Paraphilias and sexual dysfunctions

Question 1

male hypoactive sexual desire disorder

female sexual interest/arousal disorder

Answer 1

sexual therapy: heightening sensory awareness, increase levels of sexual contact

CBT

psychotherapy

testosterone replacement for men and supplementation for women. low-dose estrogen replacement improves vaginal dryness and atrophy

Question 2

paraphilias

Answer 2

voyeuristic and pedophilia are most common

characterized by engagement in unusual sexual activity or preoccupation with unusual sexual urges or fantasies for 6+ months, non consenting or cause sig distress

fantasies are not considered disorders unless they are intense, recurrent, and interfere with daily life

most occur in men, but sadism, masochism and pedophilia may occur in women

Question 3

pedophilic

Answer 3

sexual fantasies/urges and behaviors involving sexual acts with prepubescent children <13
person is 16+ and at least 5 yrs older
MC type

Question 4

frotteuristic disorder

Answer 4

sexual arousal from touching or rubbing against a non consenting person

Question 5

voyeuristic

Answer 5

sexual arousal from observing an unsuspecting nude, or disrobing individual (with binoculars)

Question 6

exhibitionistic

Answer 6

sexual arousal from exposure of one’s genitals to an unsuspecting erson

Question 7

sexual masochism

Answer 7

sexual arousal from act of being humiliated, beaten, bound or made to suffer

Question 8

sexual sadism

Answer 8

sexual arousal from physical or psychological suffering of another person

Question 9

fetishistic

Answer 9

sexual arousal from use of nonliving objects (shoes, panty hose) or non-genital body parts

Question 10

transvestic

Answer 10

sexual arousal from cross-dressing (wearing womens clothing)

Question 11

paraphilia treatment

Answer 11

psychotropic meds if comorbid psych illness
antiandrogens, long-acting gonadotropin releasing hormones and SSRIs and naltrexone to decrease sex drive

CBT, social skills, 12-step, therapy