Discussion: Assessment and Treatment of Gender Dysphoria, Paraphilic Disorders, and Sexual Dysfunction
Sexuality is an important part of each person’s quality of life. Research indicates that awareness of sexual identity and its importance may begin as early as age 3. However, individuals with varying diagnoses, disorders, or dysfunctions may grapple with issues related to their sexuality in their teen years, as well as into adulthood. Female Orgasmic Disorder Assignment
In this Discussion, you will explore the assessment and treatment of gender dysphoria, paraphilic disorders, and sexual dysfunction.
Analyze diagnostic criteria for gender dysphoria, paraphilic disorders and sexual dysfunction
Analyze evidence-based psychotherapy and psychopharmacologic treatments for gender/sexual disorders
Compare differential diagnostic features of gender/sexual disorders
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To prepare for this Discussion:
Select a gender dysphoria, paraphilic disorder, or sexual dysfunction that interests you.
Review the Learning Resources.
By Day 3
Explain the diagnostic criteria for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.
Explain the evidenced-based psychotherapy and psychopharmacologic treatment for the gender dysphoria, paraphilic disorder, or sexual dysfunction you selected.
Support your rationale with references to the Learning Resources or other academic resource.
According to Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-V), female orgasmic disorder is sexual dysfunction disorders characterized by consistent and repeated inability to have an orgasm after sexual stimulation and arousal (American Psychiatric Association., 2013). The diagnostic criterion is recurrent delay or absence of orgasm after usual sexual excitement and intercourse for a minimum period of 6 months (Criterion B). It also involves extreme change in reaching an orgasm after previously enjoying normal sex life. This diagnosis should be based on the fact that the orgasmic capability of the woman is less than the expectation of her age, previous sexual experience, and adequate sexual stimulation. It’s usually related to genetic factors, age, marital problems, depression, chronic medical conditions, medications, hormonal imbalances and alcohol abuse. Female Orgasmic Disorder Assignment
Psychotherapy and psychopharmacologic treatment for female orgasmic disorder
There are different medical treatment, psychotherapy and lifestyles changes that are used for management of female orgasmic disorder. Couples therapy provides a chance for the couple to strengthen their communication, emotional expression and resolve conflict. Cognitive behavioral therapy is effective when the woman expresses distressing thoughts and anxiety that could be causing female orgasmic disorder. Cognitive behavior therapy reduces anxiety and helps in changing sexual attitudes and thoughts hence enabling the woman to gain sexual satisfaction and orgasm. (Laan, Rellini & Barnes, 2013). Direct masturbation training- genital stimulation, sexual fantasy and vibrators to enable orgasm- for 4 to 16 weeks is useful in cases of sexual inexperience or sexual discomfort. Eros Clitoral Therapy Device (EROS-CTD) for clitoral enlargement and enhance the likelihood of orgasm. Female orgasmic disorder due to hormonal imbalance is managed by hormonal and behavioral treatments. (Laan, Rellini & Barnes, 2013). Psychopharmacologic treatment is aimed at reducing anxiety related to sex and cognitive distortions interfering with libido. The use of an antidepressant such as Flibanserin (Addyi) and Bupropion sustained release improves sexual desire and orgasm. Antiparkinson agents such as Apomorphine acts on D2 brain receptors involved in sexual function thus improving orgasm ( North American Menopause Society.,2015). Also, lifestyles changes such as; avoiding smoking, excessive, alcohol being physically active and relaxation techniques are used in the management of the female orgasmic disorder.
American Psychiatric Association. (2013).Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. Arlington, VA: American Psychiatric Association Publishing.
Laan, E., Rellini, A.H.& Barnes, T. (2013). Standard operating procedures for female orgasmic disorder: Consensus of the International Society for Sexual Medicine. The Journal of Sexual Medicine. 10(1):74-82
The North American Menopause Society. (2015). Effective treatments for sexual problems. http://www.menopause.org/for-women/sexual-health-menopause-online/effective-treatments-for-sexual-problems. Accessed July 10, 2015. Female Orgasmic Disorder Assignment
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