Sexual Scripts Reflection
A sex therapy worksheet mapping sexual messages from family, culture, school, peers, media and experiences, evaluating each and writing a new personal script.
1-page fillable PDF · US Letter (prints on A4) · Sex therapy · Psychoeducation
- Approach / concern
- Sex Therapy
- Technique
- Sex therapy · Psychoeducation
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Advanced plan
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Sexual Scripts Reflection?
Sexual script theory proposes that sexual behaviour is shaped by learned cultural, interpersonal and personal scripts. Reflecting on these scripts helps clients reduce shame and performance pressure and make values-based choices.
Why it works
Simon and Gagnon (1986) described sexual scripts at cultural, interpersonal and intrapsychic levels. Contemporary sex education highlights how cultural messages affect sexual wellbeing and how reframing them reduces shame (Nagoski, 2021).
When to use it
- Sexual shame and guilt
- Low desire and performance anxiety
- Religious or cultural conflict about sex
- Couples with mismatched expectations
How to use it in session
- Introduce the concept of scripts.
- Identify messages by source.
- Evaluate helpfulness.
- Decide what to keep or change.
- Write a new script.
Clinician tips
- Create a non-judgemental space.
- Respect religious and cultural values.
- Screen for sexual trauma and pace accordingly.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
What are sexual scripts?
Learned expectations about how sex should happen, who does what and what it means.
Is this suitable for couples?
Yes. Partners can complete it separately and share what feels comfortable.
References
Simon, W., & Gagnon, J. H. (1986). Sexual scripts: Permanence and change. Archives of Sexual Behavior, 15(2), 97-120.
Nagoski, E. (2021). Come as you are: The surprising new science that will transform your sex life (Rev. ed.). Simon & Schuster.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
