Miranda, a 26 year old Caucasian woman, has come in for anevaluation. She reports a history of sexual problems and isconcerned about whether there is something physically wrong withher. She has been engaged for 2 years and has not yet hadintercourse with her partner, but has noticed when they arephysically close with one another, she doesn't \"feel anything.\"Miranda reports that she rarely has sexual fantasies and generallydoes not feel a strong urge to engage in sexual behaviors. Mirandais planning to marry in two months and wants to increase herinterest in sex before her wedding. She has not told her partnerthat she doesn't feel anything and does not want him to know she isseeking help. Miranda works as school teacher at a middle school,and she relates that her work is becoming increasingly stressful.She becomes distracted during the day because she worries that herfiance will think less of her if he finds out she is seeking helpfor this issue. The stress has become so bad that she has recentlysnapped at a student, and the students' parents have had to talkwith her about the issue.
What diagnosis would be most appropriate for Miranda?Assess her degree of functional impairment, and include additionalinformation about psychosocial stressors or concerns in Miranda'slife right now. What could Miranda's therapist suggest as a viabletreatment?
