My T is 46 year old male, I am 32 year old female.

I remember once mentioning that I had had sex with someone casually - a one-off thing during a really stressful period of time - and he says something like “sometimes these things need to happen in times of stress... it’s like ‘relief sex’... and hopefully you had a really good orgasm!”

I just kind of laughed and moved on, choosing not to comment on the presence or quality of my orgasm.

It was said in a very off-hand way; the whole conversation felt light-hearted, and I wasn’t TOO bothered by it, but it did stay with me. I felt like he probably regretted that phrase about the orgasm as soon as it left his mouth.

We had discussed my ability to orgasm (and sex in general) before, and since, but in an extremely clinical way. This was the only time where I felt like it was perhaps a bit too casual.

OP, I can totally see why you would feel weird in your instance too. I remember having an older female therapist when I was in college - she was probably late 60’s - and I would never have felt I could discuss sex with her; the age gap was just too large at the time (even though of course I wish for her, and anyone at any age, to be open and having a good sex life!). In hindsight I bet she would have been cool with it. Therapists are supposed to be okay with discussing whatever you bring.