Depending on their needs, a client may have to negotiate with their family or carers for assistance seeing a sex worker. Getting to and from bookings, moving on and off the bed, paying for the service - all of this could require outside help. And asking family or staff for help with seeing a sex worker can feel awkward, as you can probably imagine! Fortunately, Tess suggests that times might be changing. There are plan providers out there who are so supportive. I have a few clients right now whose goal is to see a sex worker, and the team are so excited, because they know this is going to help with their quality of life. But it’s not guaranteed - your client might need to persuade the people around them, just to get to the point where they’re ready to contact you and ask for a session. There might also be a gap in knowledge and education. Tess’ experience is that some clients simply haven’t been given the chance to learn the social or sexual skills they need.