Talking about sex in therapy is one thing—but competently discussing kink or BDSM can be an entirely different challenge. Research shows that while 76% of therapists have worked with at least one client involved in BDSM, 64% received no graduate training on the topic (Kelsey, Stiles, Spiller, & Diekhoff, 2013). That gap leaves many clinicians uncertain about how to navigate conversations about power exchange, consent, and erotic identity.

If a client describes power-based sex play, are you confident in distinguishing healthy kink from abuse—without judgment or harm?

In Clearly Clinical’s newest podcast-based CE course, Dr. Elyssa Helfer, CST, LMFT, a clinical sexologist and certified sex therapist, breaks down the foundations of ethical kink-affirming practice. She clarifies what kink is (and isn’t), defines BDSM within the broader umbrella of erotic diversity, and explores how consent, negotiation, and aftercare form the cornerstones of healthy engagement.

Dr. Helfer also addresses common clinician biases, offers inclusive assessment language, and provides clear guidance for when to consult or refer out.