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Personality Disorders Welcome Please write your questions and pass them to the end of your isle. THANK YOU! Copyright CEUConcepts, yourceus, LPCAGA, 1 EAPWorks, TMHPros, ACOPSY LPCA, CEUConcepts, yourceus.com, Inc. American College of Psychotherapy, and EAP Works present Psychopathology, Differential Diagnosis, and the DSM-5: A Comprehensive Overview Copyright CEUConcepts, yourceus, LPCAGA, EAPWorks, TMHPros, ACOPSY 2 This training meets the requirements established under SB 319 /ACT377 and Composite Board Rule 135-12-.01 CE Approved by: ASWB #1239 ASWB #1104 Online LPCA(6923-30-17M) NBCC (#6762) #6071 Online/YourCEUs.com Copyright CEUConcepts, yourceus, LPCAGA, EAPWorks, TMHPros, ACOPSY 3 Psychopathology and Differential Diagnosis Course, 8 Modules 1. Module I: Introduction to the DSM-5 (5 core & 2 ethics) 2. Module II: Medical Conditions, and Lifestyle Contributing Mental Health Concerns (5 core & 1 ethics) 3. Module III: Neurocognitive Disorders, Schizophrenia Spectrum and Other Psychotic Disorders, and Bipolar and Related Disorders (5 core & 1 ethics hours) 4. Module IV: Obsessive-Compulsive and Related Disorders, Dissociative Disorders, and Trauma and Stressor Related Disorders (5 hours) Copyright CEUConcepts, yourceus, LPCAGA, 4 EAPWorks, TMHPros, ACOPSY Psychopathology and Differential Diagnosis Course, 8 Modules 5. Module V: Anxiety Disorders and Depressive Disorders (5 core & 1 ethics hours) 6. Module VI: Somatic Symptom and Related Disorders, Neurodevelopmental Disorders, Elimination Disorders, and Feeding and Eating Disorders (5 hours) 7. Module VII: Paraphilic Disorders, Sexual Functioning Disorders, and Gender Dysphoria Disorders (5 core hours) 8. Module VIII: Substance Use Disorders, Impulse Control and Conduct Disorders, and Personality Disorders (5 core hours) Copyright CEUConcepts, yourceus, LPCAGA, 5 EAPWorks, TMHPros, ACOPSY Psychopathology, Differential Diagnosis, and the DSM-5: A Comprehensive Overview Module 8: Sexual Disorders, Gender Dysphoria, and Paraphilic Disorders (4 Core & 1 Ethics Hours) Copyright CEUConcepts, yourceus, LPCAGA, EAPWorks, TMHPros, ACOPSY 6 DSM-5, Module 7 - Course Objectives Upon completion of this program trainees will: 1. Learn the etiology of sexual disorders based on current research 2. Comprehend the complexities of diagnosis for this disorder 3. Grasp appropriate assessment processes for determining sexual disorders, role clarification and differentiation for master’s level clinicians, and appropriate referrals to other professionals in establishing sexual disorders diagnoses 4. Comprehend differential diagnosis from other disorders with similar presentations 5. Apply common specifiers for sexual disorders 6. Learn appropriate treatment strategies based upon diagnosis Copyright CEUConcepts, yourceus, 7 LPCAGA, EAPWorks, TMHPros, ACOPSY DSM-5, Module 7 - Course Objectives Upon completion of this program trainees will: 7. Learn the etiology of gender dysphoria disorders based on current research 8. Comprehend the complexities of diagnosis for this disorder 9. Grasp appropriate assessment processes for determining gender dysphoria disorders, role clarification and differentiation for master’s level clinicians, and appropriate referrals to other professionals in establishing gender dysphoria disorders diagnoses 10. Comprehend differential diagnosis with other disorders with similar presentations 11. Apply common specifiers for gender dysphoria disorders 12. Learn appropriate treatment strategies based upon diagnosis Copyright CEUConcepts, yourceus, 8 LPCAGA, EAPWorks, TMHPros, ACOPSY DSM-5, Module 7 - Course Objectives Upon completion of this program trainees will: 11. Learn the etiology of paraphilic disorders based on current research 12. Comprehend the complexities of diagnosis for this disorder 13. Grasp appropriate assessment processes for determining paraphilic disorders, role clarification and differentiation for master’s level clinicians, and appropriate referrals to other professionals in establishing paraphilic disorders diagnoses 14. Comprehend differential diagnosis with other disorders with similar presentations 15. Apply common specifiers for paraphilic disorders related disorders 16. Learn appropriate treatment strategies based upon diagnosis Copyright CEUConcepts, yourceus, 9 LPCAGA, EAPWorks, TMHPros, ACOPSY Your Presenter Elaine Wilco, MA, LPC Elaine Wilco is a Licensed Professional Counselor with over 15 years of experience addressing couples concerns, with a specialization in issues related to sex and sexuality. She maintains a private practice in Alpharetta, GA, and provides training and education in issues related to sexuality and intimacy in romantic and marital relationships. 10 Appropriate Role for the Clinician Who is Not A Specialist in Sex Therapy Have a very thorough foundation in the knowledge base related to sex and sexuality, including current trends Possess a considerable degree of comfort with their own sexuality Take into account the physical, mental, emotional, relational, cultural, and spiritual aspects of each individual Know when to refer to a specialist for further assessment and/or treatment 11 What Determines if the Clinician Can Address the Sexual Concerns of the Client? 1. The non-specialist’s knowledge base related to the client’s problem and sexuality in general. 2. Therapists’ skill in dealing with sexuality issues. 3. Observation of clients’ progress - are they responding positively? 4. Therapists’ comfort with addressing sexuality issues and willingness to look at themselves in terms of what sexuality issues might evoke for them. 5. Are there parallels in a client’s life and the therapist’s life that may interfere with treatment, such as a husband who may be having an affair? 12 What Determines if the Clinician Can Address the Sexual Concerns of the Client? 6. The therapist’s willingness to keep “secrets” if requested to do so. 7. The availability of resources for referral and treatment collaboration - OB/GYN physicians, Nurse Practitioners, Pelvic Floor Physical Therapists 9. Other resources the therapist has available for consultation - sexuality listserves made up of experts in the field, knowledgeable colleagues. 10. Personal boundaries - determining areas that may be better addressed by other specialists - for example, sex offenders, BDSM issues, survivors of child sexual abuse and other types of trauma. 13 DSM History - Sexual & Gender Identity • Sexual orientation as a disturbance (Homosexuality) – The DSM would not see all references to homosexuality as a disorder removed until publication of the DSM-III-R in 1987 • Gender Identity Disorder – Important changes in DSM-5 – Gender Dysphoria • Consistent with model of abnormality requiring “marked distress or impairment of functioning” • DSM as an evolving system, not a static definition 14 Current & Emerging Trends in Western Society Societal/Cultural/Religious • Sexting • Piercings—ex. Prince Albert • Expansion of ideas of roles, boundaries, experimentation with multiple sexual identities and activities • Hooking up, FWB (Friends with Benefits) • Extramarital affair websites, including Ashley Madison • Polyamory • “Kink” • Preference of fantasy modes of expressing sexuality (e.g., avatar sex) over person to person, real-life sexual intimacy 15 Current & Emerging Trends in Western Society Societal/Cultural/Religious • Sexuality for all phases of adult life cycle: sexually active older adults • The little blue pill (Viagra, Levitra, Cialis) • Other medical procedures for sexual concerns: testosterone replacement therapy for men and women, penile implants • Increased cultural diversity with multiple viewpoints on expressions of sexuality and normative sexual practices • Sexuality as facet of religious practices within culturally separate groups • Abstinence pledges • Specific cultural practices such as Female Genital Cutting and conflicts with Western ideas of human rights 16 Current & Emerging Trends in Western Society Societal/Cultural/Religious • Compulsive sexuality, including internet pornography – DSM-5—no diagnosis of sexual addiction – ICD 10—Excessive Sexual Drive—defined under Other sexual dysfunction not due to a substance or known physiological condition 17 Experiencing Sexuality via Fantasy _____________________________________________ Thinking Feeling Fantasy Potential Problems with Fantasy 1. Too much time in fantasy world 2. Fantasizing about improper sexual partners 3. May conflict with values/beliefs 4. Person may be less centered and involved 18 Complications of 21st Century Sexual Expression Paraphilic Disorders versus fetishism Paraphilic Disorders versus “kink” “Kink” versus Intimate Partner Violence Intimate partner violence is: – Non-consensual – Not negotiated, so no negotiated end – Intended to exploit – Leaves individuals traumatized 19 Addressing the Emergence of Kink • Do not assume that rough sex is non-consensual. • Do not assume that unusual sex is pathological. • Do not assume that partners are kinky/poly/compliant just because it is what their partner wants. • Do not assume that anyone’s sex life looks the way you expect it to. • ASK respectful, intelligent QUESTIONS. 20 Understanding Sexuality 21 Components of Sexuality 1. Sexual Attraction 100%------------------------------------------------------------ 100% Homosexual Heterosexual 2. Gender Identity 3. Appearance 4. Behavior 22 Kinsey Sexual Orientation Scale 23 The Kinsey Scale in a Gender Fluid World 24 Components of Sexual Life 1. Biological Sexuality 2. Gender Identity <-----Gender Socialization 3.
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