Sexual Dysfunction and Gender Dysphoria

Sexual Dysfunction, Schizophrenia Spectrum, and Other Psychotic Disorders Sexual Dysfunction, Schizophrenia Spectrum, and Other Psychotic Disorders Program Transcript [MUSIC PLAYING] MALE SPEAKER: It’s pretty frustrating. Not just for me, but for the both of us. I mean I feel like I’m letting her down. I mean we do other things. But I just can’t seem to get an erection. It’s no fun. FEMALE SPEAKER: We’re hanging in there though. FEMALE SPEAKER: Well, it seems as if you guys support each other. And you’ve had a complete physical, right? MALE SPEAKER: Yes. I’ve been checked out by both my GP and a urologist. Nothing medically showed up. I’m pretty healthy. I mean I barely even drink. Maybe a couple of beers or a glass of wine now and then, but-The one doctor tried putting me on some of those medicines for erectile dysfunction. Like the ones advertised on TV. But they didn’t work. I just can’t seem to get it up. Which is how we ended up here. This is out of the blue for both of us. I’ve never had this before. I’ve never even been to see a therapist. We just want to work this out. FEMALE SPEAKER: Of course, you do. So what else is going on with you, maybe at home or at work? MALE SPEAKER: I think things are pretty good overall. Wouldn’t you say, honey? FEMALE SPEAKER: Yeah, no problems. None that I can think of We have two children. They’re wonderful. Doing just great. And things are fine for me at work. I’m a nurse. I work part-time. MALE SPEAKER: And I’m in marketing. I just went through my annual review and I got flying colors. So no stress there. FEMALE SPEAKER: Well, that’s good to hear. Well, it sounds like you’re not seeing any other issues related to this? FEMALE SPEAKER: Well, maybe. You haven’t been sleeping well. ©2013 Laureate Education, Inc. 1 Sexual Dysfunction, Schizophrenia Spectrum, and Other Psychotic Disorders FEMALE SPEAKER: Oh yeah, that’s right. I toss and turn a lot. Been worried about this I guess. Oh, and I’ve been taking some online business courses. I’m going after my MBA. I work on the computer a lot of nights. And I probably have that on my mind when I come to bed. FEMALE SPEAKER: Yeah, a lot of nights. MALE SPEAKER: Come on. It’s not that bad. FEMALE SPEAKER: No, actually sometimes it is. I’ve told you, sometimes it’s like the computer comes first. Not all the time, but-MALE SPEAKER: It’s my MBA, honey. FEMALE SPEAKER: So you’re saying is that it feels as if he’s a little disengaged from you and the family. FEMALE SPEAKER: Yes. Hmm. So since the erectile dysfunction became an issue for you, have you sought any other sexual outlets? Do you masturbate? MALE SPEAKER: Yes. Sexual Dysfunction and Gender Dysphoria

FEMALE SPEAKER: And are you able to ejaculate? MALE SPEAKER: Yes. FEMALE SPEAKER: But how? I thought you couldn’t. FEMALE SPEAKER: By any chance, do you use pornography to help you masturbate? MALE SPEAKER: Yes. FEMALE SPEAKER: What? That’s what you’re doing on the computer at night? Masturbating to porn? MALE SPEAKER: I’m sorry. FEMALE SPEAKER: Look at me. No more lies. What else haven’t you told me? MALE SPEAKER: It’s not just at night. I look at it during the day. Sometimes once, sometimes twice, sometimes more. And my job review really wasn’t all flying colors. I got caught looking at it at work. I got reprimanded. It was bad. ©2013 Laureate Education, Inc. 2 Sexual Dysfunction, Schizophrenia Spectrum, and Other Psychotic Disorders But don’t worry. I’m not going to get fired. I swear. I haven’t used the computer there like that for months. You have to believe me. Sexual Dysfunction and Gender Dysphoria

Please. FEMALE SPEAKER: You swear you’re not using your work computer. But what about that new cell phone they gave you? Using that for your porn now? Oh, my God. Sexual Dysfunction, Schizophrenia Spectrum, and Other Psychotic Disorders Additional Content Attribution IMAGES: Images provided by http://www.istockphoto.com/ MUSIC: Creative Support Services Los Angeles, CA Dimension Sound Effects Library Newnan, GA Narrator Tracks Music Library Stevens Point, WI Signature Music, Inc Chesterton, IN Studio Cutz Music Library Carrollton, TX Special Thanks: Fairland Center/Region One Mental Health ©2013 Laureate Education, Inc. 3 For many beginning psychologists, one of the most difficult topics to broach with a client is the topic of sex: sexual behavior, sexual identity, or sexual problems. 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. For the first part of this Application, you review the client in the case study in the Learning Resources. Give a DSM diagnosis for the presenting problem. Include an assessment of the client’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. Sexual Dysfunction and Gender Dysphoria

or the second part, imagine a 13-year-old female client is brought by her parents to see you. Her parents are concerned because they report their daughter is very unhappy with being a girl. She is increasingly being teased at school because she looks, dresses, and tries to act like a boy. She is an active athlete, but will only play contact sports with boys. The client states she does not like her breasts and wishes she could have them removed. She reports that she has always wanted to be a boy for as long as she can remember. Give a DSM diagnosis for the presenting problem. Sexual Dysfunction and Gender Dysphoria

Include an assessment of the client’s ability to function in daily life. Be sure to pay particular attention to the symptoms of the disorder and the influence it has on the client, as well as the client’s family. The Assignment (3–4 pages) • • • • • A DSM diagnosis of each client An explanation of your rationale for assigning these diagnoses on the basis of the DSM An explanation of what other information you might need about each client to make an accurate diagnosis A brief description of additional individuals you might include in your assessment and explain why Discuss how you would produce a comfortable environment to lead your clients to discuss their issues Support your Application Assignment with specific references to all resources as well as current literature used in its preparation. You are to provide a reference list for all resources, including those in the Learning Resources for this course. Submit this Assignment by Day 7. • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. o Schizophrenia Spectrum and Other Psychotic Disorders o Gender Dysphoria o Sexual Dysfunctions • • • • • • • • Paris, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press. o Chapter 8, Schizophrenia Spectrum and Other Psychoses o Chapter 12, Substance Use, Eating, and Sexual Disorders Boskey, E. (2013). Sexuality in the DSM 5. (Cover story). Contemporary Sexuality, 47(7), 1–5. Retrieved from the Walden Library databases. Drescher, J., & Byne, W. (2012). Introduction: The treatment of gender dysphoric/gender variant children and adolescents. Journal of Homosexuality, 59(3), 295–300. Sexual Dysfunction and Gender Dysphoria

Retrieved from the Walden Library databases. Drescher, J., & Byne, W. (2012). Gender Dysphoric/Gender Variant (GD/GV) children and adolescents: Summarizing what we know and what we have yet to learn. Journal of Homosexuality, 59(3), 501–510. Retrieved from the Walden Library databases. Fujii, D. (2002). Neuropsychiatry of Psychosis Secondary to Traumatic Brain Injury. Psychiatric Times, 19(8), 33. Retrieved from the Walden Library databases. McCarthy, B. W., & Fucito, L. M. (2005). Sexual Dysfunction and Gender Dysphoria

Integrating medication, realistic expectations, and therapeutic interventions in the treatment of male sexual dysfunction. Journal of Sex & Marital Therapy, 31(4), 319–328. Retrieved from the Walden Library databases. Stein, E. (2012). Commentary on the treatment of gender variant and gender dysphoric children and adolescents: Common themes and ethical reflections. Journal Of Homosexuality, 59(3), 480–500. Retrieved from the Walden Library databases. Zucker, K. J., Wood, H., Singh, D., & Bradley, S. J. (2012). A developmental, biopsychosocial model for the treatment of children with gender identity disorder. Journal Of Homosexuality, 59(3), 369–397. Retrieved from the Walden Library databases. THIS IS THE FIRST PART Media • Laureate Education. (Producer). (2012). Psychopathology: Sexual dysfunction, schizophrenia spectrum, and other psychotic disorders. [Video file]. Retrieved from https://class.waldenu.edu …Sexual Dysfunction and Gender Dysphoria