How do we account for power? How do we facilitate discussion on the ethical issues of positioning and accountability (Tilsen, 2013)? How can we develop therapeutic transparency? How we communicate is essential to doing the work around sexuality. This course illustrates the various venues through which communication occurs: verbally, non-verbally, and electronically; in addition to discussing self-disclosure, personal vulnerability, and issues of transference and countertransference on the part of the therapist.