What is the stop-start technique for premature ejaculation?
The stop-start technique developed by Masters and Johnson is highly effective for the treatment of premature ejaculation with success rates of as high as 90%. The technique aims to increase the frequency of sexual contact and sensory threshold of the penis.
What is the first step in treating sexual dysfunction?
The first step in the treatment of any sexual dysfunction is sex education/psychoeducation. The sex education needs to aim at normalization of the individual's experiences and reduce anxiety about sex by providing accurate information. The various components of sex education are shown in Table-10.
What happens after the general programme of sex therapy is completed?
With this the general programme of sex therapy is completed and now the treatment need to include superimposition of treatment for specific sexual dysfunctions. It is important to remember that during the whole therapy feedback be taken after every session and any doubts/misconceptions be clarified. Home work assignments for single male
When is a psychosocial assessment indicated in the treatment of sexual dysfunction?
If the psychosocial assessment reveals the presence of significant psychological distress or conflict between the couple, further evaluation and management may be carried out either prior to, or along with treatment of sexual dysfunction.
Is the sexual disorder that therapists have the most difficulty treating successfully?
Hypoactive sexual desire is the most difficult sexual problem to treat successfully.
Which item best describes the concept of sensate focus?
Which item best describes the concept of sensate focus? Giving and receiving pleasure to each other without a sexual or coital goal.
Which disorder primarily involves the inability to respond normally in key areas of sexual functioning?
Hypoactive sexual desire disorder (HSDD) is defined as a persistent deficiency or absence of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty (60).
Which theorists believe that fetishes are acquired through classical conditioning quizlet?
Psychodynamic theorists view fetishes as defense mechanisms that help reduce/avoid anxiety produced by normal sexual contact. Behaviorists propose that fetishes are acquired through classical conditioning.
What is sensate focus technique?
Sensate focus is a technique used to improve intimacy and communication between partners around sex, reduce sexual performance anxiety, and shift away from ingrained, goal-oriented sexual patterns that may not be serving a couple. The technique, developed by Dr. William H. Masters and Virginia E.
What is the modern term for impotence?
impotence, also called erectile dysfunction, in general, the inability of a man to achieve or maintain penile erection and hence the inability to participate fully in sexual intercourse.
What is male hypoactive disorder?
Male Hypoactive Sexual Desire Disorder (MHSDD) is defined in the DSM-5 as persistent or recurrently deficient sexual or erotic thoughts, fantasies, and desire for sexual activity. These symptoms must have persisted for a minimum of six months, and they must cause clinically significant distress.
How is HSDD diagnosed?
A blood test to check for affected hormone levels might be performed, as well. However, sometimes there is no specific underlying cause for HSDD....Emotional causes of HSDD include:a history of anxiety, depression, or low self-esteem.a history of sexual abuse.trust issues with a sexual partner.
What causes HSDD?
HSDD can be caused by a physical factor, such as diabetes or a drop in your body's production of specific hormones. It can also be the result of an emotional event or disorder, such as anxiety or depression. Anxiety and depression are associated with an increased likelihood of sexual dysfunction.
Which is a current treatment for Paraphilic disorders?
Medications that may be considered in the treatment of paraphilic disorders include the following: Antidepressants, such as lithium and various selective serotonin reuptake inhibitors (SSRIs) Long-acting gonadotropin-releasing hormones (ie, medical castration), such as leuprolide acetate and triptorelin.
What percent of all adults regularly suffer from some degree of insomnia?
Various studies worldwide have shown the prevalence of insomnia in 10%–30% of the population, some even as high as 50%–60%. It is common in older adults, females, and people with medical and mental ill health.
Which eating disorder is most likely to be helped by antidepressant medications?
Antidepressant medicines reduce binge eating and purging in up to 75% of people who have bulimia nervosa. Antidepressants regulate brain chemicals that control mood. Guilt, anxiety, and depression about binging usually lead to purging.
What is the management of sexual dysfunction?
The essential concepts underlying the management of sexual problems are adoption of a patient-centered framework for evaluation and treatment. Principles of evidence-based medicine may be followed in both men and women in diagnostic and treatment planning and adoption of common management approaches for sexual dysfunction. The purpose of these guidelines is to present a framework for the evaluation, treatment, and follow-up of the patient/couple, who presents with sexual dysfunction. We hope that these guidelines would help in facilitating proper management of patients presenting with various types of sexual dysfunction. These guidelines are to be read along with the earlier version of Indian Psychiatric Society Guidelines.
What is the ICd 10 for sexual disorders?
ICD-10 describes sexual disorders under the headings of: Sexual dysfunction, not caused by organic disorder or diseases (F52) under the broad heading of Behavioral syndromes associated with physiological disturbances and physical disorders, Gender Identity disorders (F64) , Disorder of sexual preferences (F65) , Psychological and behavioral disorders associated with sexual development and orientation (F66) , under the broad heading of Disorders of adult personality and behavior.
How to manage dyspareunia?
Steps in the management of Dyspareunia:As with most of the other sexual dysfunctions, the first step is to rule out other causes/factors that can cause pain. Also the assessment needs to rule out vaginismus and dryness of vagina. Treatment of dyspareunia includes sex education and teaching sensate focus (Figure-7).
What is sexuality?
Sexuality is understood as a broader concept which goes beyond sexual dysfunctions. These guidelines are applicable for management of sexual dysfunctions and some of the disorders, like Dhat syndrome which are seen in the Indian context and are associated with high rates of comorbid sexual dysfunctions.
What is the DSM 5?
DSM-5 has also done away with the categories of sexual aversion disorder and sexual dysfunction due to a general medical condition. The category of substance induced sexual dysfunction is now labelled as Substance/Medication induced sexual dysfunction. The Not Otherwise Specified (NOS) category has also been removed.
What are the psychological aspects of sexual dysfunction?
The current psychological state need to be assessed with special focus on symptoms of anxiety or depression, low self-esteem and coping skills, previous and current partner relationships, history of sexual trauma/abuse, occupational and social stresses, socioeconomic status, and educational level. Sexual dysfunction may affect the patient's self-esteem and coping ability, as well as his or her social relationships and occupational performance. These aspects need to be assessed in each case. Clinicians need not assume that every patient is involved in a monogamous, heterosexual relationship.
What are the factors associated with sexual dysfunction?
Psychosocial history:Psychological factors associated with sexual dysfunction can be divided into three categories: predisposing factors, precipitating factors, and maintaining factors (See table-6), which can co-exist with each other. The areas to be explored in psychosocial history are enlisted in table-7.
Who wrote the book The role of masturbation in the treatment of orgasmic dysfunction?
LoPiccolo, J. & Lobitz, W. C. (1972) The role of masturbation in the treatment of orgasmic dysfunction. Archives of Sexual Behavior, 2, 163-171.
What causes erectile dysfunction?
Impotence can be caused by illness, disease, depression, drugs such as alcohol, or difficulties in the emotional side of a relationship.
Why should therapy focus on low desire?
One implication is that therapy should focus on reasons for distress associated with low desire, rather than the low desire itself. This usually ends up bringing a person's past history and current relationship into discussion, within therapy.
How to break the cycle of pain, fear, and lack of arousal?
To break the cycle of pain, fear, and lack of arousal, an understanding partner should be enlisted in gradual sensitization therapy, such as sensate focusing, described above. Medical conditions such as yeast infections are treated. Extra lubrication is provided with a product designed for the purpose.