For many beginning psychologists one of the most difficult topics to broach with a client is the topic of sex: sexual orientation sexual behavior or sexual problems. Specifically erectile dysfunction is one such topic. Erectile dysfunction is generally characterized by a males inability to produce or maintain an erection. At times males refrain from discussing the topic for many reasons. Among the most prevalent reasons is that the dysfunction is perceived as a threat to the clients manhood. By using professional sensitivity and consideration of other personal factors such as cultural awareness and client privacy psychologists may produce a comfortable environment in which to lead the client into discussion.