Sample interview questions: How do you approach the assessment and treatment of older adults with paraphilic disorders?
Sample answer:
Assessment:
- Thorough history and physical examination: Explore the individual’s developmental, medical, social, and psychological history, including substance use and sexual experiences. Consider underlying medical conditions or medications that may contribute to symptoms.
- Comprehensive mental status examination: Assess cognitive functioning, mood, and thought content.
- Specific paraphilia assessment: Use standardized instruments (e.g., Paraphilia Assessment Tool) to identify the specific paraphilia(s) present, their frequency, and any associated arousal patterns.
- Risk assessment: Evaluate the individual’s potential for harm to themselves or others, including any history of sexual offenses, prior treatment involvement, or legal concerns.
Treatment:
- Cognitive-behavioral therapy (CBT): This approach focuses on identifying and modifying distorted cognitions and behaviors related to the paraphilia. It typically includes:
- Psychoeducation about paraphilias and their impact
- Cognitive restructuring to challenge irrational beliefs
- Behavioral activation and relapse prevention strategies
- Pharmacological interventions: Anti-androgen medicatio… Read full answer