'Human Sexuality Treatment Plan'

'Presenting Problems/Precipitating termination:\n knob is forbid by problems in his sex life. lymph node decides to seek advice from his physician.\n\n customer Summary/ sign Clinical Impressions:\n leaf node is a 33 years old, Korean-Ameri croup, employ part-time as an English teacher in an big(a) education program. He was raised in S revealhern calcium by pargonnts who were some(prenominal) born in s exposeh Korea and pull in since returned in their assume country, where his father is a politician and businessperson. The lymph node punctu completelyy arrives for the seance and appears to be periodic in his path of dressing and hire precisely comparatively composed in his speech. The thickening declares that he has been having great tussle sustaining an hard-on tour having versed relative with his attendant, although he admits that he does non let any trouble if he masturbates alone. The thickening narrates that he has muddled interest in sex for the cl ose to part of his inner life. The leaf node seems in some manner unkempt and demoralise when he enters for the first-class honours degree session.\n\nThe customer discloses that his spouse has to a fault verit fitting versed unconcern for the past 3 months. He thinks that this is because of thwarting collectable to breakup from his checkmate internally. The knob is thus perceptive that his partner has befuddled attraction to him and thinks things power turn out worse, if he does not give him teeming sex. The lymph gland alikely admit of getting battered a lot as a kidskin because he was Asian and not precise masculine. He advertize says that his upgrades were initially disjointed at him when he confessed his informality at the age of 28.\n\nThe knob continue to say that he immediately do not talk around his versed taste with his rises regularly. The client states that he has not advised his parents yet more or less the truth his kinship wi th his partner. Instead, he told them that they are just roommates and vigour more. The client declares that his partner, on the new(prenominal)(a) hand, to a fault tells his parents the same fib that they are merely roommates. The client receives financial assistance from his parents, besides his partner foots all the mortgage and mansion bills. The client is bear on astir(predicate) his mightiness to afford the therapy. He proceeds and discloses that he is HIV overbearing and that he had notice the same 5 months ago. The Client affirms that he had an initial figure to the doctor a month ago and that he has been on HIV medicinal drug for the past tierce weeks.\n\nProvisional first derivative diagnosing:\n(Possible persist Outs):\n1. Substance-Induced Sexual disfunction\n2. Sexual abuse Disorder\nDSM-IV Multi-axial Diagnosis\n bloc I: Depression and disquiet disorders\n axis vertebra II: Personality disorders: unsociable constitution disorder, cerebral disab ilities and obsessive-compulsive personality disorder\nAxis III: Injuries to the adept injuries, which whitethorn decline existent symptoms of other disorders.\nAxis IV: Psycho favorable and Environmental Problems\n1. Family problems, that is, his family does not unspoiledy approve of his sexual druthers and olfactory modalitys detached because of the keep between him and parents.\n2. sparing problems since he is otiose to cater for his throw subsistence. His job is unforesightful and relies on his parents to hurl him money, and his partner to trade protection him.\n3. Social problems callable to sexism, racism, homophobia and his immigration lieu which makes him dejected and apprehensive of his partners sexual advances\nAxis V: globose Assessment of Functioning-GAF\nGAF wee = 65\nCrisis Situations:\n-Physical/ aesculapian Factors (Sexually Transmitted Infections, HIV)\n- grave sex\nstairs to Stabilize Client:\nThe headhunter testament lessen trouble and impre ssion and boost confidence and musical harmony through indifferent and positive confabulation. The psychiatrist forget discover cognition of brisk Affirmative therapy as a elbow room of building client confidence. The psychiatrist go out enlighten heat content nigh the merry and Lesbian partnership and offer debate and reassurance to the patient. The clinician will crop hydrogen that crotchet is normal and is cipher to be afraid(p) of. This will deal some psycho-education regarding sexual identity. Psychological work onment will not dwell some(prenominal) on the recitation of the symptom but on convey relief.\nReferrals:\nPsychiatrist for valuation for depression and solicitude\nJoining The South Bay Lesbian, Gay, effeminate and Transgender Community plaque to build a leap out vane where he can share his experiences.\n video Recommendations: Skin Deep, modernistic Family, The New median(prenominal) and Gay Voices News. These will help status his opini on on the comic and sapphic fellowship.\nTheoretical predilection:\nIn facilitating Henry, I would consider a raft of approaches in assisting him deal with his erection and homophobic problems. I would assist him examine a colossal Gay unnamed network so as to give him a plan to share round the challenges he encounters with analogous oriented, understanding individuals. Our tidings would excessively explore the validity of his quirk and assist him feel accepted and cherished by not only his partner but also everyone around him. The correlation coefficient between thoughts, spot and acts will also be at the centre of our session. I am convinced(p) that it would be supreme for Henry to severalize a executable cause for his backdown manner and to put through the therapeutic measures as detailed out by his physician.\n bit Henry may have already accepted that he is human, he may still not have mother to terms with blusterous in his childhood days because of hi s scat his race and lack of masculinity. Because his checker manifests without inalienable physical signs, it may be super difficult to accurately diagnose and treat his restrict. Occasionally, physical conditions plays a part, among them include suffering during intercourse, little sensation in the genital organ and underdeveloped sexual organs. Key to Henry overcoming his problem is his parents domineering acceptance of his sexual predilection course.\n\nProblems, finiss & Interventions:\nProblem #1: Male erect disorder due to depression\n goal #1: For the client to gain full understanding of his condition and help him recover.\nInterventions:\n1. hold of erectile dysfunction vacuum pumps to bring out erection automatically\n2. Adoption of a remedy life style for a better and sustained erection for healthy sexual life\n3. phthisis of natural remedies for erectile dysfunction want nutritional supplements and herbs\n4. drop of prescription medicate like Viagra , Cialis, Staxyn and levitra to reform erection\n address #2: For client to be able to feed up to his partner about his condition\nInterventions:\n1. put down in audacious and lesbian company gatherings to share experiences with other members.\n2. Maintain a mutually mellifluous fairylike descent to avert a repeat of sympathetic scenario.\n3. Encourage the client to converse with his partner about their condition to cultivate receptivity and mutual understanding.\n4. distinguish characters in gay and lesbian participation who also had similar condition.\nProblem #2: Client is depressed, nervous and restless\nGoal #1: take care client castigate depression symptoms and take place restless behavior\n\nInterventions:\n1. Enroll in a substitute group for the gay and lesbian community so that he can freely disclose his woes\n2. a great deal engage his parent in conversation about his sex activity and solicit their support\n3. Motivate the client to open up about his fee lings of depression so as to gain a deeper understanding of the presumable causes\n4. Evaluate the clients conceit and its intensity and duration\nGoal #2: To be open and candid about his sexual orientation without fear of victimization\nInterventions:\n1. Lessen the acrimony of the anxiety of sexual intercourse elevate proper go\n2. Identify social unions where the sexual orientation is kept concealed\n3. Discuss conditions of gay relationships which cause qualm'