Respond to your colleagues by Comparing the Differential Diagnostic Features of the disorder you 

Selected to the diagnostic features of the disorder your colleagues were assigned.

SEXUAL DYSFUNCTION DIAGNOSTIC CRITERIA
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Sexual Dysfunction Diagnostic Criteria

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University Affiliation

Sexual dysfunction: Male Erectile Disorder

DSM-5 classifies Erectile Dysfunction as a sexual dysfunction disorder with a significant inability to respond or experience sexual pleasure, is a sexual disorder affecting men, is the decreased erectile turgidity for 75% of sexual activity for at least 6 months or failure to obtain and sustain an erection sufficient. It culminates in a condition where the man loses sexual interest and fails to retain their erection for an extended period. The primary causal of Impotence in men is because of massive stress. The brain coordinates in releasing the sexual desire and urge. It means that once a patient is stressed out, their sexual capacity reduces thus termed as impotence (Irwin, 2019). Male erectile disorder is asserted in the absence of distress and other psychological stressors for the patient (Segraves, 2010). Before diagnosing Sexual Dysfunction, other issues from a nonsexual mental illness, among other stressors, should be first be addressed. Other factors to be considered for the diagnosis of male erectile dysfunction include the history of sexual/emotional abuse, communication problems, partner violence, cultural or religious factors (Edward, 2020). The disease is preventable, and doctors can minimize the damage suppose the patient agrees to speak about their condition. The first diagnostic step for the doctor is to listen to the patient and record all the signs and symptoms experienced. After an explanation, the doctor determines whether the condition is chronic and needs more than administering drugs as the treatment system. The primary used diagnosis procedure is the physical examination where the medical professional analyzes the genitals to discern any signs of pain or detect a sensation. Furthermore, the doctor might prescribe a blood examination to analyze the presence of impotence stimulators. Diagnostic criterial for Male Erectile Disorder.

Psychotherapy and Psychopharmacologic Treatment for Male Erectile Dysfunction.

Through the right medication, a patient might be cured of erectile dysfunction. The most prominent treatment technique used is psychology treatment. Cognitive-Behavioral Therapy (CBT) is an efficacious therapy used in addressing Erectile Dysfunction in patients. CBT is an actionable and proactive therapy aimed at helping how patients think and behave. The medical professionals believe that once the patient finds a guidance to help them fight stress, they will succeed in beating impotency. The patient is prescribed to periodic counselling sessions where they guided through self-acceptance and building a strong self-esteem (Irwin, 2019). Additionally, they are prescribed to a dosage that would help the patient obtain sexual sensation. They are advised on the negative and positive effects of taking the drugs and evaluated by their competency level to handle the side effects. According to Simopoulos (2012), the main drugs used for the pharmacologic treatment of male erectile dysfunction include Bromocriptine, Selegiline, Sildenafil, and Amantadine Cyproheptadine, and Cabergoline. Other frequently medicament include Viagra is one of the medications incorporated to the patients which helps them in having and maintaining their erection throughout their intercourse duration. Curing erectile dysfunction can also be facilitated through exercise, avoiding smoking/alcohol, consuming healthy foods, and getting enough sleep. Treatments for patients with depression, anxiety, and schizophrenia may have drastic sexual side effects.

References

Irwin, G. M. (2019). Erectile dysfunction. Primary Care: Clinics in Office Practice, 46(2), 249-255.

Edward K., (2020). What are the DSM-5 criteria for the diagnosis of erectile dysfunction (ED)?.

https://www.medscape.com/answers/444220-69922/what-are-the-dsm-5-criteria-for-diagnosis-of-erectile-dysfunction-ed

Segraves R. T. (2010). Considerations for diagnostic criteria for erectile dysfunction in DSM V. The journal of sexual medicine, 7(2 Pt 1), 654–660.

https://doi.org/10.1111/j.1743-6109.2009.01684.x

Simopoulos E., (2012). Male erectile dysfunction: integrating psychopharmacology and psychotherapy.

https://www.eugenefsimopoulosmd.com/uploads/2/7/6/9/27698859/esimopoulosghp

15 days ago

Marianne Alfaro

Week 11- Voyeurism

COLLAPSE

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Week 11: Paraphilic Disorders -Voyeurism

            Paraphilic disorders are paraphilias that cause distress or cause problems functioning in the person with the paraphilia or that harm or may harm another person(Gabbard, 2014). Paraphilic disorders can seriously impair the capacity for affectionate, shared sexual activity (Gabbard, 2014).Partners of people with a paraphilic disorder may feel like an object or as if they are unimportant or unnecessary in the sexual relationship.

            Voyeurism involves becoming sexually aroused by watching an unsuspecting person who is disrobing, naked, or engaged in sexual activity (Voyeurism, 2007).Voyeuristic disorder involves acting on voyeuristic urges or fantasies or being distressed by or unable to function because of those urges and fantasies( Voyeurism, 2007). Voyeuristic disorder is one of the most common paraphilias. Voyeurism usually begins during adolescence or early adulthood(Voyeurism, 2007).According to the American Psychiatric Association (2013), the diagnostic criteria for paraphilic disorders are A. Over a period of at least six months, recurrent and intense sexual arousal from observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity, as manifested by fantasies, urges, or behaviors’. The individual has acted on these sexual urges with a nonconsenting person, or the sexual urges or fantasies cause clinically significant distress, or impairment in social, occupational, or other important areas of functioning, C. The individual experiencing the arousal and/or acting on the urges is at least 18 years of age(American Psychiatric Association (2013).

Psychosexual evaluation and treatment

            The etiology of paraphilias is unknown, but it is probably a learned behavior and are lifelong conditions. Treatment is focused on decreasing the arousal to the deviant sexual behavior, rather than extinguishing the sexual orientation (McManus et al., 2013). Cognitive behavioral therapy such as aversion and reconditioning have been the mainstay of treatment for sex offenders and for the paraphilias for the past three decades(McManus et al., 2013). Its main treatment approach involves decreasing inappropriate sexual arousal through a variety of techniques, including covert sensitization, satiation, fading, and systematic desensitization(McManus et al., 2013). This approach also aims to enhance appropriate sexual arousal to adult partners through techniques such as orgasmic reconditioning or fading.Phamacological treatments can include SSRI’s and at times drugs that reduce testosterone levels and thus reduce the sex drive may be used. These drugs include leuprolide and medroxyprogesterone acetate(McManus et al., 2013). People must give their informed consent to the use of these drugs, and doctors regularly must do blood tests to monitor the drug’s effects on liver function.

Reference

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Gabbard, G.O. (2014). Gabbard’s treatment of psychiatric disorders (5th ed.).Washington, DC: American Psychiatric Publications

McManus, M. A., Hargreaves, P., Rainbow, L., & Alison, L. J. (2013). Paraphilias: definition, diagnosis and treatment. F1000prime reports, 5, 36. https://doi.org/10.12703/P5-36

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.

Voyeurism. (2007). International Journal of Sexual Health 19(1):47-56

            Retrieved from : DOI: 10.1300/J514v19n01_06

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