This manuscript is an overview of available clinical and anecdotal research regarding care and counseling needs at the intersections of sex, sexuality, Black women, and disability. This paper illuminates the need to address the mental and emotional aspects. Specific attention is given to what is missing in the literature including, but not limited to: ableism/disability, visibility/invisibility, eroticsm/otherism, and sexualization/asexualization. The preliminary research in medical/psychological journals, books, and sexual health information sources indicates that the war on Black bodies is historic, current, social, and medical. The indications are that there is not enough attention paid and that no therapeutic interventions have emerged that specifically addresses the needs of disabled Black women. By the end of this research paper, readers will understand the importance of developing their own knowledge base. To consider the implications of what is missing in counseling research in addressing the disabled, Black woman who is having issues surrounding sex and sexuality.