Psychotic Disordersgender Dysphoriasexual Dysfunct

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Psychotic Disordersgender Dysphoriasexual Dysfunct

Application: Case Study – Sexual Dysfunction and Gender Dysphoria

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 (3–4 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

Readings

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
    • Schizophrenia Spectrum and Other Psychotic Disorders
    • Gender Dysphoria
    • Sexual Dysfunctions
  • Paris, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press.
    • Chapter 8, Schizophrenia Spectrum and Other Psychoses
    • Chapter 12, Substance Use, Eating, and Sexual Disorders
  • Boskey, E. (2013). Sexuality in the DSM 5. (Cover story). Contemporary Sexuality, 47(7), 1–5. Retrieved from the Walden Library databases.
  • Drescher, J., & Byne, W. (2012). Introduction: The treatment of gender dysphoric/gender variant children and adolescents. Journal of Homosexuality, 59(3), 295–300. Retrieved from the Walden Library databases.
  • Drescher, J., & Byne, W. (2012). Gender Dysphoric/Gender
    Variant (GD/GV) children and adolescents: Summarizing what we know and
    what we have yet to learn. Journal of Homosexuality, 59(3), 501–510. Retrieved from the Walden Library databases.
  • Fujii, D. (2002). Neuropsychiatry of Psychosis Secondary to Traumatic Brain Injury. Psychiatric Times, 19(8), 33.
    Retrieved from the Walden Library databases.
  • McCarthy, B. W., & Fucito, L. M. (2005). Integrating
    medication, realistic expectations, and therapeutic interventions in
    the treatment of male sexual dysfunction. Journal of Sex & Marital Therapy, 31(4), 319–328.
    Retrieved from the Walden Library databases.
  • Stein, E. (2012). Commentary on the treatment of gender variant
    and gender dysphoric children and adolescents: Common themes and
    ethical reflections. Journal Of Homosexuality, 59(3), 480–500. Retrieved from the Walden Library databases.
  • Zucker, K. J., Wood, H., Singh, D., & Bradley, S. J.
    (2012). A developmental, biopsychosocial model for the treatment of
    children with gender identity disorder. Journal Of Homosexuality, 59(3), 369–397. Retrieved from the Walden Library databases.