Sexuality issues can challenge a clinician’s skill set in a world where virtual reality, artificial intelligence, teledildonics, sex robots, online dating and pornography have changed our understanding of sexual behavior and relationships. Our own beliefs, values and ideas can be challenged by the landscape of contemporary sexual behavior and its changing definitions of open monogamy. Alternative sexual practices including BDSM and other fetishes have permeated our popular culture and are crucial to the understanding of today’s therapist. In this recording we will explore the new world of cutting edge and unconventional sexual practices and the innovative ways that therapists can work with couples and face their own issues around sex and intimacy.