Sexual Dysfunctions In Mentally Ill Patients

This book addresses the fundamental importance of the proper assessment and treatment of sexual disorders in patients with mental disorders with regard to their treatment outcomes and adherence to therapies. In fact, patients with mental disorders often suffer from sexual dysfunctions and in many cases, pharmacological treatment causes sexual-dysfunction side-effects. However, anxiety disorders, personality disorders, eating disorders and psychotic disorders are often also characterized by sexual symptoms that have a profound impact on sexual function. The psychopathology of sexual behavior investigates deficits in the mind-body relationship that are expressed through sexual symptoms such as erectile dysfunction, premature ejaculation, vaginismus, orgasmic disorders, or lack of sexual desire. These symptoms can be considered both prodromal and as a consequence of psychological or psychiatric suffering. Written by a multidisciplinary team of experts, this book offers a valuable guide for psychiatrists, andrologists, gynecologists and psychologists.

Sexuality is an integral part of gender identity, self-image, and overall well-being. Sexual dysfunctions present in all cultures and ethnicities around the world. Sexual problems have an especially high prevalence among patients with psychiatric syndromes -- yet, in recent years, the field of psychiatry has shifted away from the treatment of sexual disorders. Clinical Manual of Sexual Disorders is the first comprehensive text in decades to address the management and treatment of sexual dysfunctions and disorders. Using a conceptual model that incorporates biological, psychological, and cultural interventions as its guiding principle, the book explores and evaluates the epidemiology of sexual disorders and paraphilias, sexual dysfunctions with comorbid psychiatric disorders, sexual problems associated with various medications, and sexual disorders in specific patient populations. Written by 25 contributing clinical specialists from around the world, the text combines conceptual shifts within the field of human sexuality with the latest research findings into a practical three-part volume. The first four chapters cover general areas relevant to the clinical understanding of human sexuality and sexual dysfunctions within the frame of psychiatry. The second part of the book outlines the major sexual dysfunctions, including male erectile disorder, female arousal disorder, premature ejaculation, and paraphilias. And the final chapters address the management of sexual issues in two unique patient populations that are often neglected in other textbooks -- children and adolescents and older adults. The book includes several unique features to further enhance learner retention Tables, charts, figures, and illustrations to enhance the reading material Evaluations, questionnaires and other patient materials Take-away points on key clinical issues at the end of each chapter Case examples from the authors' own practices References for further reading Restoration of sexual function can improve the quality of life for many individuals with and without psychiatric disorders, making recognition and treatment of sexual problems of utmost importance to any general psychiatric practice. As the only text of its kind, Clinical Manual of Sexual Disorders provides a concise, clinically-oriented biopsychosocial guide to the management and treatment of sexual dysfunction that is appropriate for all psychiatric, clinical, and educational settings.

Reflecting current understanding of the complexities of sexual activity among persons with chronic mental illness, the text draws upon the collective wisdom and experience of experts from a variety of settings. Clinicians, advocates, consumers, researchers, legal experts, and administrators all contribute to document the concerns about sexual behavior and the consequent health risks for this at-risk population. The research presented here is particularly timely in view of recent emphases on patient choice, recovery, and advocacy, and can be used to provide guidance to clinicians, mental health administrators, policymakers, advocates, and researchers.

Doesn't everyone you know think about, talk about, and worry about sexuality? Sexuality is taught about in classrooms, whispered about in school hallways, worried about on the nightly news, and made scandalous on talk shows and late-night television. People express their sexuality in many ways, and we receive many, often conflicting, messages about what are appropriate and inappropriate expressions of sexuality. As you grow and learn about your own and other people's sexualities, many things can be exciting, confusing, and even frightening. It can be disturbing to have sexual fantasies and urges and not know the boundary between so-called normal thoughts and behaviors and those that might be considered disordered. Prior to 1960, sexually deviant behaviors were poorly understood and were considered to be failures in morality or a result of poor upbringing. People suffering from these conditions were often treated with electro-shock, talk therapy, jail sentences, and confinement in mental institutions, all of which had little positive effect on the patients. Today, with advances in treatments like drug therapy, there is new hope for those who have spent so long suffering in silence and shame. Sexual Disorders defines different sexual disorders, explains the criteria that put them over the boundary line into the realm of psychiatric illness, and examines methods of treatment available to help individuals with these illnesses. In this book's pages, you will learn about treatments used throughout history, the newest drug therapy available, and alternative approaches for managing these disorders.

Complete coverage of The Handbook of Sexual and Gender IdentityDisorders provides authoritative coverage of the etiology,diagnosis, and treatment of three major DSM-IV-TR classificationsof sexual disorders and gender identity disorders: sexualdysfunctions, gender identity disorders, and paraphilias/atypicalsexual behaviors. The first internationally contributed handbook of its kind, thispractical guide provides mental health professionals as well asmedical professionals with the latest information in theunderstanding and treatment of sexual problems and gender identityrelated disorders. Covering both the medical and mental healthrelated aspects of sexual dysfunctions and gender identitydisorders, topics covered include: * Male sexual arousal disorder * Female desire disorder * Female genital pain and its treatment * Aging and sexuality * Disease and sexuality * Gender identity disorders in adults * Cross-cultural issues in gender identity disorders * Paraphilic sexual disorders * Sexual addiction * Legal and privacy issues surrounding paraphilias An insightful and unique resource, the Handbook of Sexual andGender Identity Disorders prepares mental health and medicalprofessionals to more skillfully and compassionately recognize andaddress the sexual issues of those who seek their help.

The area of human sexuality, and sexual dysfunction in particular, has been undergoing enormous developments and advances. This volume, written by a team of international experts in the area of sexology, is an authoritative review of the latest developments in this field. Areas such as evaluation of sexual dysfunction, impact of psychotropic medications, mental and physical illness and substance abuse on sexual functioning are covered in a highly informative manner. In addition, several sexual dysfunctions, namely hypoactive sexual desire disorder, male erectile disorder and premature ejaculation are reviewed. A chapter on the developments in imaging of sexual dysfunction, an area that is undergoing rapid expansion, is also included. This publication, filled with a variety of clinically essential information, provides psychiatrists, psychologists, sex therapists, urologists, gynecologists, both clinically and research oriented, with the latest developments in the area of sexual dysfunction.

The neurology of sex and bladder disorders requires specialized knowledge and represents a challenge for clinical neurologists focused on the neurological condition. Sex and bladder disorders are often related to more general neurological disorders like Parkinson’s disease and multiple sclerosis, and often the sex and bladder disorders are passed to specialists in urology. Neurology of Sexual and Bladder Disorders: Handbook of Clinical Neurology is a focused, yet comprehensive overview that provides complete tutorial reference to the science, diagnosis and treatment of sex and bladder disorders from a neurologic perspective. Comprehensive coverage of the neurology of sex and bladder disorders Details the latest techniques for the study, diagnosis and treatment of sex and bladder dysfunction from a neurological perspective A focused reference for clinical practitioners and neurology research communities

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.