Who We Treat

Sexual and Gender Identity Disorders

Sexual and Gender Identity Disorders are characterized by difficulties in sexuality as a principal symptom. This class of disorders can be subdivided into three groups. Sexual Dysfunctions include disorders of sexual desire and sexual responsiveness. Paraphilias include sexual desire for unusual objects, situations, or activities. Gender Identity Disorders include intense discomfort with one’s assigned sex and strong cross-gender identification.

  1. •  Hypoactive Sexual Desire Disorder is a Sexual Dysfunction that involves prominent lack of sexual fantasies and sexual desire, causing significant distress or interpersonal conflict.
  2. •  Sexual Aversion Disorder is a Sexual Dysfunction in which the patient reports extreme aversion to any sexual contact with a sexual partner.
  3. •  Female Sexual Arousal Disorder is a Sexual Dysfunction which involves the inability to initiate or maintain physical sexual arousal during sexual activity, causing significant distress or interpersonal conflict.
  4. •  Male Erectile Disorder is a Sexual Dysfunction whichinvolves the inability to initiate or maintain an erection during sexual activity, causing significant distress or interpersonal conflict.
  5. •  Female Orgasmic Disorder is a Sexual Dysfunction which involves the delay or absence of orgasm following sexual excitement, causing significant distress or interpersonal conflict.
  6. •  Male Orgasmic Disorder is a Sexual Dysfunction which involves the delay or absence of orgasm following sexual excitement, causing significant distress or interpersonal conflict.
  7. •  Premature Ejaculation is a Sexual Dysfunction which involves ejaculation with little stimulation which occurs before or shortly after penetration, and before the individual would like to ejaculate.  This symptom causes significant distress or interpersonal conflict.
  8. •  Dyspareunia is a Sexual Dysfunction which involves persistent pain in the genitals when engaging in sexual intercourse. This condition can be diagnosed for both males and females, and causes significant stress and interpersonal conflict.
  9. •  Vaginismus is a Sexual Dysfunction which involves involuntary spasms of the outer part of the vagina which interferes with sexual intercourse. This symptom causes significant distress or interpersonal conflict.
  10. •  Exhibitionism is a Paraphilia which involves intense sexual gratification, real or fantasized, upon exposing one’s genitals to an unsuspecting stranger. Symptoms must be present for at least six months.  To make the diagnosis the person has either acted upon the impulse, or symptoms cause significant stress and interpersonal conflict.
  11. •  Fetishism is a Paraphilia whichinvolves intense sexual gratification, real or imagined, involving nonliving objects other than objects designed for sexual pleasure. Symptoms must be present for at least six months. These symptoms significantly interfere with academic, work, or social relationships.
  12. •  Frotteurism is a Paraphilia which involves intense sexual gratification, real or imagined, involving touching or rubbing against a nonconsenting person. Symptoms must be present for at least six months. To make the diagnosis the person has either acted upon the impulse, or symptoms cause significant stress and interpersonal conflict.
  13. •  Pedophilia is a Paraphilia which involves intense sexual gratification, real or imagined, involving sexual activity with children age 13 or younger. Symptoms must be present for at least six months.  To make the diagnosis the person has either acted upon the impulse, or symptoms cause significant stress and interpersonal conflict. The person engaging in pedophilia must be at least 16 years old and five or more years older than the child who is the focus of sexual interest.
  14. •  Sexual Masochism is a Paraphilia which involves intense sexual gratification during actual acts of being humiliated, bound, beaten or otherwise made to suffer. Symptoms must be present for at least six months. These symptoms significantly interfere with academic, work, or social relationships.
  15. •  Sexual Sadism is a Paraphilia which involves intense sexual gratification during actual acts in which the mental or physical suffering of the victim is sexually arousing. Symptoms must be present for at least six months. These symptoms significantly interfere with academic, work, or social relationships.
  16. •  Transvestic Fetishism is a Paraphilia specific to heterosexual males which involves recurrent intense sexual arousal concerning dressing in women’s clothing. Symptoms must be present for at least six months. These symptoms significantly interfere with academic, work, or social relationships.
  17. •  Voyeurism is a Paraphilia which involves intense sexual gratification, real or imagined, involving the observance of an unsuspecting person who is disrobing, naked, or involved in sexual activity.  Symptoms must be present for at least six months. To make the diagnosis the person has either acted upon the impulse, or symptoms cause significant stress and interpersonal conflict.
  18. •  Gender Identity Disorder involves an intense and persistent desire to identify with the opposite gender. In adolescents and adults, the condition is associated with symptoms such as an overt desire to be the other sex, frequently passing as a member of the other sex, a desire to be treated as a member of the opposite sex, and a belief that the person acts and feels like the opposite sex. In addition, the person feels intense and persistent discomfort with his or her own sex. These symptoms significantly interfere with academic, work, or social relationships.