A group of people who have particular need are those who are terminally ill. If sexuality and disability are difficult words to put together, then sexuality and dying are even more so. This is an emotional time with many issues to be addressed. Among these, personal relationships are sometimes overlooked. The worries of both doctor and patient over what people may think if these needs or difficulties are acknowledged can be acute. When time is of the essence people need to use it in whatever way seems important to them. Increasing incapacity and the loss of part of their life which has always been important to them matters a great deal. They do not appreciate being put on a waiting list for psychosexual counselling. They need swift and appropriate attention so that they can utilize their remaining time together in the best way, feeling free to use what physical contacts are available to them to maintain and develop the fullest possible relationship to the end.


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