Author: Manasvi Specialists

Female Sexual Interest/Arousal Disorder

Female Sexual Interest/Arousal Disorder

Psychiatry

Female Sexual Interest/Arousal Disorder

Diagnostic Criteria

A) Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least three of the following:

  1. Absent/reduced interest in sexual activity.
  2. Absent/reduced sexual/erotic thoughts or fantasies.
  3. No/reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.
  4. Absent/reduced sexual excitement/pleasure during sexual activity in almost all or all (approximately, 75%-100%) sexual encounters (in identified situational contexts or, if generalized, in all contexts).
  5. Absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues (e.g., written, verbal, visual).
  6. Absent/reduced genital or no genital sensations during sexual activity in almost all or all (approximately 75%-100) sexual encounters (in identified situational contexts or, if generalized, in all contexts).

B) The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.

C) The symptoms in Criterion A cause clinically significant distress in the individual.

D) The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress (e. g., partner violence) or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.

Specify whether:

Lifelong: The disturbance has been present since the individual became sexually active.

Acquired: The disturbance began after a period of relatively normal sexual function.

Specify whether:

Generalized: Not limited to certain types of stimulation, situations, or partners.

Situational: Only occurs with certain types of stimulation, situations, or partners.

Specify current severity:

Mild: Evidence of mild distress over the symptoms in Criterion A.

Moderate: Evidence of moderate distress over the symptoms in Criterion A.

Severe: Evidence of severe or extreme distress over the symptoms in Criterion A.

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Female Orgasmic Disorder

Female Orgasmic Disorder

Psychiatry

Female Orgasmic Disorder

Diagnostic Criteria

A) Presence of either of the following symptoms and experienced on almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):

  1. Marked delay in, marked infrequency of, or absence of orgasm.
  2. Markedly reduced intensity of orgasmic sensations.

B) The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.

C) The symptoms in Criterion A cause clinically significant distress in the individual.

D) The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress (e.g., partner violence) or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.

Specify whether:

Lifelong: The disturbance has been present since the individual became sexually active.

Acquired: The disturbance began after a period of relatively normal sexual function.

Specify whether:

Generalized: Not limited to certain types of stimulation, situations, or partners.

Situational: Only occurs with certain types of stimulation, situations, or partners.

Specify if:

Never experienced an orgasm under any situation.

Specify current severity:

Mild: Evidence of mild distress over the symptoms in Criterion A.

Moderate: Evidence of moderate distress over the symptoms in Criterion A.

Severe: Evidence of severe or extreme distress over the symptoms in Criterion A.

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Erectile Disorder

Erectile Disorder

Psychiatry

Erectile Disorder

Diagnostic Criteria

A) At least one of the three following symptoms must be experienced on almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):

  1. Marked difficulty in obtaining an erection during sexual activity.
  2. Marked difficulty in maintaining an erection until the completion of sexual activity.
  3. Marked decrease in erectile rigidity.

B) The symptoms in Criterion A have persisted for minimum duration of approximately 6 months.

C) The symptoms in Criterion A cause clinically significant distress in the individual.

D) The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.

Specify Whether:

Lifelong: The disturbance has been present since the individual became sexually active.

Acquired: The disturbance began after a period of relatively normal sexual function.

Specify whether:

Generalized: Not limited to certain types of stimulation, situations, or partners.

Situational: Only occurs with certain types of stimulation, situations, or partners.

Specify current severity:

Mild: Evidence of mild distress over the symptoms in Criterion A.

Moderate: Evidence of moderate distress over the symptoms in Criterion A.

Severe: Evidence of severe or extreme distress over the symptoms in Criterion A.

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Delayed Ejaculation

Delayed Ejaculation

Psychiatry

Delayed Ejaculation

Diagnostic Criteria

A) Either of the following symptoms must be experienced on almost all or all occasions (approximately 75%-100%) of partnered sexual activity (in identified situational contexts or, if generalized, in all contexts), and without the individual desiring delay:

  1. Marked delay in ejaculation.
  2. Marked infrequency or absence of ejaculation.

B) The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.

C) The symptoms in Criterion A cause clinically significant distress in the individual.

D) The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.

Specify whether:

Lifelong: The disturbance has been present since the individual became sexually active.

Acquired: The disturbance began after a period of relatively normal sexual function.

Specify whether:

Generalized: Not limited to certain types of stimulation, situation, or partners.

Situational: Only occurs with certain types of stimulation, situations, or partners.

Specify current severity:

Mild: Evidence of mild distress over the symptoms in Criterion A.

Moderate: Evidence of moderate distress over the symptoms in Criterion A.

Severe: Evidence of severe or extreme distress over the symptoms in Criterion A.

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Body Dysmorphic Disorder

Body Dysmorphic Disorder

Psychiatry

Body Dysmorphic Disorder

Diagnostic Criteria

  1. Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
  2. At some point during the course of the disorder, the individual has performed repetitive behaviors (e.g., mirror checking, excessive grooming, skin picking, reassurance seeking) or mental acts (e.g., comparing his or her appearance with that of others) in response to the appearance concerns.
  3. The preoccupation causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
  4. The appearance preoccupation is not better explained by concerns with body fat or weight in an individual whose symptoms meet diagnostic criteria for an eating disorder.

Specify if:

With Muscle dysmorphia: The individual is preoccupied with the idea that his or her body build is too small or insufficiently muscular. This specifier is used even if the individual is preoccupied with other body areas, which is often the case.

Specify if:

Indicate degree of insight regarding body dysmorphic beliefs (e.g. “I look ugly or deformed”)

With good of fair insight: The individual recognizes that the body dysmorphic disorder beliefs are definitely or probably not true or that they may or may not be true)

With poor insight: The individual thinks that the body dysmorphic disorder beliefs are probably true.

With absent insight /delusional beliefs: The individual is completely convinced that the body dysmorphic disorder beliefs are true.

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Hoarding Disorder

Hoarding Disorder

Psychiatry

Hoarding Disorder

Diagnostic Criteria

  1. Persistent difficulty discarding or parting with possessions, regardless of their actual value.
  2. This difficulty is due to a perceived need to save the items and to distress associated with discarding them.
  3. The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromises their intended use. If living areas are uncluttered, it is only because of the interventions of third parties (e.g., family members, cleaners, authorities).
  4. The hoarding causes clinically significant distress or impairment in social, occupational, or other important areas of functioning (including maintaining a safe environment for self and others).
  5. The hoarding is not attributable to another medical condition (e.g., brain injury, cerebrovascular disease, Prader-Willi syndrome).
  6. The hoarding is not better explained by the symptoms of another mental disorder (e.g., obsessions in obsessive-compulsive disorder, decreased energy in major depressive disorder, delusions in schizophrenia or another psychotic disorder, cognitive deficits in major neurocognitive disorder, restricted interests in autism spectrum disorder).

Specify if:

With excessive acquisition: If difficulty discarding possessions is accompanied by excessive acquisition of items that are not needed or for which there is no available space.

Specify if:

With good or fair insight: the individual recognizes that the hoarding related beliefs and behaviours (pertaining to difficulty in discarding items, clutter or excessive acquisition) are problematic.

With poor insight: The individual is mostly convinced that hoarding related beliefs and behaviours

(Pertaining to difficulty in discarding items, clutter or excessive acquisition) are not problematic despite evidence to the contrary.

With absent insight or delusional beliefs: The individual is completely convinced that hoarding related beliefs and behaviours (pertaining to difficulty in discarding items, clutter or excessive acquisition) are not problematic despite evidence to the contrary.

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