In ""Sexual Health"", Dr. Lisa Firestone demonstrates her approach to counseling couples who are experiencing relationship difficulties. Because sexuality is such an important part of a relationship, improving sexual intimacy often becomes central in any relationship counseling. Sexual issues themselves are often psychological in nature, and even where sexual problems are physical, a client's reaction to them is treatable psychologically.In this session, Dr. Firestone works with a couple who, although they have been married for 23 years, have been distant and hostile with each other for much of their marriage. Dr. Firestone first looks at how partners see themselves and each other and then helps them set realistic goals to improve their communication and intimacy by reducing self-critical thinking.