Obsessive-Compulsive Disorder

Obsessive-Compulsive Disorder is characterized by the presence in the consciousness of recurrent thoughts (obsessions) and repetitive impulses or actions (compulsions) toward which the person feels a strong inner resistance. The subject feels an urge to perform certain acts, but he recognizes that they are sickly, while experiencing a strong internal resistance not to make them. Patients with OCD recognize that the obsessives ideas that come to their head are absurd and they make much effort trying to banish them from his mind. Often their efforts may have some success, but it is not durable, since ideas tend to come back again soon after. Sometimes both the compulsive ideas as the compulsive acts are experienced as an urge to do something aggressive, shameful or obscene. Although subjects with this disorder Obsessive-Compulsive recognize the absurdity of the obsessions and resist putting it into action, all the process is accompanied by great anxiety. This type of obsessive-compulsive symptoms tend to be very resilient, but can be cured by psychotherapy. (Edited by María Moya Guirao, M.D.) Seguir leyendo

Treatment of Married Couples

Therapy of married couples can be defined as psychotherapy centered on  the psycho-dynamics and behavior of two persons who are married. The treatment of couples is addressed to the disturbed relationship of the couple and as well as their neurosis. The therapy is focused on the marital problems (negative communication, unrealistic expectations, lack of communication , etc). Those problems may cause a deterioration clinically significant on the individual or family activity, or the appearance of symptoms in one or both spouses. That psychotherapy can improve the marriage, as well as each individual. The therapy of married couples goes beyond “marriage counseling“. There are seven commonly used forms of treatment of married couples: 1.- Therapy of husband and wife in successions. 2.- Simultaneous treatment of both spouses by the same therapist in separate sessions. 3- Simultaneous treatment of both spouses in joint sessions. 4.- Therapy conducted by two psychotherapists, each of whom sees one spouse. 5.- Four-way sessions in which each spouse has a separate analyst, and at regular periods the two analyst and the two patients have joint sessions. 6.- Groups composed of couples with one therapist and/or with co-therapist. 7.- Family therapy oriented mainly toward the parenteral relationship rather than toward the child. (Edited by María Moya Guirao, M.D.) Seguir leyendo

Premature Ejaculation

Did you know that….. The Premature Ejaculation or Inhibition of Orgiastic Control is a sexual disorder ?. The Premature Ejaculation is characterized by the constant failure to maintain intromission of sufficient duration into the vagina (anus in anal intercourses) to satisfy a responsive partner, that is to say, the ejaculation occur before the individual wishes. Inhibition of Orgastic Control is caused by intrapsychic conflicts and the patient may have to be referred for psychotherapy. Some persons may respond to the specific technic of 3-stage of Master and Johnson method which involve stepwise nongenital pleasuring, genital pleasuring, and non demanding coitus. (Edited by María Moya Guirao, M.D.) Seguir leyendo

Psychotherapy Goal (English)

Did you know that….. Change in habitual attitudes is the final goal of psychotherapy ?. Psychotherapy Goal involves the understanding of the origins of those attitudes. (Edited by Dra. Moya Guirao) Seguir leyendo

Aged Persons

The increase in the number of older persons in our society has turned the attention of psychiatrists to the individual problems in this age group. Many aged persons can benefit from reassurance and support. Most of them can gain insight into their dynamic determinants . Some of these persons must be helped to utilize more efficiently their old effective patterns of action and to restore interest and pleasure. (Edited by María Moya Guirao, M.D.)   Seguir leyendo

Diagnosis and Treatment of Human Behavior Disorders

Diagnosis and treatment of human behavior disorders are determined by social and psychological factors. They could be : un-conscious, pre-conscious and conscious. The understanding of the essential psychological mechanism, the causes of mental illness, the social factors and the introduction of Neuroleptics and Psychotherapy has contributed to the treatment of many patients and reduced the duration of hospital stay of psychotics. (Edited by María Moya Guirao, M.D.) Seguir leyendo

Dyspareunia

What is Dyspareunia ?, Dyspareunia is a painful or difficult coitus. Dyspareunia may be : Prymary. This type of Dyspareunia appears during initial attempts of sexual intercourse. The cause may be psychogenic or due to inadequate lubrication, improper intromission, infections, etc. Secondary : It is not related to first coitus and often develop years later. causes include dryness of the mucosa, retroflection of the uterus, endometriosis, radiation therapy for treatment of malignancy, etc.   If the cause is psychological or emotional, the treatment will be Psychotherapy.   (Edited by María Moya Guirao, M.D.) Seguir leyendo