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Ethical Dilemmas in Contemporary Therapy:
Navigating Sex, Sexuality, and Gender Issues

This course explores the complex ethical dilemmas that arise in contemporary therapy when working with issues of sex, sexuality, and gender. As clinical practice increasingly engages with diverse identities, behaviors, relational structures, and emerging technologies, therapists must navigate not only patient care, but also their own values, biases, and areas of discomfort.

Throughout the course, participants will examine key ethical challenges, including managing personal bias when discussing sexual concerns, handling secrets and disclosure in couples therapy, navigating clinical work with transgender and gender-diverse minors, and addressing presentations involving minor attraction, kink, and other non-normative sexual interests. The course will also explore evolving ethical questions related to technology, including the use of artificial intelligence, virtual sexual environments, and sex robots, and their implications for clinical practice.

Special attention will be given to the concept of consent—its clinical, relational, and ethical dimensions within therapeutic contexts, as well as how consent is understood and negotiated in both human and technology-mediated interactions.

Grounded in ethical decision-making frameworks and real-world clinical scenarios, this course aims to help therapists develop greater self-awareness, clinical clarity, and confidence in managing ethically complex situations with professionalism and integrity.

 https://frumtherapist.com/workshops/EthicalDilemmas2026/view

Ethical Dilemmas in Contemporary Therapy:
Navigating Sex, Sexuality, and Gender Issues

Wednesday, September 23, 2026, 1:45 PM EDT - 4:45 PM EDT

Presenter: Dr. Caleb Jacobson

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Course Length: 3 Hours

Learning Objectives:

  1. Analyze common ethical dilemmas that arise in therapy related to sex, sexuality, and gender using established ethical decision-making frameworks.
  2. Evaluate the impact of personal bias and discomfort on clinical work with patients presenting with sexual concerns.
  3. Apply ethical principles to the management of secrets and disclosure in couples therapy.
  4. Assess clinical and ethical considerations when working with transgender and gender-diverse minors, as well as patients presenting with minor attraction and kink-related interests.
  5. Differentiate and apply concepts of consent within therapeutic, relational, and clinical contexts.

This workshop Offers 3 Live Interactive Continuing Education Credits

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This course explores the complex ethical dilemmas that arise in contemporary therapy when working with issues of sex, sexuality, and gender. As clinical practice increasingly engages with diverse identities, behaviors, relational structures, and emerging technologies, therapists must navigate not only patient care, but also their own values, biases, and areas of discomfort.

Throughout the course, participants will examine key ethical challenges, including managing personal bias when discussing sexual concerns, handling secrets and disclosure in couples therapy, navigating clinical work with transgender and gender-diverse minors, and addressing presentations involving minor attraction, kink, and other non-normative sexual interests. The course will also explore evolving ethical questions related to technology, including the use of artificial intelligence, virtual sexual environments, and sex robots, and their implications for clinical practice.

Special attention will be given to the concept of consent—its clinical, relational, and ethical dimensions within therapeutic contexts, as well as how consent is understood and negotiated in both human and technology-mediated interactions.

Grounded in ethical decision-making frameworks and real-world clinical scenarios, this course aims to help therapists develop greater self-awareness, clinical clarity, and confidence in managing ethically complex situations with professionalism and integrity.

Learning Objectives:

  1. Analyze common ethical dilemmas that arise in therapy related to sex, sexuality, and gender using established ethical decision-making frameworks.
  2. Evaluate the impact of personal bias and discomfort on clinical work with patients presenting with sexual concerns.
  3. Apply ethical principles to the management of secrets and disclosure in couples therapy.
  4. Assess clinical and ethical considerations when working with transgender and gender-diverse minors, as well as patients presenting with minor attraction and kink-related interests.
  5. Differentiate and apply concepts of consent within therapeutic, relational, and clinical contexts.
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: intermediate
Level of Clinician: intermediate
  • 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.
  • This program meets the requirements for the American Association of Sexuality Educators, Counselors and Therapists. These CE credits may be applied toward AASECT certification and renewal of certification. AASECT Knowledge Areas: Developmental Sexuality, Health/Medical factors that influence sexuality, Intimacy Skills, Learning theory and its application, Range of sexual functioning and behavior, sexual and reproductive anatomy, Socio-cultural and familial factors. May be used for Sex Therapy Training ST1, ST2, ST3, ST4, ST5, ST6, ST7.
  • CE You! is an approved sponsor of the Maryland Board of Social Work Examiners for continuing education credits for licensed social workers in Maryland.
    CE You! maintains responsibility for this program.
  • 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.

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