I. Introduction & Foundations of Sexual Assessment (15 minutes)

Topics:

·        Why sexual health assessment matters in mental health care

·        DSM-5 framework for sexual dysfunctions and paraphilic disorders

·        Distinguishing sexual interests, fantasies, behaviors, and disorders

·        Clinical, ethical, and cultural considerations

·        Overview of prevalence and epidemiology

II. Male Sexual Dysfunctions: DSM-5 Criteria & Differential Diagnosis (35 minutes)

Disorders Covered:

·        Erectile Disorder

·        Premature (Early) Ejaculation

·        Delayed Ejaculation

·        Male Hypoactive Sexual Desire Disorder

Topics:

·        DSM-5 diagnostic criteria

·        Duration and severity requirements

·        Prevalence and contributing factors

·        Differential diagnosis:

o   Medical vs psychological causes

o   Relationship issues vs dysfunction

o   Normal variation vs disorder

·        Screening and assessment tools

·        Case examples and audience diagnosis exercises

III. Female Sexual Dysfunctions: DSM-5 Criteria & Differential Diagnosis (35 minutes)

Disorders Covered:

·        Female Orgasmic Disorder

·        Female Sexual Interest/Arousal Disorder

·        Genito-Pelvic Pain/Penetration Disorder

Topics:

·        DSM-5 diagnostic criteria

·        Hormonal, relational, trauma-related, and psychosocial contributors

·        Prevalence and epidemiology

·        Differential diagnosis and comorbidities

·        Assessment and screening instruments

·        Cultural considerations in diagnosis

·        Interactive case-based diagnostic practice

IV. Substance/Medication-Induced Sexual Dysfunction (30 minutes)

Topics:

·        DSM-5 criteria for substance/medication-induced sexual dysfunction

·        Antidepressant-induced sexual dysfunction

·        Antipsychotic-related sexual side effects

·        Substance-related sexual dysfunction

·        Distinguishing medication side effects from primary sexual disorders

·        Clinical assessment and timeline evaluation

·        Screening approaches and medication history review

·        Case discussion and differential diagnosis exercises

V. BREAK (10 minutes)

VI. Paraphilic Disorders: DSM-5 Diagnosis & Differential Assessment (30 minutes)

Disorders Covered:

·        Voyeuristic Disorder

·        Exhibitionistic Disorder

·        Frotteuristic Disorder

·        Sexual Masochism Disorder

·        Sexual Sadism Disorder

·        Pedophilic Disorder

·        Fetishistic Disorder

·        Transvestic Disorder

Topics:

·        DSM-5 diagnostic criteria

·        Distinguishing fetishes, kinks, BDSM, and consensual sexual variation from paraphilic disorders

·        Distress, impairment, consent, and risk considerations

·        Epidemiology and risk assessment

·        Ethical and legal considerations

·        Screening and forensic assessment considerations

·        Interactive case identification exercises

VII. Interactive Diagnostic Case Workshop (20 minutes)

Participants Will:

·        Read clinical vignettes individually or in groups

·        Determine:

o   DSM-5 diagnosis

o   Rule-outs/differential diagnosis

o   Whether presentation reflects normal sexual functioning

o   Whether clinical intervention is indicated

·        Discuss rationale as a group

Suggested Cases:

·        SSRI-induced anorgasmia

·        Consensual fetish vs Fetishistic Disorder

·        Erectile dysfunction with performance anxiety

·        Exhibitionistic Disorder

·        Trauma-related low desire

·        Normal BDSM relationship vs Sexual Sadism Disorder

VIII. Questions, Discussion & Key Takeaways (15 minutes)

Topics:

·        Common diagnostic mistakes

·        Cultural humility in sexual assessment

·        Avoiding pathologizing normal sexual behavior

·        Clinical pearls and practical takeaways

·        Audience Q&A