Paraphilic Disorders

Question 1

What is exhibitionistic disorder?

What is the treatment?

Answer 1

Defined as showing of one’s genitals to an unsuspecting person or crowd

Psychotherapy, insight oriented behavioral therapy

Question 2

A 33-year-old woman with a chief complaint of trouble having intercourse. She is completely disinterested in sex and she is not receptive to her partner’s attempts to initiate foreplay. She reports that when they do have sex she never achieves orgasm. This is affecting her current relationship with her boyfriend.

What is the most likely diagnosis?

Answer 2

Arousal Disorder

Question 3

What is arousal disorder?

Answer 3

This is a sexual disorder marked by persistence or recurrent inability to achieve sexual arousal, which has caused significant distress or problematic interpersonal relationship. For the diagnosis of female sexual interest/arousal disorder, it must not be caused by medical conditions, substance abuse, or medications.

Question 4

At what point does arousal disorder become Genito-Pelvic Pain/Penetration Disorder?

Answer 4

Symptoms of arousal disorder have continued for 6 months and cause significant distress to the individual. Symptoms can not be associated with a medical disorder or sexual trauma.

Question 5

Which paraphilic disorder is characterized by sexual arousal from rubbing against a nonconsenting person?

Answer 5

Frotteuristic disorder