العلاج النفسي سوتيلدو
A Person-Centered Approach to Healing from Narcissistic Abuse and Codependency
by Raquel Soteldo RP
A Certified Narcissistic Abuse Treatment Clinician
(343) 312-5283
لم يتم حل الحزن / الخسارة
SNOMED Terms
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Adult victim of non-domestic sexual abuse
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Adult victim of sexual abuse
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Alcohol-induced sexual dysfunction
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Amnestic disorder due to medical disorder
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Amphetamine-induced sexual dysfunction
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Anxiety disorder due to a general medical condition
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Articulation disorder due to hyperkinesis
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Child victim of maltreatment
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Child victim of nutritional neglect
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Child victim of physical abuse
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Circadian rhythm sleep disorder due to alcohol
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Cocaine-induced sexual dysfunction
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Degenerative brain disorder due to alcohol
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Disorder due to alcohol abuse
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History of adult sexual abuse
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History of child sexual abuse
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Memory disorder due to organic brain damage
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Mental disorder due to drug
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No diagnosis on Axis III
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Opioid-induced mood disorder due to opioid abuse
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Opioid-induced mood disorder due to opioid dependence
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Opioid-induced sexual dysfunction
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Premature ejaculation
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Psychotic disorder due to amphetamine
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Sedative, hypnotic AND/OR anxiolytic-induced sexual dysfunction
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Sexual aversion disorder
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Situational hypoactive sexual desire disorder
Goals
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Increase desire for and enjoyment of sexual activity.
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Attain and maintain physiological excitement response during sexual intercourse.
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Reach ejaculation with a reasonable amount of time, intensity, and focus to sexual stimulation.
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Eliminate pain and achieve a presence of subjective pleasure before, during, and after sexual intercourse.
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Behavioral Definitions
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Describes consistently very low or no pleasurable anticipation of or desire for sexual activity.
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Strongly avoids and/or is repulsed by any and all sexual contact in spite of a relationship of mutual caring and respect.
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Recurrently experiences a lack of the usual physiological response of sexual excitement and arousal (attaining and/or maintaining an erection).
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Reports a consistent lack of a subjective sense of enjoyment and pleasure during sexual activity.
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Experiences a persistent delay in or absence of reaching ejaculation after achieving arousal and in spite of sensitive sexual pleasuring by a caring partner.
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Describes genital pain experienced before, during, or after sexual intercourse.
Diagnoses
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Hypoactive Sexual Desire Disorder
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Sexual Aversion Disorder
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Male Erectile Disorder
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Male Orgasmic Disorder
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Dyspareunia
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Premature Ejaculation
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Male Hypoactive Sexual Desire Disorder Due to Axis III Disorder
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Male Erectile Disorder Due to Axis III Disorder
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Male Dyspareunia Due to Axis III Disorder
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Sexual Dysfunction NOS
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Sexual Abuse of Child, Victim
What is Chronic Pain?
Male sexual dysfunction (MSD) is a term used to describe a variety of problems that can affect a man's sexual health and ability to enjoy sex. It can encompass issues with desire, arousal, erection, orgasm, or ejaculation. Here's a breakdown of MSD:
Symptoms: Men with MSD may experience one or more of the following difficulties:
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Low libido (sex drive)
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Difficulty getting or maintaining an erection (erectile dysfunction)
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Delayed or premature ejaculation
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Difficulty achieving orgasm
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Pain during sex
Causes: The causes of MSD can be physical, psychological, or a combination of both. Here are some common contributing factors:
Physical factors: Age-related hormonal changes, medical conditions (e.g., diabetes, heart disease), neurological disorders, certain medications, and surgeries can all affect sexual function.
Psychological factors: Stress, anxiety, depression, relationship problems, past sexual experiences, and performance anxiety can all contribute to MSD.
Lifestyle factors: Smoking, alcohol abuse, drug use, and lack of exercise can also play a role in MSD.
Diagnosis: There is no single test to diagnose MSD. Doctors typically diagnose it based on a man's history and symptoms. They may ask questions about his sexual history, general health, and any medications he is taking. A physical exam may also be performed to rule out any underlying physical causes.
Effects of Male Sexual Dysfunction
Here's a closer look at the potential effects of MSD:
Physical Effects:
Erectile Dysfunction (ED): Difficulty getting or maintaining an erection can make sex physically impossible or frustrating.
Painful Sex: Pain during intercourse can make sex uncomfortable and deter men from wanting to be intimate.
Reduced Sexual Satisfaction: Difficulty achieving orgasm or experiencing other sexual problems can decrease a man's overall satisfaction with sex.
Emotional Effects:
Frustration and Disappointment: Struggling with sexual dysfunction can be a source of frustration and disappointment for men, leading to feelings of inadequacy or insecurity.
Loss of Self-Esteem: MSD can negatively impact a man's self-esteem, particularly if he feels like he's failing to meet societal expectations or his partner's needs.
Anxiety and Stress: The worry and pressure surrounding sex can lead to anxiety and performance anxiety, further hindering sexual function.
Relationship Effects:
Communication Issues: MSD can create communication problems within a relationship as couples may struggle to talk openly about their sexual difficulties.
Decreased Intimacy: Sexual dysfunction can lead to a decrease in overall intimacy within a relationship, impacting emotional connection and closeness.
Relationship Strain: Unresolved MSD can put a strain on a relationship, potentially leading to resentment, frustration, and even infidelity in some cases.
How does Male Sexual Dysfuntion affect your life?
Here's a breakdown of the potential consequences:
Physical Health: MSD can manifest in physical ways like difficulty achieving or maintaining an erection, or pain during sex. This can make sex physically uncomfortable or even impossible.
Mental and Emotional Health: The frustration, disappointment, and performance anxiety associated with MSD can negatively impact a man's self-esteem, leading to feelings of inadequacy or insecurity. It can also contribute to stress, anxiety, and even depression.
Relationships: MSD can create communication problems and strain within relationships. Men might hesitate to communicate their struggles, fearing judgment or rejection. This can lead to a decrease in intimacy and overall relationship satisfaction.
Self-Esteem: Sexual function is often tied to ideas of masculinity and self-worth. Experiencing MSD can negatively impact a man's self-esteem, especially if he feels like he's failing to meet societal expectations or his partner's needs.