ABSTRACT
This chapter explains female orgasmic disorder. Women with mood disorders have been shown to consistently demonstrate lower levels of sexual functioning in all phases of the sexual response cycle compared to normal controls. Orgasms are important to sexual satisfaction, this lack of distress may be associated with the expectation among women that they will not consistently experience orgasm during partnered sexual intercourse. This overlap between the sexual response phases has implications for treatment is discussed later in this chapter. Intersystemic evaluation of anorgasmia in women should include a detailed psychological, relational, social, and medical history. In order for treatment approaches to address the psychological factors that contribute to anorgasmia, it is important to have a clear understanding of the manner in which they contribute to this sexual dysfunction. All the components of therapy-counselling, the use of fantasy, sensate focus, and communication exercises-were too well-integrated to allow any assessment of individual contributions.
