Delayed Ejaculation Disorder

 

 Delayed Ejaculation Disorder:

Delayed ejaculation disorder is a condition in which a man experiences persistent difficulty in ejaculating during intercourse. This condition is relatively rare, occurring in only about 3 to 10 percent of men. Men who are completely unable to ejaculate are even rarer. About 85 percent of men who have difficulty ejaculating during intercourse can nevertheless achieve orgasm by other means of stimulation, such as through solitary masturbation.

In some cases, delayed ejaculation can be related to specific physical problems such as multiple sclerosis or to the use of certain medications. For example, antidepressants that block serotonin reuptake can be an effective treatment for early ejaculation. However, in other men, these same medications—especially SSRIs—can sometimes delay or prevent orgasm to an unpleasant extent. These side effects are common but can sometimes be treated pharmacologically with medications like Viagra.

Psychological treatments for delayed ejaculation include couples therapy in which a man tries to get used to having orgasms through intercourse with a partner rather than via masturbation. Treatment may also emphasize the reduction of performance anxiety about the importance of having an orgasm versus sexual pleasure and intimacy. Increasing genital stimulation may also be helpful.

In conclusion, delayed ejaculation disorder is a relatively rare condition that can have significant consequences for a man's sexual satisfaction and relationship. There are several treatment options available, including pharmacological interventions and psychological therapy. If you or someone you know is experiencing this problem, it may be helpful to seek help from a qualified healthcare professional.

References

 Hooley, Jill, M. et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

             Pearson Education (US), 2019.

Premature ejaculation:

 Premature Ejaculation

Premature ejaculation is a common problem among men, and it can have a significant impact on their sexual and relationship satisfaction. This condition is characterized by the persistent and recurrent onset of orgasm and ejaculation with minimal sexual stimulation. It may occur before, on, or shortly after penetration and before the man wants it to. The average duration of time to ejaculate in men with this problem is 15 seconds or 15 thrusts of intercourse.

The consequences of premature ejaculation can be significant. It often leads to the failure of the partner to achieve satisfaction and can cause embarrassment for the early ejaculating man. This can lead to anxiety about recurrence on future occasions. Men who have had this problem from their first sexual encounter often try to diminish sexual excitement by avoiding stimulation, by self-distracting, and by “spectatoring,” or psychologically taking the role of an observer rather than a participant.

An exact definition of prematurity is necessarily somewhat arbitrary. Factors such as the age of the client and the length of abstinence must be considered when making a diagnosis. DSM-5 acknowledges these factors by noting that the diagnosis is made only if ejaculation occurs before, on, or shortly after penetration and before the man wants it to.

In sexually normal men, the ejaculatory reflex is, to a considerable extent, under voluntary control. They are able to monitor their sensations during sexual stimulation and are able to forestall the point of ejaculatory inevitability until they decide to “let go.” Men with early ejaculation are unable to use this technique effectively for some reason. Explanations for this have ranged from psychological factors such as increased anxiety, to physiological factors such as increased penile sensitivity and higher levels of arousal to sexual stimuli.

For many years, most sex therapists considered early ejaculation to be psychologically caused and highly treatable via behavioral therapy such as the pause-and-squeeze technique developed by Masters and Johnson. This technique requires the man to monitor his sexual arousal during sexual activity and pause when arousal is intense enough that he feels that ejaculation might occur soon. He or his partner then squeezes the head of the penis for a few moments until the feeling of pending ejaculation passes. This technique has been reported to be effective in some cases.

In recent years, there has been increasing interest in the possible use of pharmacological interventions for men for whom behavioral treatments have not worked. Antidepressants such as paroxetine (Paxil), sertraline (Zoloft), fluoxetine (Prozac), and dapoxetine (Priligy), which block serotonin reuptake, have been found to significantly prolong ejaculatory latency in men with early ejaculation.

In conclusion, premature ejaculation is a common problem among men that can have significant consequences for their sexual and relationship satisfaction. There are several treatment options available, including behavioral therapy and pharmacological interventions. If you or someone you know is experiencing this problem, it may be helpful to seek help from a qualified healthcare professional.

 

 References

 Hooley, Jill, M., et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th Edition).

                             Pearson Education (US), 2019.

 Who is at Risk for Suicide?

 Suicide is a serious public health issue that affects people of all ages, genders, and backgrounds. However, there are some groups of people who are at higher risk for suicide than others.

Gender

Men are four times more likely than women to die by suicide. This is likely due to a combination of factors, including the fact that men are more likely to use lethal means in their suicide attempts and that they are less likely to seek help for mental health problems.

Age

Suicide is very rare in children, but the risk increases dramatically during adolescence and young adulthood. The highest rates of suicide are seen in people aged 15-24. The risk of suicide then declines somewhat in midlife, before increasing again in older adulthood.

Race and ethnicity

White people are more likely to die by suicide than people of other races and ethnicities. This is particularly true for white men

Mental health conditions

Mental health conditions are a major risk factor for suicide. People with depression, bipolar disorder, schizophrenia, and other mental health conditions are more likely to attempt or die by suicide.

Substance abuse

People who abuse alcohol or drugs are also at increased risk for suicide. This is because substance abuse can lead to problems in other areas of life, such as relationships, finances, and employment. These problems can make it more difficult to cope with stress and can increase the risk of suicide.

History of suicide attempts

People who have attempted suicide in the past are more likely to attempt or die by suicide in the future. This is why it is so important to get help for suicidal thoughts and behaviors as soon as possible.

Exposure to trauma

People who have experienced trauma, such as abuse, neglect, or violence, are also at increased risk for suicide. This is because trauma can lead to problems with mental health, substance abuse, and interpersonal relationships. These problems can make it more difficult to cope with stress and can increase the risk of suicide.

Lack of social support

People who feel isolated and alone are more likely to attempt or die by suicide. This is because social support can help people to cope with stress and to feel connected to others. If you are feeling isolated or alone, it is important to reach out to friends, family, or a mental health professional for support.

If you are concerned that you or someone you know may be at risk for suicide, please reach out for help. There are many resources available, including:

The National Suicide Prevention Lifeline: 1-800-273-TALK (8255)

The Crisis Text Line: Text HOME to 741741

The Trevor Project: 1-866-488-7386

The Jed Foundation: https://www.jedfoundation.org/

The American Foundation for Suicide Prevention: https://afsp.org/

References

 Hooley, Jill, M.,et al. Abnormal Psychology. Available from: VitalSource Bookshelf, (18th   Edition). Pearson Education (US), 2019.

 Grief and Loss: The Normal and the Not-So-Normal

Grief is a natural and necessary process that we all go through when we lose someone we love. It is a complex emotion that can be expressed in many different ways, both physically and emotionally.

The grieving process typically follows a predictable pattern, with four distinct phases:

1. Numbing and disbelief: In the immediate aftermath of a loss, it is common to feel numb and disbelief. This is a way of coping with the overwhelming pain of loss.
2. Yearning and searching: As the numbness begins to wear off, we may start to feel an intense longing for the person we have lost. We may also experience vivid memories of them and find ourselves searching for them in familiar places.
3. Disorganization and despair: This phase is often characterized by feelings of sadness, anger, guilt, and despair. We may feel like our world has been turned upside down and we may have difficulty functioning in our daily lives.
4. Reorganization: This is the final phase of grief when we begin to rebuild our lives and find new meaning in our existence. We may still experience sadness and longing, but we will also be able to appreciate the good times we had with the person we lost and move forward with our lives.

It is important to remember that there is no right or wrong way to grieve. Everyone experiences grief differently and at their own pace. There is no set timeline for how long grief should last. Some people may start to feel better within a few months, while others may take years to fully heal.

If you are grieving the loss of a loved one, it is important to reach out for support. Talk to your friends and family, join a grief support group, or seek professional help from a therapist. There is no shame in seeking help during this difficult time.

It is also important to be patient with yourself. Grief is a process and it takes time to heal. Don't expect to feel better overnight. Just focus on taking things one day at a time and allow yourself to grieve in your own way.

Resilience in the Face of Loss

Not everyone who experiences loss develops depression. In fact, about 50 percent of people who lose a spouse, life partner, or parent exhibit genuine resilience in the face of loss, with minimal, very short-lived symptoms of depression or bereavement.

These resilient individuals are not emotionally maladjusted or unattached to their spouses. In fact, they are often very close to their loved ones and feel the loss deeply. However, they are able to cope with the loss in a healthy way. They may find comfort in their faith, their relationships with other people, or their hobbies. They may also find strength in their own inner resources.

If you are struggling to cope with the loss of a loved one, it is important to know that you are not alone. There are many people who have successfully navigated the grieving process and come out stronger on the other side. With time, support, and self-care, you can too.

References

 Hooley, J. M., Nock, M. K., & Butcher, J. N. (2019). Abnormal Psychology (18th ed.). Pearson

                 Education (US). https://bookshelf.vitalsource.com/books/9780135191033