PSYCHOSEXUAL DISORDERS NOT ELSEWHERE CLASSIFIED

Psychosexual Disorders Not Elsewhere Classified

Introduction

Psychosexual disorders not elsewhere classified (PSD-NEC) are a category of disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These disorders are characterized by psychological distress related to sexual functioning and behavior. This article will provide a brief overview of the types of PSD-NEC, diagnostic criteria, and treatment options.

Types of PSD-NEC

The DSM-5 includes four types of PSD-NEC. These include paraphilic coercive disorder, paraphilic infantilism, sexual masochism disorder, and sexual sadism disorder.

1. Paraphilic Coercive Disorder

Paraphilic coercive disorder is characterized by recurrent, intense, sexually arousing fantasies, urges, or behaviors involving the use of coercive behavior to force another person to participate in sexual activity.

2. Paraphilic Infantilism

Paraphilic infantilism is characterized by recurrent, intense, sexually arousing fantasies, urges, or behaviors involving the act of being treated as a baby or child.

3. Sexual Masochism Disorder

Sexual masochism disorder is characterized by recurrent, intense, sexually arousing fantasies, urges, or behaviors involving the act of being humiliated, beaten, bound, or otherwise made to suffer.

4. Sexual Sadism Disorder

Sexual sadism disorder is characterized by recurrent, intense, sexually arousing fantasies, urges, or behaviors involving the act of inflicting pain, suffering, or humiliation on another person.

Diagnosis

The diagnosis of PSD-NEC requires that the individual meet criteria outlined in the DSM-5. These criteria include recurrent, intense, sexually arousing fantasies, urges, or behaviors that cause distress or impairment in social, occupational, or other important areas of functioning. The individual must also have acted on these fantasies, urges, or behaviors, or be markedly distressed by them.

Treatment

The primary treatment for PSD-NEC is psychotherapy. Cognitive-behavioral therapy (CBT) is often used to help the individual recognize, understand, and change the thoughts and behaviors that contribute to the disorder. In some cases, medications such as selective serotonin reuptake inhibitors (SSRIs) may be prescribed to help reduce symptoms of anxiety or depression associated with the disorder.

Conclusion

Psychosexual disorders not elsewhere classified (PSD-NEC) is a category of disorders characterized by psychological distress related to sexual functioning and behavior. The DSM-5 includes four types of PSD-NEC: paraphilic coercive disorder, paraphilic infantilism, sexual masochism disorder, and sexual sadism disorder. The diagnosis of PSD-NEC requires that the individual meet criteria outlined in the DSM-5 and typically requires psychotherapy. In some cases, medications may be prescribed to help reduce symptoms associated with the disorder.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.

Feder, L. C., & Feder, A. (2015).Psychosexual disorders. In M. Hersen (Ed.), Handbook of clinical psychology (Vol. 3, pp. 687-717). Hoboken, NJ: Wiley.

Iyengar, U., & O’Leary, K. D. (2018). Cognitive behavioral therapy for psychosexual disorders: An overview. Cognitive and Behavioral Practice, 25(4), 737-749. doi:10.1016/j.cbpra.2017.10.002

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