Kaitlin Van Saders, OTR/L CSOT
Occupational Therapist
Functional Harmony OT
- What does CSOT stand for?
Certified Sexuality Occupational Therapist is someone who utilizes their domain and field of practice to work within the scope of sexuality and intimacy for individuals seeking help in that area. We have gone through a certification process that allows for diversity, inclusion, and cultural humility to understand the differences individuals may face when targeting certain questions within this area of practice.
- At what stage in an individual's survivorship or treatments can a CSOT address intimacy and sexual health?
There is no set standard of time or staging for an individual to receive CSOT. Typically if an individual is starting to question or wonder about sexuality or intimacy, it would be a great time to seek a therapist out. If an individual has recently received a diagnosis and questions are coming to mind, reaching out to a CSOT is a great idea to start building on education, modifications, adaptations to bridge the transition to their new role.
- Are the sessions in person or via zoom?
Sessions are done virtually to allow for being in the comfort of your own home.
- Do I need a partner or caregiver present to participate in the sessions?
Partners are not necessary for therapy sessions unless it would benefit the person receiving therapy (for instance, modifications or adaptations the individual may require assistance with).
- How often do individuals meet with a CSOT?
CSOT is recommended weekly initially with a taper off method of every other week followed by monthly appointments. The goal is to educate the individual in being independent sexual beings and to not require therapy for long term!
- What if an individual becomes overwhelmed and wants to withdraw from the session?
If an individual becomes overwhelmed and wants to withdraw that is their right, however a therapist may want to visit the triggers that are causing the heavy emotions and assist in stress management to aid in the overall wellbeing of the client.
- Are there tests or assessments given during the treatment sessions?
Personal inventory, an about me, and a questionnaire is given to the client prior to meeting so the therapist can help understand the clients level of comfort discussing the subject matter as well as find anything that may be helpful in assisting the client’s achievements and goals.
- How can individuals find CSOTs?
Individuals can access the “CSOT Directory” through The Institute for Sex and Occupational Therapy by visiting: https://www.sexintimacyot.com/csot-directory
- Personally, how has your experience as a CSOT benefited your journey through cancer treatment?
I became certified prior to my cancer diagnosis and ever believing I would have a cancer diagnosis at 37 years old. Having stage III cancer and having my rectum removed and a surgically placed ostomy bag was beyond humbling. As a sexual being I was able to use my knowledge to adapt and modify my time by myself and with my husband to create intimate moments that allowed us to connect for emotional and physical bonding during this difficult time. I am so thankful for my knowledge in this subject to be able to still maintain my independence within sexuality as well as utilize my husband to also be able to share his perspective as well.
- What advice do you have for breast cancer patients on the importance of addressing intimacy concerns throughout the cancer journey?
Advice I would give is that you are not alone. You are worthy of touch, intimacy, and sexuality within your comfort level and it is all so beautiful. Touch is therapeutic and to be able to share that individually or with a partner can aid in lower levels of stress and increase meaning throughout your day. Cancer treatment is a large variable and there are so many ways to feel honored and loved, make sure to utilize your CSOT because they are there for you.
