WEEK 13 SEXUAL DISORDERS, PARAPHILIA, AND GENDER DYSPHORIA

• Sexual Disorders


  are mental health conditions characterized by problems in sexual responses
• Sexual Dysfunctions


  are a heterogenous group of disorders that are typically characterized by a clinically significant disturbance in a person's ability to respond sexually or to experience sexual pressure
• An individual may have several sexual dysfunctions at the same time
• Antianxiety Drugs


  Xanax (alprazolam)

  Valium (Diazepam)

  Doxepin (Sinequan)
• Antidepressant Drugs


  TCA

  SSRI

  MAOI
• Antipsychotic Drugs


  Chlorpromazine

  Other typical and atypical antipsychotic drugs
• Social Drugs


  Alcohol

  Amyl Nitrate

  Lysergic Acid

  Marijuana

  Heroin

  Methadone
• Anticholinergic Agents / Anticonvulsant Drugs


  Dilantin (Phenytoin)

  Carbamazepine
• Antiarrhythmic Drugs


  Disopyramide (Norpace)
• Antihypertensive Drugs


  Betablocker

  Diuretics

  Sympatholytic
• Other Drugs


  Cimetidine (Tagamet)

  Sulfasalazine (Azulfidine)
• Delayed Ejaculation


  Absent or delayed ejaculation despite adequate sexual stimulation
• Delayed ejaculation is also called retarded ejaculation
• Premature Ejaculation


  Inability to control the timing of ejaculation
• Erectile Disorder


  Inability to achieve or maintain an erection suitable for intercourse
• Male Hypoactive Sexual Disorder (HSDD)


  Absence of sexual fantasies and thoughts, and/or desire for or receptivity to sexual activity that causes the personal distress or difficulties in his relationship
• Female Orgasmic Disorder


  Persistent delay or absence of orgasm following a normal sexual excitement phase
• Female Sexual Interest Disorder


  Persistent failure to attain or maintain lubrication- swelling response of sexual excitement
• Genito-Pelvic Pain / Penetration Disorder


  a condition in which the pelvic floor muscles around the vagina contract or tighten involuntarily, a reflex action triggers tension in the muscles resulting in pain
• Para in Greek


  means "around"
• Philia in Greek


  means "love"
• Paraphilia


  any emotional disorder characterized by sexually arousing fantasies
• Exhibitionism


  exposure of the genitals to a stranger, sometimes involving masturbation
• Exhibitionism usually occurs before age 18 and is less sever after age 40
• Fetishism


  Use of nonliving objects to obtain sexual excitement and/or achieve orgasm
• Common fetishes


  women's underwear, bras, lingerie, shoes, or other apparel
• The person with fetishism might masturbate while holding or rubbing the object
• Fetishism begins by adolescence and tends to be chronic
• Voyeurism


  Recurrent, intensely sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of undressing, or engaging in sexual activity
• Voyeurism usually begins before age 15, is chronic, and may involve masturbation during voyeuristic behavior
• Sexual Masochism


  Recurrent, intensely sexually arousing fantasies, sexual urges, or behaviors involving the act of being humiliated, beaten, bound, or otherwise made to suffer
• Sexual Sadism


  Recurrent, intensely sexually arousing fantasies, sexual urges, or behaviors involving acts in which the psychological or physical suffering of the victim is sexually arousing to the person
• Sexual Sadism can include

  domination, restraint, spanking, beating, electrical shock, rape, cutting, and in severe cases, torture and death
• Pedophilia


  Sexual activity with a prepubescent child (generally 13 years or younger) by someone at least 16 years old and 5 years older than the child
• Pedophilia can include

  -individual undressing the child and looking at the child

  -exposing himself or herself

  -masturbating in the presence of the child

  -fellatio

  -cunnilingus

  -penetration of child's vagina, anus, or mouth
• Cognitive Behavioral Therapy (CBT)


  helps the paraphilic person anticipate situations that increase their risk of sexually acting out and finding ways to avoid or productively respond to those triggers
• Serotonin Reuptake Inhibitors (SSRIs)


  Used to decrease sexual obsessiveness and urges associated with paraphilias and may help with increasing the paraphilic's ability to control his or her impulses
• Methylphenidate (Ritalin)


  Can increase the effectiveness of SSRIs
• Naltrexone


  Can decrease some of the sexual obsessiveness associated with paraphilia
• Gender Dysphoria is formerly called as gender identity disorders