Sexual Behaviours Clinic

The Sexual Behaviour Clinic (SBC) at is a clinical, teaching and research facility that specializes in the evaluation and treatment of problematic sexual desires. While the primary reason for referral to the SBC is for a sexual interest in children, our patients[AT1] [SG2] are seen for any unconventional sexual interest that causes personal distress. This clinic provides assessment and treatment to manage the sexual behaviour-related problems, reduce symptom distress, and increase psychosocial skills and coping strategies.

The SBC has two primary goals: (1) eliminate problematic sexual interests and behaviours; and (2) promote healthy sexual interests and legal sexual behaviours.

Another goal of the SBC is to diminish the stigma associated with problematic sexual desires. We recognize that stigma limits individuals’ willingness to seek help and often allows for problematic interests to continue. The SBC aims to foster a supportive environment where individuals can obtain the help they need without judgment. This includes community engagement to reduce the stigma surrounding unconventional sexual interests, encouraging individuals with such interests to be proactive and feel comfortable seeking treatment.

FAQ for patients and families

What desires are deemed “problematic” and when should individuals seek out treatment?: “Problematic” sexual desires are those that cause personal distress, interfere with an individual’s daily functions, or may lead to harm oneself or others. This includes but is not limited to, sexual interests in children or non-consenting individuals, as well as other unconventional sexual desires that may create distress or concern for the person experiencing them. Individuals should seek treatment if they are distressed by their sexual interest or behaviours, particularly if these desires have led to actions that are illegal or could cause harm, or if they are worried about their ability to control these desires in the future.
Who can access services at the SBC?: The SBC serves individuals who may have problematic sexual interests or behaviours. This includes people who are justice-involved or those who have never offended but are concerned about their sexual desires. Treatment is also available to individuals at risk of legal consequences due to their sexual behaviours.
Do I need a doctor to be treated at the SBC?: Yes, as a condition of acceptance into the SBC, patients must have a doctor who will oversee their care once they are discharged from the clinic.
What kind of services are available at the SBC?: Most patients of the SBC will begin with an assessment that allows for a fulsome understanding of their concern. Upon completion of the assessment, the SBC uses both cognitive behavioural therapy (CBT) and the Good Lives Model (GLM) to structure its treatment plans. Treatment typically includes individual and group therapy as well as referrals to other programs or treatment providers with a focus on increasing psychosocial skills and developing healthy coping mechanisms. Treatment is provided by an interdisciplinary team to ensure all needs of the patient are met, and that solutions and treatment modalities are continuously developed. This team will include psychiatrists, social workers, court assistants, and researchers.
What support is available for spouses and family members?: The social worker at the SBC provides support to the spouses and families of individuals who may be at risk of legal consequences due to sexual behaviours. This support is crucial for helping families navigate the challenges associated with their loved ones' treatment.
How is research involved in treatment at the SBC?: The SBC was presented with the American Psychiatric Association’s Gold Award for academic and clinical excellence due to its strong foundation as a teaching facility focusing on clinical research. With the patient’s permission, the results of their assessment, treatment and final evaluations could potentially be used to further the body of research focused on unconventional sexual desires and aid in exploring new, innovative treatment methods.

How can I be referred to the SBC?

Patients can be referred at any stage of the legal process, including post-arrest, pre-sentencing, and following their return to the community. Many referrals come through court-ordered assessments, but physicians can also refer people to the clinic by submitting a referral form. Once received, the referral undergoes an initial screening. If it meets eligibility criteria, it proceeds to a final review. Based on this review, the referral will either be accepted—at which point a doctor is assigned, and the patient is contacted to schedule an assessment—or declined.

Important: To be accepted, patients must have a physician who can oversee their care after treatment at the SBC.