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DUAL DIAGNOSIS
This is particularly found in clients who are identified
and diagnosed to have substance abuse and another
psychiatric illness. (Sometimes a person who would abuse a
particular substance (cocaine, marijuana, etc.) has a co-
existing psychiatric disorder. Example abuser of substance at
the same time he/she is diagnosed with schizophrenia, bipolar
disorder, etc.) The traditional methods for treatment of
major psychiatric illness or primary substance abuse
have often been limited because of the following
reasons:
 Clients with major psychiatric illness may have
impaired abilities to process abstract concepts;
this is a major barrier in substance abuse
program.
 Substance use treatment emphasizes
avoidance of all psychoactive drugs. This may
not be possible for the client who needs
psychotropic drug to treat his/her mental
illness.
 The concept of “limited recovery” is more
acceptable in the treatment of psychiatric
illnesses, but substance abuse has no limited
recovery concept.
 The notion of lifelong abstinence, which is
central to substance use treatment, may seem
overwhelming and impossible to the client who
lives “day to day” with a chronic mental illness.
 The use of alcohol and other drugs can
precipitate psychotic behavior; this makes it
difficult for professionals to identify whether
symptoms are the result of active mental illness
or substance abuse.
MANAGEMENT
 It should include healthy, nurturing, supportive
living environments; assistance with
fundamental life changes, such as finding a job
and abstinent friends; connections with other
recovering people; and treatment of comorbid
conditions.
 Quetiapine (Seroquel), an antipsychotic, is one
of the drugs which may be used to control
alcohol cravings as well moderating their
psychiatric symptoms.
..
NCM 117
Sir Andre: “There is a care plan in your book, I want
you to read it together with the rationale. I will not
discuss it because it’s self-explanatory so it’s very easy
an imo Dual diagnosis.” (BOOK: p. 369-370; PDF
(Psychiatric-Mental Health Nursing (8th Edition) by
Sheila Videbeck: 838-841)
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AWARENESS
What is sexual awareness?
 Encompasses our views of ourselves, as women and
men, as individuals who create & give to society in
multiple ways (may it be your role as a mother, father,
sister, etc.If you are aware of those things – your views
about yourself – it is said that you are aware or you
develop theso-called “awareness” of yourself)
FACTORS AFFECTING SEXUAL AWARENESS
1. Societal attitudes & more (the society where you are
living in whether it’s conservative or not open to
different sexual orientation, etc. we become aware of
who we are, our personality, our sexuality, etc. through
the society that we are living in and the type of country
we have; it would also influence our awareness of who we
are, ourselves and the environment that we are living in.
We all know for a fact that we live in a community or a
society which has its norms - for example: we are
accustomed that pink is for females and blue is for
males. That is the societal attitude towards color when
in fact mayda na yana ginsusulong na we should not
stereotype based on the color. Again, these are all
dictated by society whether you like it or not. It is really
there and it is deeply engrained in our society about
how we perceive men, women and ourselves.)
2. Parental views (a huge impact because it is your
parents and immediate family which has a say on you
depending on how they view things, depending on how
they view for example homosexuality. Sometimes
masiring ayaw pagtuok kay lalaki ka, basta ngani boy
kay brave iton. Or sometimes your parents would call
out your attention if there are any behaviors.)
3. Cultural practices
4. Spiritual & religious teaching (there are religions,
not just Catholicism, which views homosexuality as a
sin and all sorts of stuff.)
5. Socioeconomic status & level of education
(socioeconomic status affects your awareness about
yourself and about your surroundings. With level of
education, the more education that we receive the
more self-aware you should become. Education is
there to open your minds and increase your awareness
about things and yourself)
SEX
 Refers to the person’s inherited biological sexual
characteristics (dalawa lang talaga iyan – it is either
you are a male or you are a female based on the
chromosomes that you have such as XX and XY it has
nothing to do with your sexual identity or sexual
orientation or gender preference.)
NCM 117
FACTORS IN SEXUALITY
A. GENDER IDENTITY
 The sense of maleness and femaleness (gender is
different from sex)
 Arises within the first 18 months of life
 Develops along with the sense of being self-
separate from mother and all others (if you
remember the concept of growth and development,
there is a period in life in the growth and
development of the child when the child discovers
himself or herself as a separate being from his or
her mother and this is the time the child learns how
to function as an individual, establishes himself as
independent being , not necessarily that you’re
moving out from your home kay bata pa ito day. But
he or she realizes that he or she is a separate entity
from his mother)
B. SEXUAL IDENTITY
 How one thinks of oneself in terms of to whom
one is romantically or sexually attracted (if you
are attracted to female and you are a male, then you
are considered as heterosexual. If you are a male
and you are attracted to another male, you are
considered as homosexual. May tinatawag gihapon
nga asexual (not attracted to any sex), pansexual
and bisexual. Metrosexual – they are not necessarily
gay; for example: it is like men who loves taking care
of their bodies.)
C. SEXUAL BEHAVIOR
 Serves as psychological & physiological responses
that represent the sexual cycle (the way you
respond to stimulus, the way you think about sexual
cycle, fantasies, imagination, the way you respond to
stimulation, the way you act on it, the way you
express your urges)
GENDER DYSPHORIA
 When sex differs from gender identity (example
is conceptualism – where a person wishes to change
his or her anatomical sexual characteristics to
those of opposite sex. There are people who feels
like their man trap on woman’s body or a woman trap
inside a man’s body. And so they desire to change
their anatomical sexual features in order to
accommodate their orientation towards it. But it
does not happen overnight. Psychological
examination or test are being conducted. It needs
to be done legally. Homosexuality is considered
gender dysphoria. You are born a male and that your
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identity is that of a female.)
TRANSEXUALISM
 A person who wishes to change his or her
anatomical sexual characteristics to those of
the opposite sex (more often, people would go
for gender reassignment – it is not an easy
process because they undergo series of
psychological counseling or series of sessions
with a psychiatrist so that one can be very sure
that it is really what he or she wants. Once it is
performed on you, it will really be your
permanent gender reassignment. It is not a one-
time big time process wherein ah gusto mo yana
mag pa sex change dayon, you really undergo a
process. In the US, they have certain legalities
to consider because you will be changing your
papers as well. Series of psychological
examinations and assessment are being done
It has been considered in the past as a disorder.
before magpa gender reassignment. It is not as
easy as you think.)
HERMAPHRODITISM/INTERSEXUALITY
 The individual is born with ovarian and testicular
reproductive tissue (for example: male hiya pero
mayda niya ovarian tissue or female hiya pero mayda
niya testicular reproductive tissue)
 With ambiguous genitalia (diri mo ma decipher if
labia ba ini hiya or penis)
 A genitalia that does not match with the genetic
make-up of the person is considered intersexuality
Treatment is not based on the genetic makeup, whether
you are male or female, TREATMENT is based on the
potential to correct ambiguous genitalia, not on the
chromosomal determinants. An pag reconstruct or repair
haiya, it would not depend in chromosomal identity if lalaki
ba or babae. Kikitaon la kun ano it kaya or madali igrepair.
For example: even if it imo genetic make-up panbabae pero
mas madali naton ma create an penis, then penis an
hihimoon ha imo. Even if male it imo genetic make-up pero
mas prominent it imo pagkakamayda labia, then labia an
igreretain or hihimoon. The reconstruction and the repair
does not depend on the chromosomal identity or
determinants rather it would depend of the potential to
correct ambiguous genitalia. Depende kun hain iton mas
kaya ig repair. It is easier to reconstruct female than male
genitalia. Mas madali an pag sex change from lalake to
babae.
ORCHIECTOMY – removal of the testes)
..
NCM 117
HOMOSEXUAL IDENTITY
 Ego syntonic – the individual is emotionally
comfortable with his/her sexuality
 Ego dystonic – the individual is emotionally
distressed by the same-sex attraction (you are
geared towards same- sex attraction and you are
distressed by it)
SEXUAL RESPONSE CYCLE
1. DESIRE PHASE
 when urges come out
FACTORS THAT AFFECT INTEREST IN SEXUAL
ACTIVITY:
a. Age (If you are younger, you have the surge of
hormones and you are capable of doing such activity
easily. You really have the increased interest in
performing such activity, energy, desire and your
libido is increased. As you grow older, the desire
already lessens, your priorities change; you also lack
the energy and physiologically, for females most
especially, you already lack the lubrication. Coitus or
sex will already be a bit uncomfortable or painful. If
you are going to look for a partner, do not just base
it on sexual or physical attraction. Look for a partner
who is a good company because later on in the latter
part of your lives, you will not just be mates or sexual
partners. You will already become each other’s
company or companion.)
b. Physical & Emotional health (if you have a physical
ailment or illness, it would affect your desire to have
sex. If you are depressed or anhedonic naman, you
might have not the energy to do it. For some people if
they are anxious, tensed or stressed, they would
indulge in such activity because it helps them relieve
their tension, stress and anxiety.)
c. Availability of sexual partner (You cannot force
your partner to engage in such activity because if he
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Mr. Andre De Veyra: || Date 07/08/22
or she does not want it and you forcefully do it with diri na wi- withdraw, do not panic. Call a doctor para
your partner, then it is considered rape.) matagan ka hin muscle relaxant.)
d. Context of the individual’s life (for our stage, our
focus is different, there’s time that you will engross
much in your career, or when you have children your
focus is your children.)
HYPOACTIVE SEXUAL DESIRE – those with lessened
sexual desire
A. Testosterone – essential to sexual desire in
both men and women (normally present in both
male and female; increases sexual desire in men
and women. Testosterone increases the interest
in sexual activity in women. If testosterone is
given to post-menopausal women or for women 2. EXCITEMENT PHASE
who are having treatment for breast cancer to
slow down the rate of the cancer’s growth, it
 Sexual tension continues to increase from the
may increase the woman’s sexual desire or libido. preceding level of sexual desire (According to
According to research studies, men who are sex experts, it is important to have your
bald-headed, these are people who are oozing foreplay. In foreplay, aside fromit increases the
with testosterone. If there is oozing excitement and it builds up your sexual tension.
This is very important to prepare your partner
testosterone, there is increased libido or sexual
physically and emotionally for the bakbakan. For
drive.)
example: necking, pecking, cunnulingus and all
B. Estrogen – does not seem to have a direct
other foreplays. The female would have
effect on the sexual desire of women, but it
increased lubrication while you are having
helps in maintaining normal vaginal
foreplay which makes penetration easier later on
distensibility and lubrication (as a woman gets
when you go into it. For males, it gives you the
older most especially kun nag memenopausal na,
time to achieve an outstanding erection. It also
kulang na estrogen, lubrication is no longer that
gives you more satisfaction, both you and your
good. So, coitus may be uncomfortable, painful
sexual partner. Females takes longer time for
for the patient. However, they can still engage in
them to achieve orgasm. It would be very
sexual activity. You have to buy a lubricant like
unbecoming of a gentleman like you that you
KY jelly for lubrication. Sex may no longer be
achieve orgasm later on and you’ll leave the
pleasurable to the woman because the woman
female not achieving orgasm. That is unbecoming
already lacks the natural lubrication.)
of a gentleman. Pwedeng siya muna or pwede rin
naman kayo sabay.) So amo tun hya it foreplay ha.
You do not leave your partner without achieving
DYSPAREUNIA orgasm kay self- serving itun masyado. An imo la
kaugaringon an imo guinhuna-huna. Wrong it hya.
 Painful coitus Dapat maging mapagbigay ka. It’s either hya anay
then ikaw or sabay kayo.)
VAGINISMUS
3. ORGASM PHASE
 Spasm of the vaginal introitus (make penetration
impossible or kun maka penetrate man it will lock
 Attained during high levels of sexual tension.
inside because of the tightness of the vaginal…)
Nagbubuild-up na.
 Neurophysiological event with accompanying
Psychologically, women who experience vaginismus and
release of erotic tension. It serves as the
dyspareunia, these are women who do not submit
acme of pleasure.
willingly to their partner for sexual activity. Example
 Sumiring ngani orgasm, aada ka na at the acme
women who are victims of rape or traumatic experience
of pleasure. Females are capable of multiple
with your husband, it is against your will to make
orgasm, whereas male, it is capable only of one
love then one experiences vaginismus. Since na diri hiya,
orgasm pero depende. Sometimes 2 pero
ma contract or ma spasm an vaginal introitus to
depende hit iya endurance. Peroin every cycle of
prevent the penetration. Kun sugad hito nga nag lock or
sexual activity, the male is capable of 1 orgasm
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and upon orgasm, the male would have 5-7
propulsion per ejaculation of semen; mga 2 ml an
semen average. Paspas an pag pelvic thrust so it
would deposit the sperm higher para magkita
hira han egg cell didto ha distal third of the
fallopian tube. Some males would experience
also problems such as premature ejaculation,
itun nga diri pa nakakagform san sexual act nga
baga maiha, nageejaculate na.
4. RESOLUTION PHASE
 Sexual tension subsides; physiological
changes dissipate. The penis would become
Under this we have:
flaccid. The clitoris would be less tense and
become smaller. The vagina would not engorge
anymore. The tension would become lessened,
but pwede itun hin second na bakbakan, kay
capable it hira hin second round or more. May
ada iton duwa nga reaction: afterglow and
uncomfortably emotionally exposed (emotionally
vulnerable, it babaye nagiging emotionally
attached). Serotonin increases. The inner one
third of the vagina increases in length in order
to accommodate the penis and the outer vagina,
one third of the vagina is congested with blood
flow making it more sensitive and it tightens.
FEMALE SEXUAL RESPONSE CYCLE DIAGRAM
4 CATEGORIES OF SEXUAL DESIRE
1. Sexual Dysfunction
2. Gender Identity Disorder
3. Paraphilias
4. Sexual Disorders (not specified)
1. SEXUAL DYSFUNTION
 Disturbance in the sexual response
cycle/pain on sexual intercourse.
 Example would be some people experience
pain during sexual intercourse or dyspareunia
..
NCM 117
7 MAJOR CLASSES
1. Sexual Desire Disorders
2. Sexual Arousal Disorders
3. Orgasm Disorders
Under this also is Premature Ejaculation
4. Sexual Pain Disorders
5. Sexual Dysfunction due to General Medical
Condition
6. Substance-induced sexual dysfunction
7. Sexual Dysfunction otherwise not specified
1. SEXUAL DESIRE DISORDERS
 Hypoactive Sexual Desire Disorder. That
is, the client has the deficiency or absence of
sexual fantasies or desires or sexual activity.
Common in people who are highly religious that
they view sexual activity as dirty. There are
different factors affecting this. For example,
at our age, nadecline na it hya kay masyado mo
na na dri gin-iisip (the sexual activity) and you
don’t really think much about it. At your age
in high school, maybe you still think of it, for
some, thinking about sexual fantasies. You still
have the sexual urge, but when you reach
about our age, medyo nastart na ito hya
pagdecline. Waray tun problema ha am na mga
celebate kay declined na talaga itun, agi dao
pastilan Ginoo, nagdecline na, warai la gehapon.
Hypoactive, you just lose the desire.
 Sexual Aversion Disorder. It is the
avoidance of sexual or genital contact with a
sexual partner or even masturbation. Aversion,
talagang ayaw mo. Found in people who are
religious, victims of sexual abuse.
2. SEXUAL AROUSAL DISORDER
5. SEXUAL DYSFUNCTION DUE TO GENERAL
 Female Sexual Arousal. Persistent or
recurrent partial or complete failure to attain
or maintain lubrication & swelling of the clitoris
and labia. Diri ka nakaka-attain hin lubrication
ngan swelling of your labia
 Male Erectile Disorder. It’s also known as
Erectile Dysfunction and Impotence. Brought
about by medical condition such as diabetes for
male, an iba because of atherosclerosis.
3. ORGASM DISORDERS
 Female Orgasmic Disorder, which is inhibited
female orgasm or also know as Anorgasmia
(absence of orgasm). Recurrent and persistent
inhibition of female orgasm.
 Male Orgasmic Disorder. Inhibited orgasm
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Mr. Andre De Veyra: || Date 07/08/22
or Anorgasmia or Retarded Ejaculation,wherein
the male may never ejaculate during coitus. It
may be acquired if there are interpersonal
conflicts and issues. Under this also is:
PREMATURE EJACULATION
 You ejaculate even before the sexual
activity comenses and this could be
frustrating for both parties, the male and
female.
 For males who have premature ejaculation,
there are trainings and excercises which
could be done. Some sexual experts would
even suggest that if a male has a partner, a
wife or a girlfriend, he should be involved in
the therapy. If you want it to last longer, you
masturbate either on your own or you partner,
magmasturbate, if he feels like he is about to
ejaculate or orgasm, you will stop it or hold
the penis tightly or squeeze it, just to delay
the ejaculation. If the feeling subside, you
start again the masturbation, then repeat
process. It’s not the nurse who does it to the
client. Until such time that the client will
develop control in terms of ejaculation.
Because in clients with premature ejaculation,
it can be distressing or disappointing on the
part of the client as well as on the partner.
4. SEXUAL PAIN DISORDERS
 Dyspareunia - Pain during intercourse.
 Maybe associated with vaginismus.
CONDITION
 For example, CV, neurologic or endocrine
disorder such as Diabetes Mellitus.
6. SUBSTANCE-NDUCED SEXUAL
DYSFUNCTION
 Distressing sexual dysfunction, which occurs
within a month of significant intoxication and
withdrawal.
 Alcohol pag nasosobran is considered as downer
(?). Male who are intoxicated would have
difficulty achieving erection and ejaculation. An
iba they achieve erection but an ejaculation
maiha.
NCM 117
7. SEXUAL DYSFUNCTION OTHERWISE NOT
SPECIFIED
 E.g. those who experience physiological
excitement & orgasm but with no erotic
sensation, disorders of excessive sexual
desire. You keep thinking about it. It impedes
your day to day activity. Nymphomania - a woman
who is always thinking about sex or always wanting
to have sex. Satyriasis - excessive or abnormal
sexual craving in the male. Most persons having
this excessive sexual desire are those who have
compulsive masturbation, excessive desire of
coitus, etc.
POSSIBLE CAUSES
a) Physiological Changes. Example: when
you have existing medical condition. That
as you grow older, you will experience
different physiological changes and physical
changes which may affect your sexual
response.
b) Interpersonal Conflict
c) Combination of Both.
2. GENDER IDENTITY DISORDER
 Strong & Persistent cross gender
identification.
 If it is severe and intractable, sex
reassignment may be an option. As early as 2-
4 years old, some children may have cross
gender interest. Natural ito ha 2-4 years old
an cross gender interest, it is normal you don’t
have to be alarmed because they are learning
the task and the role of the opposite sex and
only a few percentage of this continue to
adulthood . Nagmumulay hin Barbie, nagluluto-
luto at some point, pero lalaki itun ha, pero it
does not necessarily mean na bayot itun,
because remember itun sya na lalaki is just
learning the role of the opposite sex.
Nagmumulay sin balay-balay, and Barbie at
some point. Psychotherapy is needed prior to
the sexual reassignment for 2 years or more.
So ano man an procedure? Para ha male nga
gusto maging female, bilateral orchiectomy
(tatanggalon an imo testes), penile amputation,
and creation of an artificial vagina. Igbibilin
gehapon an mga sensitive tissues dida han glans
penis para makakafeel pa hin arousal and
excitement. Male would take estrogen,
synthetic estrogen. Female to male: you take
androgen. For female naman na gusto mo
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maging male, bilateral mastectomy
(tatanggalon an breast), optional an
hysterectomy (tatanggalon an uterus) with
oophorectomy, tapos an clitoris ig-eelongate
para hiya a bit longer pero dzae sugad la hya
kahilaba pero highly sensitive hya ngan erectile.
Capable hya of erection and arousal when
stimulated. Remember, people do not decide
voluntarily what arouses them sexually rather
in maturing, they discover their own sexual
orientation or interests. For the management
here is cognitive and behavioral therapy. So as
the person to help learn their sexual response
pattern that will eliminate the need for the
activity that is causing the problem.
ABNORMAL SEXUALITY
Abnormal Sexuality or Sexual Abnormality
 Sexual behavior that is destructive to self
or to others; that is not directed towards
partner; or that excludes stimulation of the
genitalia. Ano man ini hya na mga example, this
is what we call your paraphilias.
3. PARAPHILIAS
 Diagnosed if the deviant behavior replaces
normal sexual behavior or becomes an
integral part of a normal sexual behavior;
without it, sexual behavior is not performed.
(Abnormal behaviour becomes an integral part
of sexul act, that it would be not completed if
it is not employed, that is abnormal / kung
waray ito na deviation from normal, sexual
behavior will not be perfomed) Examples:
o Sexual Urges & Sexually arousing
fantasies which involve:
a) Non-Human Objects. Attracted ka ha
stilletos, ha velvet, hatchery, ngan iya
animals. Pagkita mo ha ayam,
nagwagwapuhan ka. Bagan gusto mo hya
maging sexual partner. Nadiri ka
makipagsex kung warai ito.
b) Children or other Non-Consenting
Persons. Nakita ka hit bata, okay la itun
mayakan ka “Hala kacute hit baby,” pero
kung sexually attracted ka na, ada that is
already abnormal. Masiring ka “hala kahot
man hini na bata,” abaadaw, tawaray kita
hinin. Pero kung hi Sir Andre maruyag hin
taga-Ruby, dri itun pedophilia kay dri na
kamo bata.
..
NCM 117
c. Suffering or Humiliation of oneself or one’s partner
 Sadism or masochism, these are abnormal
Under Paraphilia are:
1. PEDOPHILIA
 A psychiatric disorder which an adult or older
adolescent experiences exclusive sexual
attraction to prepubescent children (13 years
old) and below.
 A person must be 16 years old or at least 5
years older than the prepubescent child. Kasi
for example, 12 years old hya nga naruruyag hin 7
years old or 8 years old, dri pa itun hya considered
as pedophile, kasi kailangan 16 years old hya para
hya maqualify as pedophile. 16 years old or 18
years old attracted to a 7 year old or 8 year old
child; that is pedophilia. Kasi it iyo kasi ginhuhuna-
huna han pedophilia, mga lagas nga naruruyag hin
bata, dri, it’s not that. If as early as 16 years old
or 17, you can already be considered as pedophile
if you are sexually attracted to 5 years younger
than you. Prepubesecent, 13 years old; kay kun
naruruyag hiya hin 18 years old, dri na itun
pedophilia kay dri na prepubescent an 18 yearsold.
2. INCEST
 Sexual attraction between family members
and close relatives (consanguineous
relationship)
3. EXHIBITIONISM
 An act of exposing the genitals or other
private parts of the body; different from
nudist.
What are you going to do?
 Ignore. Leave the area as calmly and quickly
as possible
 Stay away from the person
Darling, basta ngani may-ada exhibitionist diri ka ito
nafreak-out. Kay-ano? Because they love the reaction.
They’re doing it not because of sexual pleasure, they’re
doing it because they get the excitement from the
reaction of the person na ira ginpapakita. Do you get me?
Kun nakita hira haimo na na freak-out, the more that they
love it. Kay naka elicit gud ako ini sugad na reaction. So,
it imo talaga ini, do not react, leave calmly as possible and
quickly as possible. Stay away atleast 6 meters.
*Nagstory hi sir about han ira na experience han
college may nagmiminasturbate ha rtr ha may Bethany
pa ha may covered walk.* Okay, so under your
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Mr. Andre De Veyra: || Date 07/08/22
exhibitionism is your telephone scatolgia. shirt or bra or the exposure of man’s or
woman’s genitalia.
3 A. Telephone scatolgia
3 F. Martymachlia
 Obscene phone calling to an unsuspecting
person.  A paraphilia which involves sexual attraction
to having others watch the execution of a
Yana n aiyo panahon diri naman ito uso it sugad kay
sexual act.
waray naman landline, pero an amon talaga mayda kami
sugad iton. Mayda kami landline an highschool pa kami, It also happens in the internet and sometimes nagiging
mayda talaga ito nananawag in the middle of the night. income generating gihap ini hira. Diba mayda so called live
Ng- uuroimbento la gihap ito hira hin telephone show, you get more excited when you know that someone
number tas pagtatawag nira, kun hino ngan it or people are watching you and you love to do it. So that
makabaton hala kay nagmuro-moan moan, baga kunuhay is called the martymachlia.
nakikipag phone sex. So, that’s phone scatolgia under
exhibitionism. 3 G. Mooning
3 B. Internet sex  The display of bare buttocks by pulling down
the trousers and underwear. Done for the sake
 Use of interactive computer network to
of humor or mockery.
compulsively send obscene messages in
electronic mail and to transit sexually 3 H. Reflectoporn
explicit messages and video images.
 The act of stripping
Iba ini na estorya if you’re doing it with your partner, kay
and taking a photography
diba it iba ldr so they would have this intimate
using an object with a
interaction through the use of internet. Ini hiya kay iton
reflective surface such
na basta basta ka nala nahatag, nagpipinansend hin
as a mirror and posting it
picture na nude to people, random people and that is
in a public forum.
abnormality. Do you get me? Not unless aruan ka, charot.
You know it is very rampant nowadays, and sadly, even It iba magpipicture hira it takuri ngan nakikit-an ito hira
some people would resort to it as a source of living. I ha reflection nga nude. Ngan mayda kunohay spoon,
watched the news in kmjs, they are already performing in magpipicture it spoon ngan igzozoom nimo, makikit-an
the covid 19. Some people already performing it live nimo nude ngay-an an nagpipicture. Amo ngay an it ira aim,
through the internet kay nakakakuha kuno hira hin dako and that’s what you called reflectoporn.
na coverage ngan mayda talaga kuno income na nakukuha
3 I. Streaking
hira. Okay, so syempre some people would resort to it
kay nag close naman an mga bar asya dida nala hira
maperform ha internet.  The act of running
naked through a public
place.
3 C. Anasyrma
 The lifting of the skirt when not wearing 4. TRANSVESTISM
underwear, to expose genitals.
 Sexual satisfaction from
3 D. Candaulism
dressing in a manner
 A person exposes his/her partner in a sexually traditionally associated
provocative manner. with the opposite sex.
 More common in men.
Diri ini tim self tim gin-eexpose, tim partner tim gin
eexpose and you show it to others. So an lalaki, nagsusurosul-ot hin nighties, gown ngan
makikipagsex because they get sexual satisfaction
3 E. Flashing from it, they dress like a woman while performing it.
 The momentary display of bare female breasts
by a woman with an up-and-down lifting of the
8
 12: Sexual Disorders NCM 117 12: Sexual Disorders NCM 117

Mr. Andre De Veyra: || Date 07/08/22 Mr. Andre De Veyra: || Date 07/08/22

It usa hiton zoopilia is:

5. FETISHISM
 Sexual fixation on a
non-living object or
non-genital body part.
 Fetish – refers to an object
 Fetishist – person who
has a fetish.
 It is considered pathological if it causes
psychological distress for the person or
has detrimental effects on important areas
of their life.
Pareho ini ha picture, mayda niya fetish ha shoes ha
mga high-heels. It iba mayda fetish ha velvet na
nakaka-feel hira hin arousal if they hold or touch a
velvet. Amo ito hiya it mga fetish.
6. VOYEURISM
 Viewing other people in intimate
situations
(naked etc.)
For example, if a person is naked, having an
intimate sexual time with his/her partner tapos
ikaw nagpipinanhiling ka kay you are a voyeur.
7. SEXUAL SADISM
 Achievement of sexual satisfaction from the
physical or psychological suffering (including
humiliation) of the victim.
So, an imo partner imo ginpapasakitan na kailangan
ginlalatob mo it imo partner, kailangan imo lalatiguhon,
ighihigot. Agi diba nagkita na kamo han fifty shades,
nagkita na kami ini ha sinehan kami ni maam Berna pascual,
siring ko mana sige daw kitaon ta kun ano ito kay mayda
sexual sadism and masochism. May-ada talaga sugad hito na
paglalatiguhon ka, hihiguton ka, kun ikaw ito recipient of
the pain inflected on you, you are called the masochist
ikaw an receiver. If you are at the receiving end and you
like it, you are the masochist. If you are the one inflicting
pain you are sadist. An sadism ikaw an nagpapasakit haim
partner. An masochism ikaw an recipient and you love it.
8. SEXUAL MASOCHISM
MANAGEMENT
9. HYPOXYPHILIA  Beastiality – naruruyag ka pag kinita ha
mga animals nga nag hihimo sexual act. If  Cognitive and behavioral therapy (So, you
 Desire to achieve an altered
you read a literature, diri masyada iton
have the person to learn for new sexual response
state of consciousness pattern that will eliminate the need for the
differentiated it zoophilia ha beastilaity.
secondary to hypoxia while activity that is causing the problem.)
Pero I remember in one literature sabi, a
having orgasm. zoophilia is when you love having sex with  Psychodynamics. Psychodynamics techniques
 Nitrous oxide is sometimes used. an animal. Beastiality naman is you love or desires to help the client understand the origin
you are attracted to animals having sex. of the paraphilia, where is this coming from.
The most practical na ginagawa nila, ginpuputos an ulo hin
Naa- arouse ka if mayda sugad iton. Because you see, based on study, based on
cellophane because they achieve orgasm better and they
research, people obsess with sex, nymphomaniac
feel better, it elevates the sense of pleasure to a higher (female), satyriasis (male) has excessive desire
13. UROPHILIA
level if they experienced hypoxia. Weird daw adto ano for sex and usually expulsive masturbation, this
haim partner kay puputson an ulo ha cellophane, nagsesex  Sexual activity that involves urinating on are people who experience abuse when they are
la napaputos pa it ulo hin cellophane kay mayda ngay an still children that it maybe the source of the
one’s partner or being urinated on.
hypoxyphilia. paraphilia. They were victims themselves of
sexual abuse when they were children. So,
14. COPROPHILIA psychodynamic will help the client understand
10. NECROPHILIA
the origin of the paraphilia.
 Abnormal interest and sexual pleasure in - Psychotropic agents. May be used to treat
 Obsession with having a sexual
feces and defecation. the clients who’s acutely or dangerously
encounter
compulsive.
with a
cadaver. 15. FROTTAGE
PHARMACOLOGICAL MANAGEMENT
 The practice of
May-ada ini sugad, gin news ini actually an una ha 1. Progestin derivatives – helps in
magandang gabi bayan. Ito nga iya ginbabantayan an mga touching or rubbing
decreasing libido
bag-o nga lubong, ngan it bag-o na lubong iya huhukayon against the clothed
a. Medroxyprogesterone acetate (MPA)
ngan magsesex anay hira ito na bag-o na lubong. Commonly, body of a person in a
an male an perpetrator ngan an ginlubong na mga bag-o na
b. Cyproterone acetate (CPA) – helps
crowd as a means of
babaye an ginsesex. Ngan mayda gihap adto usa nan aha in decreasing libido
obtaining sexual
news ha tv, parag balsamar hiya ngan mayda ngani niya type 2. SSRI
gratification.
na mahusay, iya anay lalabtan an minatay na mahusay. So, 3. Fluoxetine – for exhibitionism,
Diba, ang dami nyan, LRT, MRT , hala
mayda ito sugad, sakit ito day hain naattract ka hit patay. voyeurism, pedophilia, etc.
magkukurokoskos hira haimo diba kun nakasakay na
Necrophilia it tawag hiton. 4. Clomipramine and Fluxoxamine (Luvox) –
kamo hin lrt/mrt. *Nagstory hi sir an nakadto hira ha
for sexual obsessions, addictions, and
paxeroxan an iya mga student nag papaphotocopy
11. PARTIALISM rape paraphilias.
may ada lalake ha ira luyo tapos he was rubbing
 Concentration of himself against ha student na female tapos talaga Aside from the drugs that I mention because those are
pa hiya nakukontento, mayda period na an iya penis just used to control the urge, to lessen the libido but
sexual activity on
pero nakabado ini hiya ha, iya gintutungod ngadto han psychotherapy and psychodynamics is very important.
one part of the
butt han amon studyante. Tapos nagpe-pretend This are people who needs psychiatric help. They need to
body to the
kunohay hiya na naghuhuot or may naagi, ada kay be clearly identify first if where is it coming from. Does
exclusion of all
ginsaway ko gad. Siring ko uy ano tim problema, naano this come from previous experienced of sexual abuse
other parts.
ka, ada katapos adto na ginconfront ko hiya naghinay- as a child? So that you can help the person, you can
Iton imo asawa attracted la hiton sidngon naton imo tuhod,
hinay na hiya paglakat. May hitsura ha an lalaki, correct the person. Psychodynamic is helpful and
haimo hita ngan dida la hiya nagcoconcentrate. Unfair ito
professional looking, nakabado hin maupay ngan psychotherapy.
kay siring pa asiha gad tak pekpek ayaw tak hita pagfinocus.
nagsusugad hiya. Nagstop la ito hiya an gincall ko an
Diri kay ngada la hiya na focus, ngan partialism it tawag
iya attention.
hito.

 Sexual satisfaction achieved when 12. ZOOPHILIA

humiliated, beaten, bound or otherwise made
to suffer.  A paraphilia involving a sexual fixation on
non- human or animals.

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