The authors will present counselling experiences with elderly couples according to the integrative approach carried out by the “Clinical Institute of Sexology” in Rome. The aim of this presentation is to underline the importance of using sexual counselling as an approach for a psychosexological assessment targeting male and female ageing people.

The data that will be introduced concerns elderly couples who have requested sexual counselling from the Institute.

The analysis underlines the effectiveness of an approach which combines the classical principles of counselling with the knowledge and the peculiarities of sexological science. In recent years the importance of sexuality has been recognized to be very important non only in the reproductive phase of life but also in the elderly.

Sexual counselling serves not only to cure dysfunctions brought on by age, but to help eldery persons continue a healthy sexually active life.

Evaluating the numerous physical, psychological and social aspects integrative sexual counselling is to be considered the most suitable approach also to favour an open communication regarding sexuality in this age group.