Discussion Board 6 reply 1

1. Read the module 6 lecture page
2. Read pages 477through 509 & 733 through 801 in the DSM-5-TR
3. Read Carlat,  Section 1-Section 4 to aid with assignment
4. Read Boland, R., & Verduin, M. (2022). Kaplan and Sadock\’s  Chapter 11: Dissociative Disorders

 5.Read Boland, R., & Verduin, M. (2022). Kaplan and Sadock\’s Chapter 16: Human Sexuality and Sexual Dysfunction

6.Read Boland, R., & Verduin, M. (2022). Kaplan and Sadock\’s Chapter 17 Gender Dysphoria, Gender identity

 7.Read Boland, R., & Verduin, M. (2022). Kaplan and Sadock\’s Chapter 19: Personality Disorders

8. Read Morrison and Flegel: Chapter 22

9. Read Zuckerman- Review Part 1: Chapters 1-3, pg. 35-50 Mental Status Exam Special emphasis on: • Chapters 3: 3.11, 3.13, 3.15, 3.23, 3.31 • Chapter 10: 10.12 • Chapter 12: 12.35, 12.38, 12.39Prompt:

Respond to peer post using APA format

Compare and contrast female sexual interest/arousal disorder with male hypoactive sexual desire disorder. How are they similar? How do they differ? Particular emphasis should be placed on sensitivity to the clinical interview and address your overall approach to these conditions.

Male hypoactive sexual desire disorder is when a male experiences a lack or absence of sexual desire or thoughts for a minimum of six months (Boland et al., 2023). This disorder is most prevalent on the outskirts of the lifespan, before the ages of 24 or after the ages of 66 (Boland et al., 2023). When interviewing a patient, sensitivity to the stigmas and content of the disorder is crucial. There are many mental factors that should be assessed as potential causes for this disorder. A patient with low self-esteem, weak self-concept, or who does not view oneself as a sexual being can reduce sexual desire and thoughts. Ask the patient about current relationships and if they are being fulfilled in other aspects – emotionally, spiritually, mentally – as deficits in these areas can diminish sexual desire (Boland et al., 2023). Belu et al. (2023) suggests that receptive, affectionate, and supportive partner responses to lack of desire can increase sexual satisfaction in men, while partners who respond negatively or avoidant will further exacerbate hypoactivity. Dual interviews with patients and their partners may be necessary.

Female sexual interest/arousal disorder is when a female experiences diminished sexual desire, thoughts, motivation to initiate, decreased receptiveness to partners, or lack of emotional arousal despite signs of physical receptivity for at least six months (Boland et al., 2023). As with male hypoactive disorder, assessing any life changes or stressors, current relationship status and satisfaction in other areas, and biological/pharmaceutical changes should be discussed as potential causes.

Key differences to note between these two disorders are female arousal disorder can include difficulty arousing and lack of sensation during sexual activity. Male disorder is primarily concerned with the lack of desire, with no aspect of physiological difficulties related to arousal (Boland et al., 2023). When interviewing either of these patients, building rapport and trust is essential for the patient to feel comfortable having honest discussions of these intimate details. Comprehensive assessment includes their emotional state, stressors, relationship, and physical conditions that contribute to these disorders. Ruling out hormonal issues and gynecology/urology dysfunction can narrow down these potential causes. Treatment may require involvement of multispecialty teams due to the intricate relationship between psychological and biological processes (Witherow-Párkányi, 2022).  Difficulty with regulating emotions has been linked to increased risks of depression, anxiety, relationship satisfaction, and sexual desire in both men and women (Dubé et al., 2019). Developing behavioral modification plans, therapy, and hormone supplementation may all be aspects of a patients’ holistic and comprehensive treatment.

References

Belu, C. F., Corsini-Munt, S., Dubé, J. P., Wang, G. A., & Rosen, N. O. (2023). Partner responses to low desire among couples coping with male hypoactive sexual desire disorder and associations with sexual well-being. The journal of sexual medicine, 20(7), 955–964. https://doi.org/10.1093/jsxmed/qdad069

Boland, R. J., Verduin, M. L., & Ruiz, P. (2023). Kaplan & Sadock’s Concise Textbook of Clinical Psychiatry (5th ed.). Wolters Kluwer.

Dubé, J. P., Corsini-Munt, S., Muise, A., & Rosen, N. O. (2019). Emotion Regulation in Couples Affected by Female Sexual Interest/Arousal Disorder. Archives of sexual behavior, 48(8), 2491–2506. https://doi.org/10.1007/s10508-019-01465-4

Witherow-Párkányi M. (2022). Female sexual interest/arousal disorder: history of diagnostic considerations and their implications for clinical practice. Psychiatria Hungarica : A Magyar Pszichiatriai Tarsasag tudomanyos folyoirata, 37(2), 133–149.