Julie GithiriGoko Psychodynamic Psychotherapist and Psychosexual therapist Depression feelings of severe despondency and dejection selfdoubt creeps in and that swiftly turns to ID: 1045379
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1. depression & Psycho-sexual issues.Julie Githiri-GokoPsycho-dynamic Psychotherapist and Psychosexual therapist.
2. De·pres·sionfeelings of severe despondency and dejection."self-doubt” creeps in and that swiftly turns to depressionPsycho-sexual issues.Psychosexual dysfunction is the inability to become sexually aroused or achieve sexual satisfaction in the appropriate situations because of mental or emotional reasons.
3. DSM V (2013)-. diagnostic & statistical manual of mental disorders. calls for the consideration of associated features: partner factors, relationship factors, individual vulnerability factors, cultural and religious factors, and medical factors when making diagnosis
4. Sexual dysfunction: A systematic review of South African research . Ref: SAMJ, S. Afr. med. j. vol.104 n.6 Cape Town Jun. 2014 40 - 45% of women and 20 - 30% of men, with the prevalence increasing as individuals grow older.A global study of sexual attitudes and behaviours, targeting an adult population, identified early ejaculation and difficulty in achieving and maintaining an erection as the problems most commonly reported by men, affecting 24% and 17%, Lack of sexual interest and inability to reach orgasm were the most commonly reported complaints for women, affecting 32% and 25%.Diabetes mellitus, cardiovascular disease, genitourinary disease, psychiatric or psychological disorders, and poor general health have been identified as common comorbid conditions associated with sexual dysfunction in both sexes. Despite the high prevalence of sexual problems and comorbidity with commonly presenting diseases and disorders, <20% of people experiencing sexual difficulties seek assistance from healthcare providers and only 9% report being asked about their sexual health by their healthcare practitioner.
5. FemaleFSIAD- Female sexual interest arousal disorderGPPPD- Genital Pelvic Pain Penetration DisorderAnorgasmia- absence of orgasm.
6. MaleED- Erectile dysfunction: PE-Premature ejaculationDE- Delayed EjaculationLow desire
7. Psychological impact of depressionDepressed mood, Situational/major/ chronicloss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration. Depression is different from feeling down or sad. Depression can happen to anyone.
8. Psychological Impact of PSAnger/ shame/ blameSituational/ life-long/acquiredResentmentConfidence/ anxietypsycho-educationRelational conflict
9. Arousal cycle
10. 36 yrs. old manUnemployedRFP of 1 yr.Living with RFP- 9/12Using PDE5∆ ED
11. Treatment options for Depression.Anti- psychoticsSSRI- Selective serotonin reuptake inhibitorsTalking therapiesAlternative optionsContact with a MH practitioner
12. Treatment options- PSPsychosexual therapyMedication (PE) (ED)Medical interventionSensate focusQualified practitioner
13. ReferencesHeiman J, (2009) Becoming orgasmic: a sexual pleasure growth programme- Hawton, K (1985). Sex therapy: A practical Guide. New York. Oxford University Press. , pp 205.Basson, R (2000). The female sexual response: A different Model, journal of sex & marital therapy, 26:1, 51-65Binik, Y., Hall, K (2014). Principles and practice of sex therapy. 5th ed. The Guilford press. , pp 159. Tiefer, L., (2001).The selling of ‘female sexual dysfunction’ J Sex Marital Therapy. 200 :27: pp 625–628.Bernie Zilbergeld, (1999). The new male sexuality. Bantam., pp 220.Balint, E (1993). Unconscious communications between husband and wife. In S Ruszczynski, 1993. Psychotherapy with couples. Karnac (books) Ltd., pp 30-44.Schnarch, D.M., (1997). Passionate marriage: Love, sex, and intimacy in emotionally committed relationships. WW Norton & Company., pp 58
14. Contact details:Julie Githiri-GokoEmail: Julie@coupleandrelationshiptherapy.infoTel: +254 (0)715 175 790