Lindsey is seeking treatment for paraphilia. She is sexually gratified when she receives pain. As her therapist, you believe that she has learned to associate pain with pleasure. How would you treat her problem?

ANSWER: COMBINATION OF PSYCHOTHERAPY AND MEDICATION.

EXPLANATION:

Paraphilia refers to the experience of intense sexual arousal elicited by an objects, behaviors, conditions, or fantasies. Thus, in the case of Lindsey, her sexual arousal is elicited by pain.

However, this disorder can be treated by using the combination of psychotherapy and medication.

The psychotherapy entails cognitive and behavioral strategies to change her thinking patterns and behaviors. It focuses on helping her identity and reorganize her behavior, and setting up techniques (such as orgasmic reconditioning), to control her sexual impulses. Other psychotherapy techniques such as covert sensitization can also be established, in other to make her fantasize about pain while feeling pain.

Secondly, Lindsey is administered with medications that suppress production of her sexual hormone, in other to reduce the frequency or intensity of her sexual desire. Thus, Drugs such as selective serotonin reuptake inhibitors (SSRIs), can be giving to her. This drugs will decrease her sexual obsessiveness and also stimulate her to control her impulses. Examples of SSRI medications include paroxetine, fluoxetine, sertraline, citalopram, and etc.

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