APA 7 FORMAT SHOULD ONLY BE USED NO PLAGIARISM ALLOWED PLEASE NO INTERNET SOURCES SUCH AS WIKI, COURSE HERO SCNERIO Select a child/adolescent patient with personality and paraphilic disorder. Some paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism. You can come up with case study of a child/adolescent with pedophilia, exhibitionism, fetishism and voyeurism for this assignment. NOTE: I have the template and exemplar attached. Please make use of DSM-5 to formulate the 3 diagnoses.

Title: A Case Study of an Adolescent with Paraphilic Disorder: Pedophilia

Introduction:
Paraphilic disorders are an intriguing and complex category of psychiatric disorders characterized by atypical sexual preferences and behaviors. Among these disorders, pedophilia, exhibitionism, fetishism, and voyeurism stand out due to their potential harm to others, especially vulnerable populations such as children and adolescents. This case study focuses on a specific adolescent patient diagnosed with pedophilia, one of the most controversial and stigmatized paraphilic disorders.

Background:
Pedophilia is defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) as a paraphilic disorder involving recurrent, intense sexual fantasies, urges, or behaviors involving prepubescent children (APA, 2013). It is crucial to note that the diagnosis of pedophilia does not solely rely on the presence of any particular behavior but rather on the sexual thoughts, feelings, or desires the individual experiences.

Case Study:
Subject: Alex (pseudonym)
Age: 16
Gender: Male
Background: Alex is a Caucasian male adolescent living in a suburban neighborhood with his parents and younger brother. He has no history of significant medical conditions or substance abuse. His parents describe him as intelligent but socially introverted. Alex is an average student who expresses little interest in extracurricular activities or forming friendships. He spends most of his time alone in his room, engaging in online gaming and exploring explicit sexual content.

History:
Alex’s parents first became concerned about his behavior when they discovered his internet search history, which included numerous searches related to child pornography and information about child sexual abuse. After confronting him, Alex admitted to having sexual fantasies involving young children and occasionally masturbating while viewing such material. Alex mentioned that he first became aware of these attractions at around age 14.

Presenting Symptoms:
1. Sexual Fantasies and Urges: Alex experiences recurrent and intense sexual fantasies involving prepubescent children. These fantasies cause distress and are accompanied by strong urges to engage in sexual acts that involve children.
2. Masturbation and Arousal: Alex engages in masturbation while viewing child pornography, experiencing heightened arousal and pleasure during these activities.
3. Increased Isolation: Alex has become increasingly withdrawn, spending excessive amounts of time alone in his room, avoiding social interactions, and displaying minimal interest in activities outside of his online sexual pursuits.
4. Guilt and Shame: Alex experiences significant guilt and shame after engaging in these fantasies and behaviors. He acknowledges that his desires and actions are morally wrong and illegal.

Assessment:
To formulate the three diagnoses according to the DSM-5, a comprehensive assessment of Alex’s mental health is crucial. This evaluation should include a detailed psychiatric interview, behavioral observations, and assessments of his cognitive functioning and social environment. Additionally, collateral information from his parents or guardians and other relevant sources should be gathered to support the diagnostic process.

DSM-5 Diagnoses:
1. Pedophilic Disorder (ICD-10 code: F65.4)
To receive a diagnosis of pedophilic disorder, Alex must meet the following criteria outlined in the DSM-5:
a. Over a period of at least six months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving prepubescent children.
b. Alex experiences significant distress or impairment in social, occupational, or other important areas of functioning due to these fantasies, urges, or behaviors.
c. Alex must be at least 16 years old and at least five years older than the children involved in these sexual fantasies or behaviors.

2. Social Anxiety Disorder (ICD-10 code: F40.10)
Considering Alex’s increased isolation, avoidance of social interactions, and lack of interest in forming relationships, a comorbid diagnosis of social anxiety disorder may be appropriate.
According to the DSM-5, the diagnosis of social anxiety disorder requires the following:
a. Marked and persistent fear or anxiety about one or more social situations in which the individual is exposed to scrutiny by others.
b. Avoidance of situations that provoke fear or anxiety.
c. The fear or anxiety is out of proportion to the actual threat posed by the social situation and persists for at least six months.

3. Major Depressive Disorder (ICD-10 code: F32.XX)
Given Alex’s feelings of guilt, shame, and social isolation, a diagnosis of major depressive disorder should also be considered.
The DSM-5 criteria for major depressive disorder include:
a. Depressed mood or loss of interest/pleasure in almost all activities for at least two weeks.
b. Significant weight loss or gain, insomnia, fatigue, feelings of worthlessness, or recurrent thoughts of death or suicide.
c. Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Conclusion:
This case study presented the diagnosis of pedophilic disorder along with comorbid conditions such as social anxiety disorder and major depressive disorder in an adolescent patient named Alex. The identification and understanding of such complex psychological disorders are crucial for the development of effective interventions and prevention strategies. Treatment for Alex should be comprehensive, addressing not only his paraphilic fantasies and behaviors but also the underlying psychiatric conditions contributing to his distress and diminished functioning.