He still has not got used to the fact that 'people, when they meet me, fantasise about what I do in my own time. Another approach to teaching has been through approved courses of the British Association for Sexual and Relationship Therapy. It involved running a regional psychosexual and couples' relationship therapy service in the NHS, the andrology service within a urology service, the regional gender dysphoria unit, and responsibility for training medical undergraduate students all students and with specific seven week attachments for clinical options as well as being course director for the postgraduate certificate, postgraduate diploma, and MSc university accredited course. These include courses run by Relate as well as the multidisciplinary MSc and postgraduate diploma courses run by Sheffield Hallam University and the University of Central Lancashire. We still don't have a language to express ourselves when things go wrong. The huge range of the specialty affords opportunity to attend diverse clinical meetings and to lecture to an increasing number of interested colleagues across the medical disciplines. A man unable to sustain an erection will be asked to stimulate himself to boost his confidence. Bernd Leygraf German-born Bernd Leygraf used to be a priest. In my case what began as two special interest sessions became a full time post within four years. And, even more interesting, what do they get up to with their own partners? At the moment the European Federation of Sexology and the European Society for Sexual Medicine are looking at a collaborative approach to establishing core training in sexual medicine across Europe see box 1 for information on training and courses. The knock-on effect could be more demand for sex therapists - but they will only be able to meet this demand if the current squeeze on funding is addressed. As part of an Accreditation of Prior Experiential Learning APEL process,you may have these weighted at the university of your choice for on-going studies. In either case, clinics are few and far between and several have closed down in recent years due to lack of funding. For example, a woman who feels ashamed of her looks will have to identify something about her appearance she likes.