Illustrates Dr Barry W. McCarthy’s integrative couples approach to sex therapy. This subspecialty of psychotherapy integrates sexuality issues with general therapy, focusing on the importance of sexuality in a balanced life. Dr McCarthy’s approach is to help middle-aged and older clients learn new ways to experience sexuality and eroticism instead of accepting the common notion that sexuality plays a smaller role as we age. In this session, a middle-aged woman looks for help with changes in her sex life that occurred after her hysterectomy and her husband’s heart surgery. Dr McCarthy helps her to see her sex life in a new way and to generate ways to get her husband involved in adapting to their changing sexuality.