Comment Tania
Respond to your colleagues by comparing the differential diagnostic features of the disorder you were assigned to the diagnostic features of the disorder your colleagues were assigned.
NOTE: Positive comment (bellow is attached the sleep disorder assigned to me)
Main Post
Sexual dysfunction: Male Erectile Disorder
DSM-5 classifies Erectile Dysfunction as a sexual dysfunction disorder with a significant inability to respond or experience sexual pleasure, is a sexual disorder affecting men, is the decreased erectile turgidity for 75% of sexual activity for at least 6 months or failure to obtain and sustain an erection sufficient. It culminates in a condition where the man loses sexual interest and fails to retain their erection for an extended period. The primary causal of Impotence in men is because of massive stress. The brain coordinates in releasing the sexual desire and urge. It means that once a patient is stressed out, their sexual capacity reduces thus termed as impotence (Irwin, 2019). Male erectile disorder is asserted in the absence of distress and other psychological stressors for the patient (Segraves, 2010). Before diagnosing Sexual Dysfunction, other issues from a nonsexual mental illness, among other stressors, should be first be addressed. Other factors to be considered for the diagnosis of male erectile dysfunction include the history of sexual/emotional abuse, communication problems, partner violence, cultural or religious factors (Edward, 2020). The disease is preventable, and doctors can minimize the damage suppose the patient agrees to speak about their condition. The first diagnostic step for the doctor is to listen to the patient and record all the signs and symptoms experienced. After an explanation, the doctor determines whether the condition is chronic and needs more than administering drugs as the treatment system. The primary used diagnosis procedure is the physical examination where the medical professional analyzes the genitals to discern any signs of pain or detect a sensation. Furthermore, the doctor might prescribe a blood examination to analyze the presence of impotence stimulators. Diagnostic criterial for Male Erectile Disorder.
Psychotherapy and Psychopharmacologic Treatment for Male Erectile Dysfunction.
Through the right medication, a patient might be cured of erectile dysfunction. The most prominent treatment technique used is psychology treatment. Cognitive-Behavioral Therapy (CBT) is an efficacious therapy used in addressing Erectile Dysfunction in patients. CBT is an actionable and proactive therapy aimed at helping how patients think and behave. The medical professionals believe that once the patient finds a guidance to help them fight stress, they will succeed in beating impotency. The patient is prescribed to periodic counselling sessions where they guided through self-acceptance and building a strong self-esteem (Irwin, 2019). Additionally, they are prescribed to a dosage that would help the patient obtain sexual sensation. They are advised on the negative and positive effects of taking the drugs and evaluated by their competency level to handle the side effects. According to Simopoulos (2012), the main drugs used for the pharmacologic treatment of male erectile dysfunction include Bromocriptine, Selegiline, Sildenafil, and Amantadine Cyproheptadine, and Cabergoline. Other frequently medicament include Viagra is one of the medications incorporated to the patients which helps them in having and maintaining their erection throughout their intercourse duration. Curing erectile dysfunction can also be facilitated through exercise, avoiding smoking/alcohol, consuming healthy foods, and getting enough sleep. Treatments for patients with depression, anxiety, and schizophrenia may have drastic sexual side effects.
References
Irwin, G. M. (2019). Erectile dysfunction. Primary Care: Clinics in Office Practice, 46(2), 249-255.
Edward K., (2020). What are the DSM-5 criteria for the diagnosis of erectile dysfunction (ED)?.
https://www.medscape.com/answers/444220-69922/what-are-the-dsm-5-criteria-for-diagnosis-of-erectile-dysfunction-ed
Segraves R. T. (2010). Considerations for diagnostic criteria for erectile dysfunction in DSM V. The journal of sexual medicine, 7(2 Pt 1), 654–660.
https://doi.org/10.1111/j.1743-6109.2009.01684.x
Simopoulos E., (2012). Male erectile dysfunction: integrating psychopharmacology and psychotherapy. https://www.eugenefsimopoulosmd.com/uploads/2/7/6/9/27698859/esimopoulosghp
Running head: DISCUSSION 1
DISCUSSION 1
Discussion
Student’s Name
Institution
Course
Date
Sexual Dysfunctions
The focus of this discussion shall be a sexual dysfunction. According to the Diagnostic and Statistical Manual of Mental Disorders, sexual dysfunctions are basically a heterogenous group of disorders that are characterized by clinically significant disturbance in the ability of an individual to respond sexually or even to experience sexual pleasure (APA, 2013). Sexual expression as well as sexual health are very important aspects of a life of any individual. In fact, it is without a doubt that scholars now recognize sexual health and sexual expression as important aspects of quality of life as well as well-being of an individual (Gore-Gorszewska, 2020). Therefore, it is important to say that when an individual is suffering from a particular sexual dysfunction, their quality of life is significantly affected and they need an evidence-based intervention in order to improve on their wellness. The sexual dysfunction that shall be discussed is erectile disorder. Once the diagnostic criteria have been presented, the available evidence-based psychotherapeutic and psychopharmacological interventions for the disorder shall be discussed.
In order to diagnose erectile disorder, the client should either complain of marked difficulty in obtaining an erection during sexual activity, difficulty in maintaining an erection from the start to the completion of the sexual activity or significant decrease in erectile rigidity. The client can complain about at least one of these symptoms. These difficulties need to have been experienced in at least 75% of all occasions. This should either be in an identified situation or a generalized context. The complaint should have persisted for at least 6 months and should have caused significant clinical distress to the individual. It is very important to rule out other causes of the erectile disorder such as other mental health illnesses, relationship distress as well as other stressors. There is also need to make sure that the difficulties as elaborates are not caused by the use of alcohol or other drugs and substances (APA, 2013).
It is important to specify whether the disturbance has been lifelong, since the client started being sexually active or acquired, meaning that the client had a period of normalcy in as far as their sexual activities are concerned. The context is also very important. It could be generalized, meaning that the problem is not specific to a stimulation, a situation or a partner. The opposite is that it may be situational such as when the problem is limited to a particular partner. In addition, the erectile dysfunction is mild, moderate or severe depending on the level of distress caused by the disturbance as already described (APA, 2013). In diagnosing the problem, some health providers require that tests should be done such as morning testosterone assay especially if it is suspected that the cause is hypogonadism (Sooriyamoorthy & Leslie, 2020).
Evidence-Based Treatment
Treatment for erectile disorder can be implemented in different ways. When psychotherapy is chosen, the use of cognitive behavioral sex therapy has been proven to have promising results especially in young men that have nonorganic erectile dysfunction (Bilal, 2020). The psychopharmacological intervention that ha been proved to be effective is an antidepressant. This is Bupropion. In fact, it helps in cases that include erectile dysfunction that is caused by other antidepressants (Razaei et al., 2018). Most medications that are used may not be psychopharmacological agents. It is always important to understand the cause for the erectile disorder before selecting the best choice that is evidence-based and acceptable to the patient.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Bilal, A. (2020). Cognitive Behavioral Sex Therapy: An Emerging Treatment Option for Nonorganic Erectile Dysfunction in Young Men: A Feasibility Pilot Study. Sexual Medicine, 8(3), 396-407
Gore-Gorszewska, G. (2020). “Why not ask the doctor?” Barriers in help-seeking for sexual problems among older adults in Poland. International journal of public health, 65(8), 1507-1515
Rezaei, O., Fadai, F., Sayadnasiri, M., Palizvan, M. A., Armoon, B., & Noroozi, M. (2018). The effect of bupropion on sexual function in patients with Schizophrenia: A randomized clinical trial. The European Journal of Psychiatry, 32(1), 11-15.
Sooriyamoorthy, T., & Leslie, S. W. (2020). Erectile Dysfunction (Impotence). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK562253/