Symptoms include decreased desire, difficulties in sexual arousal; problems with penile erection, vaginal lubrication and orgasm; and reduced sexual satisfaction. The most frequent complaints in clinical practice include orgasmic and erectile difficulties in the short term and decreased desire in the longer term. 

Symptoms of sexual dysfunction for patients with psychosis under medical treatment

Sexual dysfunction is common during short- and long-term treatment with antipsychotics, and is associated with a considerable impact on quality of life in adult and adolescent patients.

Pepperdine University

Although the sexual behavior of those with disabilities is often stigmatized or ignored by the public, studies have shown that those with disabilities generally still experience the same physical, sexual, and romantic desires that those without disabilities experience.

Disability and Sexuality

Montejo, A. L., Montejo, L., & Baldwin, D. S. (2018). The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management. World psychiatry : official journal of the World Psychiatric Association (WPA), 17(1), 3–11. https://doi.org/10.1002/wps.20509

The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management

Disabled and sexual-embodied subjectivities are much more than ‘asexual’ or ‘hypersexual’ pathological constructions. A greater attention to the
phenomenology of sexual embodiment, pleasure, desire, and the diverse meanings of
intimacy and the erotic can make significant contributions to social and scholarly analyses of disability and sexuality.

Disability and sexuality: Desires and pleasures

Two specific themes emerged in the literature: psychological theories that describe the
impact of disability on sexuality and theories about disability and sexual
identity development in members of the sexual minority (lesbian, gay, bisexual) community.

Psychological Theories of Disability and Sexuality: A Literature Review

Media including movies and books for disability and sexuality can be found in the child nodes below.

Media About Disability and Sexuality

People diagnosed with psychotic disorders often have unmet needs relating to sexuality and intimacy, which impact negatively on recovery and the ability to lead a fulfilling life. Psychosis tends to be a barrier to the expression of sexuality and intimacy

Influence of psychosis on sexuality

Influence of treatment of psychosis on sexuality

Switching to another antipsychotic medication,  have been preferable in managing many patients with treatment-emergent sexual dysfunction. Compounds with a lower frequency of sexual dysfunction should be considered as potential first-line options in psychotic patients with an active and satisfactory sexual life.

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