This paper discusses sexuality in the framework of relational psychoanalysis. Contemporary psychoanalytic approaches, turning away from drive theory, often abandoned sexuality altogether. This paper calls for a return to the centrality of sexuality in understanding the mind, development, and interpersonal/object relations. The author emphasizes a relational approach that highlights dialectical thinking, the third, and that positions sex and sexuality as the link between the intersubjective and the intrapsychic, highlighting the private, internal, enigmatic, and fantastic realm along with the pragmatic, bidirectional, two-person exchange. The paper discusses how our way of thinking and working clinically with sexuality has shifted accordingly.