DSM-5 ™ in Action: Diagnostic and Treatment Implications Section 2, Chapters 5–13 PART 2 of Section 2 Chapters 8–16 by Sophia F. Dziegielewski, PhD, LCSW © 2014 S. Dziegielewski

Anxiety and Stress © 2014 S. Dziegielewski

 Delayed ejaculation (DE)  Erectile disorder (ED)  Female orgasmic disorder (FOD)  Female interest/arousal disorder  Genitopelvic pain/penetration disorder  Male hypoactive sexual desire disorder  Premature (early) ejaculation (PE)  Substance/medication-induced sexual dysfunction  Other specified sexual dysfunction  Unspecified sexual dysfunction © 2014 S. Dziegielewski

 Sexual disorders occur in both men and women.  The sexual response of both men and women varies over time and across the life cycle.  Lack of sex education on what is normal and what is not. © 2014 S. Dziegielewski

 To be considered a sexual disorder, the lack of desire must be viewed as a problem that is persistent and recurrent. © 2014 S. Dziegielewski

Factors include: The relationship with the sexual partner, prior sexual abuse and past negative sexual experiences, poor sexual body image (small breast size for women and small penis size for men), internalized negative emotions about sexuality, life stress, fatigue, mental health issues such as anxiety and depression, and medication or medical conditions. © 2013 S. Dziegielewski