Sexual pleasure from exposure to unsuspecting strangers
Sexual pleasure from rubbing up against unsuspecting strangers
Sexual pleasure form spying of sexual or private acts of unsuspecting strangers
What parts of the hx in a patient c/o erectile dysfunction decreases the likelihood that the complaint is d/t somatic factors?
(1) morning erection, (2) erections during masturbation
What is the effect of antipsychotic medication on sexual function?
Antidopaminergic effects increase circulating prolactin, resulting in gynecomastia and impaired arousal
T/F H/o being sexually abused is a risk factor for developing pedophilia.
A strong persistent identification with the opposite sex
Gender Identity Disorder
At what age does cross gender role play normally take place?
Harry Benjamin Standard of Care for Gender Reassignment
Prior to consideration for reassignment: (1) Letters of recommendation from mental health professionals (2) Must be >18yo (3) Must undergo 1 year of hormonal therapy (4) Successfully live in a cross gender role continuously for one year
What are the disorders of sexual desire?
1. Hypoactive Sexual Desire Disorder- pt w/ low sexually interest that is distressing to the pt 2. Sexual Aversion Disorder - pt w/ absent sexual desire that is distressing to the pt *Tx = psychotherapy
What physiologic conditions should be ruled out in pts c/o male impotence?
What are the disorders of orgasm?
1. Premature Ejaculation - tx w/ sexual techniques ("squeeze" method), SRRIs (Sertraline) 2. Anorgasmia - if pt is on SSRI, switch to Bupropion