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Sexual Disorders - Case Study

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For many beginning psychologists, one of the most difficult topics to broach with a client is the topic of sex: sexual orientation, sexual behavior, or sexual problems. Specifically, erectile dysfunction is one such topic. Erectile dysfunction is generally characterized by a male's inability to produce or maintain an erection. At times, males refrain from discussing the topic for many reasons. Among the most prevalent reasons is that the dysfunction is perceived as a threat to the client's manhood. By using professional sensitivity and consideration of other personal factors such as cultural awareness and client privacy, psychologists may produce a comfortable environment in which to lead the client into discussion.

Review the client in the case study in the Learning Resources. Apply Axes I through V diagnoses. Remember, Axis V concerns a psychologist's assessment of a patient's ability to function in daily life. Be sure to pay particular attention to symptoms of the disorder and the influence of the disorder on the client as well as the client's significant other.

An Axes I through V diagnosis of the client in the case study
An explanation of your rationale for assigning these diagnoses on the basis of the DSM-IV-TR
An explanation of what other information you might need about the client to make an accurate diagnosis
A brief description of additional individuals you might include in your assessment and explain why.

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Axis I -For the client in the case study, I might do an Axis I diagnosis of Sexual Disorder NOS and possibly Anxiety Disorder NOS. The primary characteristic of a sexual disorder is the impairment in normal sexual functioning. "This can refer to an inability to perform or reach an orgasm, painful sexual intercourse, a strong repulsion of sexual activity, or an exaggerated sexual response cycle or sexual interest" (AIIPsych Online, 2013, para 2). He is using pornography as a replacement for sexual contact and intimacy with his wife, it is impacting his daily life within his work environment and is expressing quite a bit of anxiety related to his school and work schedules.

Axis II -I actually do not see any types of personality or developmental disorders present in the client within the case study.

Axis III - The main physical symptom present for the client is that of erectile dysfunction and the inability to perform sexually with his wife. The client has had an examination by his doctor and a ...

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