The issue of sex is often avoided in or excluded from occupational therapy. This opinion piece argues that the exclusion of sex contradicts the holistic and client-centred arguments of occupational therapy and can lead clients to the adoption of precarious occupations in order to pursue their sexual needs. It offers an overview of some of the reasons for the exclusion of sex discourses from occupational therapy and calls for an appreciation of clients' sexual needs. By learning more about clients' experiences, occupational therapists can establish priorities towards shared outcomes and facilitate the maintenance, development and re-establishment of meaningful occupational lives.
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