The importance of location and disabled sex is also brought up in the film. The romantic bond that formulates between the two characters ensures that the concepts of disability and sex surrogacy are not seen by the audience as an emotionless act. The film depicts sex between Mark O'Brien and Cheryl Cohen-Greene, his sex therapist.
Sometimes disabled people who have more pragmatic needs to achieve sexual pleasure seek out sexual assistance by means of sex surrogates or sex workers. One of the main topics of The Sessions is disability and sex surrogacy. For O'Brien, this brings about a sense of shame that he is not deserving of sex or sexual pleasure. Disability is portrayed as a punishment for evil. As a religious man, the intersection of disability and religion is brought up in the film too. It also explores the exclusion from their own bodies that severely disabled people can feel. The Sessions shows both internal and external factors that inhibit disabled people from being connected to their sexuality. O'Brien's article discusses the effect that societal beauty standards had on his self-image and his image of himself as a sexual being. The Sessions shows disability not within the context of rehabilitation, or through the lens of the medical model, but rather foregrounding Mark's sexual experiences as a disabled man. In some instances, disabled people are portrayed in film as incapable of having sex and expressing sexuality. In the essays, O'Brien writes from a "crip/queer" perspective to refute his own experience of sexual prohibition as a disabled person. The film and the essays both discuss the intersection of disability and sexuality in O'Brien's life. The Sessions is based upon, Mark O'Brien's collection of personal essays in The Sun Magazine. Father Brendan gives the homily and Susan reads the poem he had previously sent Cheryl. The film then cuts to Mark's funeral, held sometime later in 1999, and attended by four of the women he came to know and care for, including Cheryl. However, he survives and meets a young woman named Susan Fernbach. One day sometime later, the power goes out in the building in which Mark lives, causing the iron lung to stop functioning and making it necessary for Mark to be rushed to the hospital.
After several attempts, Mark and Cheryl are able to have mutually satisfying sex, but decide to cut the sessions short on account of their burgeoning feelings. Cheryl's husband, who loves her deeply, fights to suppress his jealousy, at first withholding a love poem that Mark has sent by mail to Cheryl, which she eventually finds. They begin their sessions, but soon it is clear that they are developing romantic feelings for each other. She tells him they will have no more than six sessions together.
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After consulting his priest, Father Brendan, he gets in touch with Cheryl Cohen-Greene, a professional sex surrogate. After unsuccessfully proposing to his caretaker Amanda, and sensing he may be near death, he decides he wants to lose his virginity. Due to his condition, he has never had sex. In Berkeley, California, in 1988, Mark O'Brien is a 38 year old poet who is forced to live in an iron lung due to complications from polio.
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