Sexual Diversity Ethics On-Demand Continuing Education Course for therapists, counselors, psychologists, social workers, marriage and family therapists


On-Demand: Ethical Considerations with Sexually Marginalized Clients - 3 CEUs

To access the discount form for registering for multiple workshops or participants, please click here.

  • CE Hours Included: 3 Ethics, Core, or Related (please see below for CE details)
  • Format: On-Demand Webinar (“Asynchronous”) ~ At your leisure to be viewed at your own pace. You may pause, rewind, and fast forward at any point during the videos. You are in complete control of how you view this workshop. It also comes with a PowerPoint and references. There is a quiz at the end to ensure viewing and required by all CE approval organizations.
  • Investment: $87
  • Presented by: Rachel Anne Kieran, Psy.D. (see bio below)
  • Instruction Level: Intermediate
  • Target Audience: Psychologists, Counselors, Social Workers, Marriage & Family Therapists, Psychotherapists, Other Mental Health Professionals

Educational Objectives:

In this workshop, you will learn how to:

  • Describe sexual and relational diversity as alternatives to heterocentric, monocentric and gender binary stereotypes promulgated by many social norms.
  • Discuss strategies for investigating the nature of power differentials in relationships - both inherent and negotiated – and how these may be helpful or harmful in therapy.
  • Identify strategies for reducing stigma on demographic forms, and how this is related to ethical responsibilities for autonomy and respect.
  • Describe calls to action from APA guidelines relevant to practice with sexually marginalized populations
  • Identify ethical principles and standards relevant to practice with sexually marginalized populations
  • Discuss techniques for addressing consent concerns with sexually marginalized populations
  • Examine ideas for safety planning (and responding to duty to protect) with sexually marginalized populations
  • Identify techniques for indicating sex positive and affirming spaces for marginalized populations in physical locations and online modalities.

Workshop Description:

Consensual non-monogamy and consensual power exchange in relationships, as well as a broad diversity in sexual desire and behaviors are more common than most clinicians understand, and a multitude of misunderstandings and pathologizing assumptions continue to exist in this area of human life.This is in spite of revisions to the DSM-5 that significantly depathologized consensual power exchange; specific calls for psychologists to address this stigma in APA-issued Guidelines, and research suggesting that consensually non-monogamous relationship are on the rise and associated with positive psychological outcomes.Despite this, therapist behavior continues to negatively impact clients and endanger our aspirational goals of nonmaleficence, autonomy, justice and respect.
This program is designed to examine best practices in working with clients’ diverse sexual lives from an ethical lens and relevant Statutes. The session will examine the role of informed therapeutic consent in discussing relationship consent with clients, the meaning of cultural competence in the areas of sexual and relational diversity, the impact of therapist paperwork on rapport and autonomy, and questions of access and mental healthcare equity for sexually marginalized populations.


  • Introductions and creating a shared working definition
  • AltSex 101: The State of the Science – 30 minutes
    • Understanding sexual and relational diversity – what the science suggests
    • Depathologizing and the DSM
    • Relevant recent developments – 2021 Guidelines
  • What’s Ethics Got to Do With It? – 45 mins
    • Digging into ethical principles and codes
    • What is “competence” in this area
    • Examples, working with assumptions
      • Dual relationships – how kink and rural psychology are the same!
      • When does “do no harm” mean bruises are okay?
      • How much is enough sex? – sexual “dysfunctions” vs. asexuality
  • Consent – it’s for everything! – 45 mins (addresses Ethics code as well as Statutes)
    • Informed consent in sex (and therapy)
    • Re-assessing consent and safety
    • Responding to breaches of consent/safety concerns
  • What does your paperwork say about your practice? – 30 minutes
    • Creating access and equity in demographic forms
    • Recognizing and addressing microaggressions
    • Creating affirming therapeutic spaces & relationships

Presented by: Rachel Anne Kieran, Psy.D.

A graduate of Jacksonville University in Jacksonville, Florida with Bachelors degrees in History and Psychology, I received my Masters and Doctorate of Clinical Psychology from the University of Denver. Prior to opening a private practice, I worked for Regis University in Denver and Georgia State University in Atlanta - providing clinical services for students in both positions.
In 2007 I opened a private practice, now known as StorieBrook Therapy & Consulting. The mission of this practice is to provide a range of services specializing in sexual, gender & relational diversity, recognizing that this is an expansive category, intersecting with all other identities and requiring deliberate opportunities for access, cultural humility on the part of providers, and bespoke collaboration with clients to meet their unique needs. Our practice values include access, anti-racism, body liberation, collaboration, cultural humility, public & professional education, inclusion & affirmation, social justice, and trauma informed care.
In addition to running this practice, I teach in the Department of Psychological Science at Kennesaw State University, and frequently provide continuing education workshops for other mental health professionals, particularly in the areas of sexual, gender and relational diversity, locally and nationally. I am also a leader, and Past-President, of the Georgia Psychological Association, and a current campaign chair of the APA Division 44 Committee on Consensual Non-Monogamy.

What people are saying about this workshop:

  • "Love Rachel and her way of presenting. She is an exceptional speaker." - TK, Psychologist
  • "Dr. Kieran was interesting, engaging and informative. Excellent job." - JJP, Psychologist
  • "The presenter was very knowledgeable and engaging. I really enjoyed presentation and gained skills to implement in my practice." - MBC, LPC
  • "Presenter was very knowledgable, accessible and personal. I enjoyed that!" - MD, LCSW

3 Ethics, Core, or Related “Asynchronous” CE Clock Hours Included - Details by License Type Below:

  • PSYCHOLOGISTS: The Knowledge Tree (TKT) is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. TKT maintains responsibility for this program and its content. For more detailed information on the current CE ruling in Georgia, or if you are licensed in another state or country, please click here.
  • COUNSELORS: The Knowledge Tree has been approved by the National Board for Certified Counselors (NBCC) as an Approved Continuing Education Provider (ACEP), ACEP No. 7153. Programs that do not qualify for NBCC credit are clearly identified. The Knowledge Tree is solely responsible for all aspects of the programs. Please click here for more detailed CE information.
    • Counselors Licensed in Canada: This workshop is approved for 3 credit hours through the Canadian Counseling and Psychotherapy Association (CCPA), event code: 64963300.

  • SOCIAL WORKERS: This workshop is approved for 3 core CE hours through the Georgia Society for Clinical Social Work (GSCSW), approval #050523. If you are licensed in another state or country, please click here for more detailed information.
  • MARRIAGE & FAMILY THERAPISTS: Many states will accept APA and/or NBCC approved continuing education hours for Marriage & Family Therapists, but please check your specific state’s rules & regulations. For Georgia specific information regarding MFT approval, please go to our CE Information page, by clicking here and scroll down to the map of Georgia.

To view our various workshop policies, including our multi-workshop discount & refund policy, please click here.

We are an approved vendor for the U.S. Department of Veteran's Affairs for easy reimbursement of educational expenses for VA employees.

Get Started!

Blank Page Issues? We have received some reports about compatibility issues with our website while attempting to pay for a workshop resulting in blank pages. According to our website host, this is a known security issue with Internet Explorer (particularly when someone is about to use a credit card). Microsoft stopped supporting Internet Explorer in January 2016, and they updated it to Microsoft Edge. Our website is updated constantly to offer the highest level of security. If you experience issues while using Internet Explorer, we recommend updating your browser to Edge or using another browser (e.g., Google Chrome, Safari, or FireFox). This should fix the issue and be more secure for you in general. Or, you may always enroll another way here. We apologize for any inconvenience.


For information about our Continuing Education Workshops, please contact our Continuing Education

Workshop Coordinator at:


[email protected]