Despite accusations of prostitution masquerading as medicine, a survey of patients who've used a sex surrogate are overwhelmingly positive. Ask a non-medical sex worker, and they'll tell you that many of their customers are emotionally hobbled in some way by loneliness or social discomfort -- what could be better than having a psychiatrist supervising and advising? We do it for other social anxiety problems or mental illness, putting patients in real-world situations under guidance of a mentor, and sex shouldn't be seen as such a different thing.