What do we know about paraphilic disorders?
Dec 31, 2019 · For paraphilic disorders, however, medications should be a mainstay of treatment. Table 3 summarizes the different classes of medications used to treat paraphilic disorders, as well as their mechanisms of action and beneficial effects on paraphilic disorders. SSRIs frequently cause sexual dysfunction in patients treated for other conditions such as depression …
Which medications are used in the treatment of 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)...
How do you diagnose a paraphilic disorder?
Sep 02, 2013 · Diagnosis “A behavior can be illegal, immoral, and undesirable or cause distress, yet not be an expression of an underlying mental disorder. Something more is required to decide which, if any, of the paraphilias are best conceptualized as psychopathologies” (p.218, []).There is a difficulty in conceptualizing differences between deviant sexual desires arising from mental …
What are paraphilic disorders and atypical sexual interest?
68) Which of the following is TRUE regarding treatment of paraphilic disorders? A) Persons with paraphilic disorders are often not motivated to change because the act causes a pleasurable state. B) Those with paraphilic disorders tend to become overly dependent on therapy as a method for coping.
What is the standard treatment for paraphilic disorders?
What is the most effective treatment for paraphilias?
Can paraphilias be controlled?
What are paraphilic disorders?
What medications can be used to treat paraphilic disorders?
Agents employed in the management of paraphilic disorders include antidepressants, antiandrogens, phenothiazines, anxiolytics, long-acting gonadotropin-releasing hormone (GnRH) agonists, and mood stabilizers.Jun 17, 2020
Which therapies are among the most effective psychological interventions for a variety of psychological disorders?
What is the main aim of the treatment for paraphilic disorders?
What is the main feature of a paraphilic disorder?
What is paraphilia quizlet?
What are paraphilic behaviors?
What is an example of paraphilia?
...
| Paraphilia | Focus of erotic interest |
|---|---|
| Salirophilia | Soiling or dirtying others |
| Sexual fetishism | Nonliving objects |
| Sexual sadism | Inflicting pain on others |
| Shoe fetishism | Shoes, such as high heels |
Is paraphilic disorder a psychiatric disorder?
Paraphilic disorders are rarely encountered in general psychiatric practice and pose numerous challenges for the treating clinician. Patients may be hesitant to seek or engage in treatment for atypical sexual interests; there is limited evidence by which to guide treatment decisions and medication selection; and the use of hormone-altering agents can have severe adverse effects that require patient education and careful informed consent procedures prior to implementation.
Is informed consent important for paraphilic patients?
Informed consent is an essential element of any clinical encounter, but it is particularly relevant to consider when working with patients with paraphilic disorders. Although discussing SSRIs and their associated risks with patients may be second nature to practicing psychiatrists, antiandrogen medications may be less familiar.
What is the DSM-5?
The publication of DSM-5 marked the first time that the authors of the manual defined a category of paraphilic disorders as distinct from paraphilias. The text defines a paraphilia as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners.”
Can SSRIs cause libido?
Such impairment may be desirable in patients with paraphilic disorders, so SSRIs can be used to induce dysfunction in libido, arousal, and orgasm.
What is the best way to reduce testosterone levels?
Antiandrogen medications, including synthetic steroidal analogs like medroxyprogesterone acetate and gonadotropin releasing hormone analogs like leuprorelin, reduce testosterone levels by different mechanisms with the goal of decreasing sex drive and eliminating paraphilic fantasies and urges.
Who is Dr. Holoyda?
Dr Holoyda is Forensic Psychiatrist and Chair, Sexual Offenders Committee, American Academy of Psychiatry and the Law, Sacramento, CA . He reports no conflicts of interest concerning the subject matter of this article.