The therapist said "orgasm" in our last session and I was shocked. It helped to remind myself that the puritanical negative connotations around sexual subjects is not something I want a part of. Society has conditioned me to be uncomfortable but that reflects values I don't actually share.

That doesn't mean it's easy. For now, I am trying to work on tolerating the therapist using words like "orgasm." I think it gets easier over time. I was also shocked the first time she said certain other sex-related words/phrases, but I am less so now (although I can't bring myself to also use most of those words/phrases yet).

If your therapist said "orgasm," that would indicate to me that he is capable of tolerating sex talk - because sexual pleasure is probably the most taboo concept of all.