Researchers and theorists have noted that sexuality is an innate element humans possess across the lifespan; however, it remains an uncomfortable area of discussion even among many psychologists-in-training. In this cross-sectional study, 138 Clinical PsyD trainees completed a questionnaire exploring their comfort discussing sexuality with clients. Trainees reported lower comfort appraisals when asked about discussing specific sexual concerns than when asked globally about discussing sexual issues with clients. Additionally, whereas male and female trainees reported similar comfort discussing sexual issues with female clients, female trainees reported significantly less comfort discussing sexual issues with male clients than did male trainees. Participants' prior sexuality training and sexual attitudes correlated positively with their comfort appraisals, whereas general training or clinical experience did not, highlighting the need to incorporate specific sexuality training into doctoral curricula. (Contains 1 figure.)