Abstract: |
The psychological manifestation of ED often includes performance anxiety and may lead to high levels of distress and damage to self-esteem and manhood. If unchecked, this may have significant implications for patients’ sexual and intimate relationships and broader psychosocial functioning. The assessment of ED should therefore identify any psychological (patients’ and their partners’) and interpersonal factors that may be contributing to ED etiology as well as potential sources of resistance, non-adherence, or treatment dropout. Gathering this information will help the clinician identify potential barriers to treatment, which can then be addressed early to optimize pharmaceutical treatment and restoration of sexual function. Rather than focusing solely on ED symptoms, clinicians should address the impact of ED and treatment on the broader sexual experience for men and their partners using direct, non-threatening questions Alternatively, the clinician may use brief self-report questionnaires to introduce the topic of ED or screen for depressive and anxiety symptoms. The clinician may want to include partners in the assessment or treatment stages. It is beyond the scope of clinicians treating ED to address long-standing psychopathology or disordered personality traits, though assessment of these factors will give insight into potential psychological and interpersonal causes of ED. Referrals may be used to address broader psychological or relationship problems. © 2017 John Wiley & Sons Ltd. |