CASE 2:
Male patient, 26yrs
Ref by; Skin Specialist
Chief C/O; Anxious to Marry
Sexual H/O; He had a Sexual relationship with boys (same sex) since teenage. When he was 8 years old
his cousin used him has a sexual partner, after that he continues sexual activity with boyfriends till now
(15-20 partners). When his parents forced him to marriage, then he decided to consult Doctor.
Diagnosis; Ego-dystonic Homosexuality (Homosexual wants to be Heterosexual)
Management: 1. Investigated for STD/HIV
2. Sex Education/Counseling
3. Gradual Systematic Desensitization
4. Cognitive therapy
This case is very interesting & challenging because he is very regular with follow up. But when he got an opportunity he had a sex with boyfriends. He attends sessions almost 15-20 from 12-18months. When the marriage is fixed he changed his orientation slowly.
Now he is leading good marital life with active sexual life.