Application: Case Study – Sexual Dysfunction and Gender Dysphoria

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Description

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.

For 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. 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 (5–6 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

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Explanation & Answer

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Running Head: SEXUAL DYSFUNCTION AND GENDER DYSPHORIA CASE STUDY 1

Sexual Dysfunction and Gender Dysphoria Case Study
Name
Institutional Affiliation

SEXUAL DYSFUNCTION AND GENDER DYSPHORIA CASE STUDY

2

Case Study 1: Sexual Dysfunction
A review of Mr. Charles’ Sexual dysfunction problem
Mr. Charles is a 45-year-old male Hispanic client who has visited Lakeside Hospital
for medical consultation over his sexual malfunction issue. For the last eight months, he has
had an erectile dysfunction whereby he complains of inability to erect and also a significant
challenge in the proper functioning during sexual intercourse (Dawson et al., 2017). He has
three children and lives with his wife who has also confirmed the case. Based on the report
which they give, Mr. Charles has had a problem of opening up to the wife over the sexual
dysfunction issue although the wife noted changes in the duration of sex and qualitative time
for the same.
DSM diagnosis of the erectile dysfunction
A-The condition has occurred for at least six months in a persistent manner. For Mr. Charles,
he has had the erectile dysfunction for the last eight months hence a proof that indeed he has
the sexual dysfunction related to inability to erect.
B-The disease must cause significant distress to the affected individual. In the case of Mr.
Charles, it is significant that erectile dysfunction has caused distress to him since he is ever
worried about the onset of the symptoms and the possible complications which may arise
(Dawson et al., 2017). He has been living in a worry and feels that something should be done
to make him a better person. For a better part of his life, he lives in desperation due to the
disturbed sexual orientation and also the anxiety about his partner.
C-The condition cannot be caused by an exclusively non-sexual mental disorder, significant
relationship d...


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