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Anxiety and sexual dysfunction.

H S Kaplan1

  • 1Human Sexuality Program, New York Hospital-Cornell Medical Center, NY 10021.

The Journal of Clinical Psychiatry
|October 1, 1988
PubMed
Summary
This summary is machine-generated.

Sexual anxiety significantly contributes to sexual dysfunction and avoidance. Untreated panic disorder often underlies these issues, but combined therapy and medication improve outcomes.

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Area of Science:

  • Psychiatry
  • Psychology
  • Sexual Health

Background:

  • Anxiety is a primary driver of sexual dysfunction.
  • Sexual anxiety, performance fears, and relationship concerns fuel sexual avoidance.
  • Severe anxiety can escalate to panic levels in susceptible individuals.

Observation:

  • Panic disorder is frequently overlooked in patients seeking sexual therapy.
  • Failure to diagnose and treat co-occurring panic disorder leads to treatment failures in sexual dysfunction.
  • Sexaphobic patients may have undiagnosed panic disorder.

Findings:

  • Patients with both sexual dysfunction and panic disorder show improved prognoses.
  • Combined psychosexual therapy and antipanic medications are effective.

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  • Treatment facilitates cooperation and benefit for highly anxious patients.
  • Implications:

    • Clinicians must screen for panic disorder in patients with sexual dysfunction.
    • Integrated treatment approaches enhance therapeutic success.
    • Addressing underlying panic disorder is crucial for managing sexual dysfunction.