Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

What diagnosis best fits a client who reports a lack of sexual desire and insists they are not having an affair?

1. Sexual Aversion Disorder

2. Female Sexual Arousal Disorder

3. Hypoactive Sexual Desire Disorder

4. Dyspareunia

The correct answer is: Hypoactive Sexual Desire Disorder

Hypoactive Sexual Desire Disorder is characterized by a significantly reduced level of sexual desire that causes marked distress or interpersonal difficulties. In the scenario described, the client reports a lack of sexual desire and denies any involvement in an affair, signaling that their symptoms are not linked to situational factors like stress or relationship issues. This condition often leads individuals to feel concern about their diminished interest in sexual activity, which aligns with the client's report of distress regarding their low sexual desire. Sexual Aversion Disorder, on the other hand, typically involves extreme anxiety or aversion to sexual activity, while Female Sexual Arousal Disorder focuses on the inability to attain or maintain sexual excitement, which is different from a lack of desire. Dyspareunia refers to painful intercourse, which is also not relevant in this context, as the issue here is specifically the lack of desire rather than physical discomfort. Therefore, Hypoactive Sexual Desire Disorder is the most fitting diagnosis for the client's experience.