Diagnosis of a Client According Term Paper

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Mary shows: A. Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase in a way that is less than would be reasonable for Mary's age, sexual experience, and the adequacy of sexual stimulation she receives from her husband. B. The disturbance causes marked distress or interpersonal difficulty, as Mary is disappointed with her sex life and marriage. C. The orgasmic dysfunction is not better accounted for by another Axis I disorder or to drugs, medication, or physical factors. Mary has suffered this problem all of her sexual life, thus the diagnosis specified as life long, and she has suffered this with all persons she has been intimate with, thus it is generalized, and as Mary has no physical complaints that might explain her lack of ability to achieve an orgasm, it is psychological.

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3a. & 3b.

Possible causes might include John's physical and mental stress from his increased workload, combined with Mary's sexual inhibitions. Mary's problems may lie in her childhood upbringing combined with performance anxiety about reaching orgasm that has been exacerbated from….....

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