classification
  • Sexual dysfunctions for people assigned female at birth: Female Sexual Interest/Arousal Disorder, Female Orgasmic Disorder, Genito-Pelvic Pain/Penetration Disorder
  • Sexual dysfunctions for people assigned male at birth: Erectile Disorder, Premature Ejaculation, Delayed Ejaculation, Male Hypoactive Sexual Desire Disorder
  • Prevalence, under-diagnosis, and why these presentations appear in general practice
  • Clinical vs. subclinical presentations: what constitutes dysfunction and what doesn’t
  • Conditions not yet in the DSM-5: compulsive sexual behaviour, problematic pornography use

Module 2: Understanding Typical Sexual Response 

  • Desire vs. arousal: a clinically important distinction
  • Spontaneous vs. responsive desire – and why most training gets this wrong
  • How this framework helps clinicians normalize client experiences and inform basic psychoeducation

Morning Break (10:30 – 10:45 AM)

Midday (12:00 PM – 1:00 PM)

Lunch Break

Afternoon Session (1:00 PM – 4:00 PM)

Module 3: The Biopsychosocial Picture 

  • How depression, anxiety, trauma, and PTSD intersect with sexual function
  • The role of shame, family of origin messages, and religious or cultural influences
  • Relationship dynamics, desire discrepancy, and the impact of couples conflict
  • Life factors: postpartum, chronic illness, cancer treatment, fertility stress, and aging
  • Psychopharmacology and sexual functioning: SSRIs, antipsychotics, hormonal contraception, and other medications that affect arousal, desire, and orgasm

Module 4: Addressing Sexual Health in Your Practice 

  • Why clinicians avoid these conversations – and what it costs clients
  • Language and framing: how to open the topic without making it awkward
  • A practical questioning framework: what to ask, in what order, and how to follow the client’s lead
  • Taking a basic sexual history
  • Responding to disclosure: what to do when a client brings something up you weren’t expecting
  • Setting the tone – how clinician comfort (or discomfort) shapes client experience

Afternoon Break (3:00 – 3:15 PM)

Module 5: Knowing When to Refer and Special Topics 

  • A practical triage framework: what generalist clinicians can address vs. what warrants specialist referral
  • How to make a referral without making the client feel dismissed
  • Special topics (tailored to audience interest – may include):
  • Reintegrating sexual health after trauma or sexual abuse
  • Sexuality in the context of chronic illness and cancer treatment
  • Navigating sexual dysfunction in couples work
  • Addressing sexual concerns in the perinatal period

Q&A and Close

Tami-Lee Duncan is a Registered Psychologist in British Columbia and Alberta with over 15 years of clinical experience specializing in sexual health. She is the Owner and Director of Transcend Psychological Services in Edmonton, which she founded in 2012, and Transcend Wellness in Victoria, BC, where she now practices – offering individual and couples therapy in person in Victoria and Edmonton, and virtually across BC and Alberta. She also provides interdisciplinary consultation to physicians, pelvic floor physiotherapists and other healthcare providers, and is developing a collaborative wellness space in Victoria.

Sexual health has been the focus of Tami-Lee’s clinical work throughout her career. She works with individuals and couples navigating sexual dysfunction, sexual and pelvic pain conditions, low desire, trauma-related sexual concerns, and the relational impacts of these challenges. Her practice is grounded in neuroscience and draws on evidence-based approaches including EMDR, Accelerated Resolution Therapy, Emotionally Focused Therapy, the Gottman Method, CBT, and ACT. She is also the developer of Sexual Pain: A Psychological Approach, a five-module online workshop for clients navigating pelvic and vulvar pain (managingsexualpain.com).

Alongside her clinical work, Tami-Lee has built an extensive and consistent record of invited teaching and professional education. She has been an Adjunct Professor in the Department of Educational Psychology at the University of Alberta since 2017 and has been a guest lecturer in several undergraduate, Masters, and PhD-level courses in counselling psychology and couples and family therapy. Since 2016, she has been a recurring guest lecturer in the Faculty of Medicine’s Physicianship course, delivering sessions on sexual dysfunction to medical students every year. She has presented at Family Medicine Academic Day twice and delivered Grand Rounds at the U of A Department of Psychiatry on multiple occasions, covering topics from talking about sex in clinical practice to multidisciplinary approaches to vulvodynia.

Tami-Lee has been independently invited to deliver dozens of workshops on sexual health to interdisciplinary provider groups across clinical settings including the Cross Cancer Institute, the Royal Alexandra Hospital, and the Lois Hole Hospital for Women. She is a frequent presenter to psychologists, physicians, nurses, and physiotherapists on how to approach sexual health conversations in the course of general clinical practice – a topic she has refined over years of being the person colleagues turn to when these issues arise in their own sessions.

She has been a recurring invited contributor to CBC Radio on relationships and sexual health, appearing on Edmonton AM and RadioActive across more than 20 episodes including two multi-episode columns. Her ability to translate complex clinical material into language that is accessible, engaging, and practically useful – without sacrificing accuracy – is a consistent feature of both her media work and her professional presentations. Her work has been referenced in Chatelaine and Flare, and she was the author of the biweekly Sex-Ology column in VUE Weekly from 2015 until the paper closed in 2017. In 2020, Tami was named in Edify Magazine’s Top 40 Under 40- recognized for her focus on sexual health education.

Tami-Lee is a member of the Alberta Council of Professionals for Sexual Health and is registered with the College of Alberta Psychologists (#3777) and the College of Psychologists of British Columbia (#2425).

Clinical Professionals: All mental health professionals including, but not limited to Clinical Counsellors, Psychologists, Psychotherapists, Social Workers, Nurses, Occupational Therapists, Hospice and Palliative Care Workers, School Counsellors, Youth Workers, Mental Health Workers, Addiction Specialists, Marital & Family Therapists, Speech Language Pathologists, Vocational Rehabilitation Consultants and all professionals looking to enhance their therapeutic skills.

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