gender dysphoria

gender dysphoria is not a diagnosis unless…

sx of distress emerge

longer time spent living with gender dysphoria can lead to…

suicide attempts

gender reassignment surgery treatment focus

preserving nerves

paraphilia

sexual interest other than genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners; illegal sex acts

exhibitionistic disorder

sexual arousal from exposing genitals to nonconsenting individual

fetishistic disorder

sexual arousal from contact with nonliving objects

frotteuristic disorder

sexual arousal from touching/rubbing nonconsenting person

sexual masochism disorder

sexual arousal from humiliation/hurt to self

sexual sadism disorder

sexual arousal from humiliation/hurt to another individual

transvestic disorder

sexual arousal from cross-dressing

voyeuristic disorder

sexual arousal from watching an unsuspecting person

biologic and psychoanalytic treatment for paraphilic disorders

decreasing androgens and identifying and resolving traumas

how long are symptoms necessary for paraphilias to be diagnosed?

6 months

covert sensitization

imagining an undesirable behavior and imagining the negative consequences of that behavior

2 other therapies used for paraphilias

aversion therapy (discomfort while exposed to stimulus) and satiation