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THE SEXUAL NEEDS OF PEOPLE WITH DISABILITIES: DOCTORS CONSULTATION
If patients have problems with mobility or mental handicap it may be necessary to see them on their own territory when familiar surroundings can provide a greater sense of security. Few general practitioners will have any difficulty in the home environment, but for other doctors the loss of the secure consulting room setting can increase their sense of unease.
If the doctor feels overwhelmed by the size of the problem it can be valuable to break it down into smaller parts, remembering that ‘the longest journey starts with a single step’. The areas of need can be divided into three parts; emotional needs, physical or practical needs (that is, ‘how to do it’) and contraceptive needs.
The first two areas of need may appear more difficult and may arouse more anxieties because, if the patient is able to achieve sexual intercourse, then the whole question of the advisabilty of pregnancy and the need for contraception will follow.
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