Study aim: Determining the effect of mindfulness counseling on sexual self-efficacy of HIV positive women in Ahvaz Design: The clinical trial has two groups of control and intervention, randomized by permutation block method on 66 patients. Settings and conduct: The sample of HIV-positive women referred to the High-Risk Diseases Center of Ahvaz, who were selected from the research community and have low sexual self-efficacy, the total number of participants is 60, which is 30 people in each group. The intervention is performed as a pre-test, post-test and follow-up stage so that the intervention group at the beginning of the study, week 8 and week 12 after the intervention complete the sexual self-efficacy questionnaire as a self-report. The control group despite low sexual self-efficacy They do not receive any intervention. Participants/Inclusion and exclusion criteria: Inclusion criteria: Married age 25-45, possibility of continuous participation in training sessions, women whose sexual self-efficacy score is between 0 and 10;Exclusion criteria: use of drugs that affect sexual function, the patient's spouse has a sexual dysfunction, physical and other acute illnesses, simultaneous use of counseling and other educational services to increase sexual self-efficacy. Intervention groups: The intervention group includes HIV-positive women with low sexual self-efficacy who are divided into three treatment groups of 7, during 8 sessions of group counseling (one session per week), with a mindfulness-based cognitive therapy approach to improve sexual self-efficacy. The control group consisted of 30 HIV-positive women with low sexual self-efficacy who did not receive any intervention. Main outcome variables: Sexual self-efficacy; Readiness for sex; Self-stimulation; Communication without intimacy; Orgasm