DSM- Sexual Dysfunctions and Gender Dysphoria

What is the high-yield picture of Delayed Ejaculation?

Marked delay, infrequency, or absence of ejaculation during partnered sexual activity.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Delayed Ejaculation?

About 6+ months

How do you differentiate Delayed Ejaculation on an exam vignette?

Rule out relationship distress, substances/medications, and medical causes.

What is the high-yield picture of Erectile Disorder?

Marked difficulty obtaining or maintaining erection or reduced rigidity.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Erectile Disorder?

About 6+ months

How do you differentiate Erectile Disorder on an exam vignette?

Must cause distress; rule out medical/substance causes.

What is the high-yield picture of Female Orgasmic Disorder?

Marked delay, infrequency, absence, or reduced intensity of orgasm.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Female Orgasmic Disorder?

About 6+ months

How do you differentiate Female Orgasmic Disorder on an exam vignette?

Consider adequacy of stimulation and cultural/relationship context.

What is the high-yield picture of Female Sexual Interest/Arousal Disorder?

Reduced sexual interest/arousal across thoughts, initiation, excitement, cues, sensations, or pleasure.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Female Sexual Interest/Arousal Disorder?

About 6+ months

How do you differentiate Female Sexual Interest/Arousal Disorder on an exam vignette?

Differentiate from normative variation or relationship-only problems.

What is the high-yield picture of Genito-Pelvic Pain/Penetration Disorder?

Difficulty with penetration, pain, fear/anxiety about pain, or pelvic floor tightening.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Genito-Pelvic Pain/Penetration Disorder?

About 6+ months

How do you differentiate Genito-Pelvic Pain/Penetration Disorder on an exam vignette?

Rule out medical conditions; symptoms may combine prior vaginismus/dyspareunia concepts.

What is the high-yield picture of Male Hypoactive Sexual Desire Disorder?

Persistently deficient sexual thoughts/fantasies and desire, considering age and context.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Male Hypoactive Sexual Desire Disorder?

About 6+ months

How do you differentiate Male Hypoactive Sexual Desire Disorder on an exam vignette?

Requires clinically significant distress.

What is the high-yield picture of Premature Ejaculation?

Ejaculation approximately within 1 minute of penetration and before desired, on most occasions.

Timeline/onset: About 6+ months

Spectrum/severity: No

Important note: Lifelong/acquired; generalized/situational.

What timeframe, age, or number is most important for Premature Ejaculation?

About 6+ months

How do you differentiate Premature Ejaculation on an exam vignette?

Differentiate from occasional early ejaculation without distress.

What is the high-yield picture of Gender Dysphoria - Children?

Marked incongruence between experienced gender and assigned sex, with strong desire/identification and distress or impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Specify with disorder of sex development.

What timeframe, age, or number is most important for Gender Dysphoria - Children?

6+ months

How do you differentiate Gender Dysphoria - Children on an exam vignette?

Diagnosis is based on dysphoria/distress, not gender diversity alone.

What is the high-yield picture of Gender Dysphoria - Adolescents/Adults?

Marked incongruence between experienced gender and sex characteristics/assigned gender, with desire for change and distress/impairment.

Timeline/onset: 6+ months

Spectrum/severity: No

Important note: Specify with disorder of sex development; posttransition.

What timeframe, age, or number is most important for Gender Dysphoria - Adolescents/Adults?

6+ months

How do you differentiate Gender Dysphoria - Adolescents/Adults on an exam vignette?

Gender nonconformity alone is not a mental disorder.