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For example, when a client stated, during a sex therapy session, that she had never had an orgasm in over twenty years of marriage, her partner reacted quite earnestly by saying: "That's ok dear, I have always had an orgasm! When there is an understanding of theory of mind, then it is easy to understand that his response was not a man who was behaving selfishly, and his remark was not callous, rather, in fact, was quite honest and innocent. This was the first time his partner had mentioned it and he was unaware that this had been making her unhappy. You will need to be very clear and direct with your client wit AS while also teaching their partner to have the same directness. It is important never to make assumptions or take it for granted that the client with AS understands what it is that you want them to do.