A client is upset about changes in his sexual relationship with his wife post-menopause. What action should the social worker take?

Providing couples therapy to the client and his wife is a highly appropriate approach for several reasons. First, it addresses the issue as a shared experience, acknowledging that changes in sexual relationships can be complex and involve both partners. Couples therapy allows space for both individuals to express their feelings, concerns, and frustrations regarding the changes in their sexual dynamics and fosters communication between the couple.

In this context, it also promotes understanding and empathy, which can be particularly beneficial when navigating sensitive subjects like intimacy and sexual health post-menopause. By involving both partners in therapy, the social worker can help them collaboratively explore each other’s needs, feelings, and expectations, ultimately working towards a mutual resolution or adjustment in their relationship.

While other options such as psychoeducation about menopause or individual therapy could be beneficial, they do not encompass the relational aspect of the issue as effectively as couples therapy would. This approach prioritizes the relationship's dynamics and aims to support both individuals in understanding and adapting to the changes together.