Sexual Disorders and Gender Dysphoria

Author(s):  
Adefolake Akinsanya

In this chapter topics related to sexual and gender identity disorders including sexual desire disorders, sexual arousal disorders, orgasmic disorders, sexual pain disorders, paraphilias and gender dysphoria are reviewed

Author(s):  
Cordelia Y. Ross ◽  
Alex S. Keuroghlian

Gender dysphoria occurs when a patient has distress associated with incongruence between a person’s experienced gender and the gender traditionally associated with their sex assigned at birth. This must occur for at least six months. The psychiatric assessment of a patient with gender dysphoria should include exploration of the child’s developmental history of gender-expansive identification and expression; sources of distress relating to familial, community, and social stigma; and ways to help families adopt an accepting and nurturing response. Gender affirmation can include psychological, social, legal, and biological interventions. The goal of psychotherapy is to help a person explore, discover, and affirm their gender identity. Social affirmation may include changing names, pronouns, and gender expression. Legal gender affirmation may take place through a name or gender marker change on official documents. Biological affirmation may include pubertal suppression for younger adolescents, gender-affirming hormone therapy, and/or gender-affirming surgery.


Author(s):  
Paul Harrison ◽  
Philip Cowen ◽  
Tom Burns ◽  
Mina Fazel

‘Eating, sleep, and sexual disorders’ covers these three areas of psychiatry, all of which are characterized by disturbances of bodily functioning. The section on eating disorders includes recent developments in how these conditions are classified, and improvements in their treatment. Disorders of sleep and circadian rhythm are increasingly recognized to be important in psychiatry beyond the involvement of sleep disturbance as a symptom, and their recognition and management are discussed at greater length than in previous editions of this book. The extent and nature of psychiatric involvement in sexuality and sexual disorders has also changed markedly in recent years, and this section has been revised accordingly; for example, with regard to how gender identity disorders are conceptualized and managed.


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