When And How To Refer

Most front-line heath care professionals are comfortable managing sexual issues—up to a point. Most practices can do the following:

• Give the patient permission to discuss the problem
• Validate her concern as legitimate
• Provide limited information and suggestions
• Determine if a follow-up visit is required

When a sexual concern exceeds your level of comfort or expertise or warrants intensive therapy, you will want to refer a patient to a qualified specialist, such as a sex therapist (see box). Comprehensive and optimal sexual care often may require both a physical and mental health approach and a multidisciplinary team is often crucial. It can help to:

• Become familiar with certified sex therapists and sexuality counselors in your area
  
• Refer the patient with the assurance that you are adding a team member to address her problem and emphasize that you will continue ongoing involvement in her care