A Man with Erectile Dysfunction & Obsessive-Compulsive Disorder
55m
David Veale
Psychiatrist
Trailer
Get AccessFull VideoContent: How do obsessive-compulsive disorder and erectile dysfunction intertwine? Ben is a 35-year-old man with a long-term female partner and without children, seeking treatment for erectile problems. He has already consulted several specialists and used various PDE5 inhibitors with no success. He is convinced that there is an organic cause for his problem, but no physician has detected anything wrong with his health.
Ben is very anxious about his lack of erection. He describes intrusive thoughts about it. As a response to those thoughts, he constantly touches his genitals and checks his ability to get an erection. He is frequently masturbating while watching porn, mainly to check “if the equipment works”. History taking reveals, among others, OCD symptoms, avoidance, sleeping disorders, macho beliefs, boredom, and impaired social life. His partner is invited to participate in the assessment, and she describes Ben’s avoidance of any intimate act with her and his constant approval-seeking behavior.
Prof. David Veale shares his deep knowledge on the topic, describing how OCD functions to keep someone safe, even though its symptoms are so heavy in the person’s life. He discusses the case presented by Francesca Tripodi, aiming to help clinicians:
- Differentiate between OCD and Obsessive-Compulsive Personality Disorder
- Build a therapeutic alliance when a patient shows poor introspective ability
- Approach the intrusive thoughts and compulsions
- Manage OCD-related sexual problems
Produced in 2023
David Veale
Psychiatrist
Lecturer
David Veale is a Consultant Psychiatrist and leads a national outpatient and residential unit service for people with severe treatment refractory Obsessive Compulsive Disorder (OCD) and Body Dysmorphic Disorder (BDD) at the South London and Maudsley Trust and for inpatients at the Priory Hospital North London.
He is a Visiting Professor in Cognitive Behavioural Psychotherapies in the Department of Psychology at King’s College London. He is a member of the group revising the diagnostic guidelines for ICD11 for OCD and Related Disorders for the World Health Organisation. He was a member of the group that wrote the NICE guidelines on OCD and BDD in 2006 and chaired the NICE Evidence Update on OCD and BDD in 2013. He has authored or co-authored over 100 empirically based articles, 6 books, 13 book chapters, and 35 teaching articles or reviews. He is an Honorary Fellow of the British Association of Behavioural and Cognitive Psychotherapies, a Fellow of the British Psychological Society and Fellow of the Royal College of Psychiatrists. He is a Trustee of the UK national charities, OCD Action and the BDD Foundation.
