Disfun??o sexual em psiquiatria: há lugar para a psicoterapia?

摘要

Sexual dysfunctions (SD) are often associated to psychiatric disorders, either as part of thepsychopathology, or as adverse effect of psychotropic medication. When sexual complains aresecondary to the clinical condition, it is expected to remit with treatment. Substance-inducedsexual dysfunctions, on the other hand, tend to persist, even after pharmacotherapy is over,with deleterious impact in sexual function. Therefore, it is plausible to affirm that a significantnumber of patients in psychiatric settings, and even a relevant percentage of the generalpopulation, will be exposed to the deleterious effects of psychotropic medication in sexualfunction1. These problems deeply affect patients’ and partners’ sexual satisfaction, threateningrelationship stability and partnership-related quality of life aspects. It also negatively impactspharmacotherapy adherence, thus affecting therapeutic outcomes.