There are times that it is an appropriate question. However, when the question comes up it should be within a context that makes sense to the client, not just a random assessment question. There are times that clients talk about being sexually frustrated, or feeling ashamed of their sexuality/desires. There are a few questions within our assessment interview that asks about any problems with sexuality. At times clients will talk about masturbation, and their feelings surrounding it, which make then flag the clinician who is assigned to follow up regarding such a topic.