Case Study Counseling Plan Essay

4194 Words May 2nd, 2014 17 Pages
Case Study Counseling Plan u08a1 Assignment
Brenda J. Owens
COUN 5225 – Human Sexuality

Abstract The case study of Sara and Amy was selected to develop a counseling plan. This couple is in a lesbian and bi-racial relationship, Sara is Caucasian and in her early thirties and Amy is African American and in her late thirties. This couple has lived together for 1year and resides far away from both of their families of origin. Both are employed, however Sara recently lost a good paying corporate position and now maintains two lower paying jobs with longer hours. This couple is seeking counseling for Sara’s persistent lack of interest in sexual relations with her partner Amy. The purpose of this paper is to assess
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Sexual dysfunctions typically occur in the desire phase, arousal phase, orgasmic phase (McCabe, 2005). When a sexual dysfunction occurs in a specific stage of the sexual response cycle, it may cause interruption or further dysfunction in the subsequent stages. For example, if the sexual dysfunction impacts the orgasm phase individuals will likely be unable to reach orgasm without first reaching arousal (McCabe, 2005). Sexual dysfunctions, as cited in Sewell (2005) that impact the first stage of desire of sexual activity include the lack of libido, or Hypoactive Sexual Desire Disorder (HSDD) and Sexual Aversion Disorder (SAD). Both Sexual Desire Disorders and Sexual Arousal Disorders can have a multitude of causes such as distractions, aging, fatigue, psychiatric conditions, illness, medication, and sexual anxiety (Basson, 2001). Sexual dysfunctions can significantly impact an individual’s self-esteem, and cause other psychological problems, such as depression (World Association for Sexual Health, 2008). There are many factors that can contribute to sexual dysfunctions such as health problems, sexual trauma, poor body image, dysfunctional beliefs about sex, or performance anxiety (World Association of Sexual Health, 2008). Factors such as values, religious beliefs, stress and performance anxiety can also

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