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July 9, 2023 64 mins

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EPISODE TITLE: Sex & Intimacy with Sujata Martin, MS, OTR/L

EPISODE SUMMARY: In this episode of NOGGINS & NEURONS: Brain Injury Recovery Simplified, Deb talks with Sujata Martin about sex & intimacy. We covered:

  • Sex, Sexuality, and Intimacy
  • The impact of a neurological diagnosis on the pelvic floor, function and one’s identity
  • Where sex and sexuality are addressed in the OT Practice Framework, 4th edition
  • How fine motor deficits impact bowel & bladder management, including catheter management
  • Sexual expression, psychological & physical aspects of intimacy
  • Finding the right practitioner-why properly trained OT practitioners may be able to help & finding a good provider/client fit
  • The role of occupational therapy practitioners in addressing sexual needs of clients, including clinician responsibility in receiving client responses; the importance of withholding judgment to avoid damage to the client
  • Additional training required to treat pelvic dysfunction & to provide sex counseling
  • The importance of client questioning and, sometimes, persistence, when advocating to getting one’s needs met
  • Being open to considering other possibilities such as adaptations to enhance connection and intimacy
  • Being mindful not to adapt to the caregiver & sick role only - remembering who you are to maintain relationship
  • Sexuality as a means of strengthening relationships with one’s partner(s) and oneself

We hope you enjoyed this episode of Noggins And Neurons. As always, we want to hear from you! Email us at Nogginsandneurons@gmail.com

 

Show References

Mellor, R.M. et. al, (2013). Healthcare professionals’ views on discussing sexual wellbeing with patients who have had a stroke: A qualitative study. PLOS | ONE, 8(10).

Naphtali, K., MacHattie, E., Elliott, S.L. & Krassioukov, A. (2009). Pleasure ABLE: Sexual device manual for persons with disabilities. Disabilities Health Research Network.

O’Shea, A., Frawley, P., Leahy, J. W., & Nguyen, H.D. (2020). A critical appraisal of sexuality and relationships programs for people with acquired brain injury. Sexuality and Disability, 38:57-83. https://doi.org/10.1007/s11195-020-09616-5

Prior, S., Reeves, N., Peterson, G., Jaffray, L., & Campbell, S. (2019). Addressing the gaps in post-stroke sexual activity Rehabilitation: Patient Perspectives. Healthcare 7, 25; doi:10.3390/healthcare7010025

Occupational Performance Inventory of Sexuality & Intimacy 

Find a pelvic therapist: Pelvicrehab.com

Sujata’s website: pelvicsoul.com

Sujata’s book:  “Not Just Kegels – The Exhausted Mama’s Guide to Pregnancy & Postnatal Wellness”


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