Psychosexual disorders are conditions that affect an individual’s sexual thoughts, feelings, and behaviour. The incidence of psychosexual disorders increases with age, and this can have significant implications for the sexual health of older adults. In this essay, we will discuss psychosexual disorders in old age, with a focus on sexuality in physically ill/disabled people and sexuality in institutionalized elderly.
Sexuality in physically ill/disabled people Sexual problems can occur in physically ill or disabled people due to factors such as pain, fatigue, medication side effects, and changes in body image. Chronic illnesses such as Parkinson’s disease, stroke, and cancer can also have a significant impact on sexual function. For example, Parkinson’s disease can cause sexual dysfunction such as erectile dysfunction and decreased libido, while cancer treatments such as chemotherapy and radiation can cause sexual problems such as vaginal dryness and pain during intercourse. In addition, physical disabilities such as spinal cord injury can cause sexual dysfunction due to the loss of sensation and motor function in the genital area.
Sexuality in institutionalized elderly Older adults who live in institutional settings such as nursing homes may also experience psychosexual disorders. The institutional environment can create barriers to sexual expression, such as a lack of privacy, limited opportunities for social interaction, and staff attitudes that are not supportive of sexual activity among residents. However, research has shown that sexual activity and interest in sexual activity do occur among institutionalized elderly and that these individuals may benefit from sexual health education and support to help them maintain their sexual well-being.
Psychosexual therapy can be an effective intervention for individuals with psychosexual disorders. This type of therapy involves working with a therapist to identify and address psychological factors that may be contributing to sexual problems. Techniques used in psychosexual therapy may include cognitive-behavioural therapy, mindfulness, and sex therapy.
It is essential for healthcare providers to recognize the importance of sexuality in the lives of older adults and to address psychosexual disorders in this population. Healthcare providers can facilitate discussions about sexual health and provide resources and referrals for psychosexual therapy when appropriate.
In conclusion, psychosexual disorders can have significant implications for the sexual health of older adults. It is important to recognize the impact of physical illness and disability on sexual function and to address barriers to sexual expression in institutional settings.
Psychosexual therapy can be an effective intervention for individuals with psychosexual disorders, and healthcare providers can play a critical role in promoting sexual health and well-being in older adults.
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