Salman Farsi University, Iran
Sometimes two or more disorders might co-occur or might have common symptoms. For instance, sexual thoughts can be associated with Obsessive-compulsive disorder. This study is a case report of exposure and ritual prevention and aversion therapy. The client was a 30-year-old client, white, male, who complained about erectile dysfunction and homosexual obsessions. He had a history of homosexuality and at the moment had changed his sexual orientation. He lived with his wife (female) and had difficulties with his sexual arouse. Obsessive-compulsive disorder symptoms involve unwanted thoughts about sexual relationship with other men and avoidance of situations where other men are present. It leads to depression and marital distress. The client received seven sessions of exposure and ritual prevention and aversion therapy. To investigate the effectiveness of treatment, Yale-Brown Obsessive Compulsive Scale, Hamilton Depression Scale (1960), Quality of Life Satisfaction Questionnaire, and self-monitoring were used. As a result, Cognitive behavior therapy was effective in reducing Obsessive-compulsive disorder and improving the mood, quality of life, and satisfaction of sexual intercourse with his wife.
Cognitive behavior therapy, Sexual obsession, Obsessive-compulsive disorder, Erectile dysfunction, Homosexuality