Knowledge and Comfort in Addressing Sexuality: Implications for Psychotherapy Practice

Sexuality is a foundational aspect of human experience, yet mental health professionals report discomfort discussing sexual topics with clients. This study examined whether therapists’ confidence in sexual knowledge predicts comfort with sexual discussions and whether lived experience or training influences that relationship. Responses from Mental Health Professionals (MHPs; N = 266) showed a significant positive association between knowledge and comfort, controlling for demographics and experience. Training did not mediate the relationship, and no moderation effects emerged for gender identity, sexual orientation, or race/ethnicity. Findings position knowledge as a key predictor of comfort. Further implications are discussed.