Sexual & Sexuality

The uneasy relationship between psychiatry and the LGBTQI continues to evolve. How can it be influenced for the better?

What terms are used to describe SGM and LGBTQ+ identities?

Due to discrimination's negative impact, transgender and gender-nonconforming youth are several times more likely than the rate of their cisgender peers to have depression and anxiety.

Online environments have revolutionized the lives of young SGM individuals, but also created unforeseen issues...

What academic terminology should be used when describing sexual and gender minority patients?

Homosexuality was classified as a mental illness until 1973. We have come a long way, but there is a lot further to go...

The sexual side effects of psychiatric medications are troubling enough that some patients consider treatment cessation. The authors review 5 strategies for managing sexual dysfunction.

What does the scientific evidence tell us about treatment for pedophilia? The answer might surprise you.

In case you missed it, this series features reports about sexting, paraphilias, adolescent sexual health, and more.

From diagnosis to treatment, paraphilias and paraphilic disorders present unique challenges for the general psychiatrist.

Adolescents explore their sexuality. In most cases, this exploration is normative. At times, however, compulsive sexual behavior is developed and maintained.

Transgender adolescents and their families experience barriers to care and specialized providers might not always be available. However, the work with transgender adolescents can be rewarding.

Even as antidepressants improve mood, they can worsen sleep-and poor sleep is both a symptom and a cause of depression.

To understand the experiences and needs of the aging LGBTQ population, it is important to consider the culture, politics, and social norms that existed when these elders came of age. Clinicians can play a vital role by creating a safe and open environment that allows people to be themselves.

A quiz on significant changes in DSM-5 nomenclature as they relate to sexual disorders.

Psychiatrists can serve a pivotal role in reducing sexual offender recidivism by treating individuals with paraphilic disorders. Details here.

The inability or difficulty to experience vaginal penetration is most similar to which DSM-5 disorder? Find out in this quiz.

Four clinical reports indicate that in the last 30 years, we have come a long way in the exploration and study of sex and sexual disorders.

Here: basic concepts behind sexual consent capacity and guidance on how to pursue capacity assessments.

The road to recovery for human trafficking victims is intense and requires intervention and care on multiple comprehensive levels.

There has been much progress in both the conceptualization and the treatment of vaginismus in the past 15 years. Details here.

“Once a pedophile always a pedophile” is so 30 years ago. The author updates the realities about sex offenders and why psychiatrists should be more optimistic about their patients’ prognoses.

The ability to diagnose pedophilia is key to preventing child sexual abuse: it makes possible accurate risk assessment and informed decisions regarding who is safe to work with children-and who is not.

Improvement in depressive symptoms appears to have a salutary effect on sexual function.

Before flibanserin, there were no FDA-approved treatments for hypoactive sexual desire disorder. The authors clarify the intricacies of an HSDD diagnosis and discuss implications for treatment.

Flibanserin is a breakthrough. We will finally be able to talk to women with hypoactive sexual desire disorder about a treatment that has FDA approval.

Sleep-related problems are among the most disabling consequences of TBI, with multiple influences: impairment of neuronal plasticity, metabolomic alterations, loss of vascular homeostasis, and disruption of the blood-brain barrier. The authors take a close look.

Recognition, management, and understanding of the broad range of sexual feelings in older adults is a key component to providing humane and competent care. More in this expert Q&A.

What's new in sleep medicine? The latest developments in both new and novel approaches to treating sleep disorders.

Depression is a frequent psychiatric comorbidity among patients with restless leg syndrome. The case presented here illustrates the importance of evaluating for RLS symptoms in patients with major depressive disorder who complain of insomnia.