Frum Therapist: Mental Health Resources for the Frum Community
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Keeping Secrets in Couples’ Sex Therapy:
Clinical and Ethical Considerations — A Facilitated Group Discussion

Managing secrets in couples’ sex therapy is one of the most ethically complex and clinically delicate issues therapists encounter. In this article, Dr. Daniel Watter explores how the handling—or mishandling—of secrets can profoundly affect both therapeutic integrity and relationship outcomes. The paper examines three structural models of couples therapy: (1) no individual sessions, (2) individual sessions without confidentiality, and (3) individual sessions with confidentiality, weighing their respective benefits, risks, and ethical implications.

This Facilitated Group Discussion will invite participants to critically examine how transparency, trust, and informed consent intersect in sex therapy practice. Attendees will discuss real-world challenges such as partner disclosure, therapist neutrality, and cultural perspectives on privacy. Participants are encouraged to read the article prior to attending and come prepared to
engage in open, thoughtful dialogue.

https://frumtherapist.com/workshops/ASexTherapyCaseStudy2/view

Keeping Secrets in Couples’ Sex Therapy:
Clinical and Ethical Considerations — A Facilitated Group Discussion

Wednesday, August 19, 2026, 12:00 PM EDT - 1:00 PM EDT

Presenter: Dr. Caleb Jacobson, PsyD, PhD

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Course Length: 1 Hour

Learning Objectives:

  1. Participants will be able to identify and differentiate the three primary structural models of couples therapy described by Watter (2022) and describe at least two clinical or ethical implications of each model.
  2. Participants will be able to analyze a minimum of two case-based scenarios involving secrets or selective disclosure in couples’ sex therapy and evaluate how transparency, informed consent, and therapist neutrality should guide ethical decision-making.
  3. Participants will be able to apply at least two evidence-informed strategies for managing partner disclosures or requests for secrecy in couples’ sex therapy, integrating considerations of cultural norms, therapeutic boundaries, and professional ethical standards.

This workshop Offers 1 Live Interactive Continuing Education Credits

Times New Roman

Managing secrets in couples’ sex therapy is one of the most ethically complex and clinically delicate issues therapists encounter. In this article, Dr. Daniel Watter explores how the handling—or mishandling—of secrets can profoundly affect both therapeutic integrity and relationship outcomes. The paper examines three structural models of couples therapy: (1) no individual sessions, (2) individual sessions without confidentiality, and (3) individual sessions with confidentiality, weighing their respective benefits, risks, and ethical implications.

This Facilitated Group Discussion will invite participants to critically examine how transparency, trust, and informed consent intersect in sex therapy practice. Attendees will discuss real-world challenges such as partner disclosure, therapist neutrality, and cultural perspectives on privacy. Participants are encouraged to read the article prior to attending and come prepared to
engage in open, thoughtful dialogue.

Learning Objectives:

  1. Participants will be able to identify and differentiate the three primary structural models of couples therapy described by Watter (2022) and describe at least two clinical or ethical implications of each model.
  2. Participants will be able to analyze a minimum of two case-based scenarios involving secrets or selective disclosure in couples’ sex therapy and evaluate how transparency, informed consent, and therapist neutrality should guide ethical decision-making.
  3. Participants will be able to apply at least two evidence-informed strategies for managing partner disclosures or requests for secrecy in couples’ sex therapy, integrating considerations of cultural norms, therapeutic boundaries, and professional ethical standards.

Agenda:
00:00–00:05 | Introduction
● Welcome and overview of objectives
● Brief summary of Watters' (2022) findings.
00:05–00:55 | Facilitated Discussion
● Exploring key findings: benefits and limitations of digital sex therapy
● Ethical, clinical, and practical implications for psychosexual therapists
● Participant reflections: potential applications, challenges, and innovations
● Open exchange: experiences with teletherapy, apps, and digital interventions
00:55–01:00 | Closing Remarks
● Summary of key takeaways


This presentation is open to:
  • Social Workers
  • Professional Counselors
  • Therapists
  • Psychologists
  • Licensed Mental Health Practitioners
  • Medical Doctors and Other Health Professionals
  • Other professionals interacting with populations engaged in mental health based services
Course Level: introductory
Level of Clinician: beginner
  • New practitioners who wish to gain enhanced insight surrounding the topic
  • Experienced practitioners who seek to increase and expand fundamental knowledge surrounding the subject matter
  • Advanced practitioners seeking to review concepts and reinforce practice skills and/or access additional consultation
  • Managers seeking to broaden micro and/or macro perspectives

Participants will receive their certificate electronically upon completion of the webinar and course evaluation form.

Disability Access - If you require ADA accommodations, please contact our office 30 days or more before the event. We cannot ensure accommodations without adequate prior notification. Please Note: Licensing Boards change regulations often, and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling. The grievance policy for trainings provided by the NEFESH INTERNATIONAL is available here Satisfactory Completion Participants must have paid the tuition fee, logged in and out each day, attended the entire workshop, and completed an evaluation to receive a certificate (If this is a pre-recorded program, a post-test with a passing grade of 80% to receive a certificate.) Failure to log in or out will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. Certificates are available after satisfactory course completion by clicking here.
There is no conflict of interest or commercial support for this program.
  • Therapist Express is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed creative arts therapists. #CAT-0122.
  • Therapist Express is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0129.
  • Therapist Express is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0325.
  • Therapist Express is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0275.
  • Therapist Express is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0774.
  • The American Psychological Association approves the School of Sex Therapy to sponsor continuing education for psychologists. The School of Sex Therapy maintains responsibility for this program and its content.
    The School of Sex Therapy is an approved continued education provider for the International Association of Psychosexual Therapists. The School of Sex Therapy maintains responsibility for this program and its content.

Refunds
Registrants who are unable to attend a Frum Therapist seminar or live workshop may ask for, and will receive, a credit or refund (your choice). Refund requests will be processed within 3 business days. When an attendee knows in advance that they are unable to attend we ask that they inform Frum Therapist ahead of time by emailing [email protected] or by calling or texting (607) 249-4585 this allows us to free up the spot in the training in the event that a training is at or near capacity.