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Clinical management of sexual difficulties in psychiatric patients


Speaker: Michal Lew-Starowicz


Content and Aim

People suffering from mental disorders commonly face sexual difficulties such as sexual dysfunction, out-of-control sexual behavior, sexual identity concerns and problems within sexual relationships. Counseling and sexual therapy may be especially challenging in these patients as sexologists usually don’t have enough expertise in approaching mental health conditions while psychiatrists and psychologists are lacking expertise in sexual health issues. Safety concerns related to psychiatric condition may additionally complicate decisions on therapeutic interventions.

The aim of the webinar is to present a step-by-step perspective of the assessment and clinical management of patients showing with sexual difficulties that may be related to dysregulation of emotion or control over sexual behavior, sexual self-image or the impact on psychopharmacological treatments. Instructive cases will include patients with affective, psychotic or personality disorders and other co-morbid conditions that affect sexual functioning. Diagnostic challenges and treatments will be thoroughly discussed. The participants of the webinar will be guided on:

  • Understanding the mechanisms of sexual difficulties related to mental disorders and their treatments
  • How to assess the impact of disease-specific and iatrogenic factors on sexual wellbeing
  • How to formulate effective and safe treatment strategies
  • Evidence-based interventions in the treatment of sexual dysfunction in psychiatric patients
  • Holistic approach to sexual and mental health concerns

Biography of  Michal Lew-Starowicz

Michal Lew-Starowicz is Medical Doctor, Associate Professor and Head of the Department of Psychiatry at the Centre of Postgraduate Medical Education, Warsaw, Poland.  He is also Associate Professor at the Institute of Psychiatry and Neurology, Warsaw, Poland, and Visiting Professor at the Department of Psychiatry, Social Psychiatry and Psychotherapy at the Hannover Medical School (MHH) in Germany.

Since beginning of his scientific career Michal Lew-Starowicz was involved in interdisciplinary studies integrating somatic diseases, mental disorders and sexual functioning. His recent research interests include compulsive sexual behavior with focus on the neuroimaging and pharmacological studies. He has published papers, books and book chapters, as well as educates physicians, psychologists, psychotherapists and nurses in psychiatry and sexual medicine.

Michal Lew-Starowicz is a Fellow of the European Committee of Sexual Medicine and a supervisor of sexual therapy certified by the Polish Sexological Society. He works in the field of sexual medicine with both men and women with sexual dysfunctions, couples and with transgender care. He leads an interdisciplinary team at the Lew-Starowicz Therapy Centre in Warsaw, Poland. Michal Lew-Starowicz is a member of the Editorial Board of the Journal of Sexual Medicine and the ESSM Scientific Subcommittee of Female Sexual Health and Dysfunction.

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