[Sexological evaluation, referral and treatment in the county psychiatric care. A retrospective study of a sexological patient population referred to a department of general psychiatry].

In a five-year period from 1984-1988, 248 patients were referred to a sexological working group located at the psychiatric departments in Frederiksborg County. The material was analysed retrospectively. Only a minor group of patients presenting sexual complaints are offered counselling or therapy. Two thirds of the patients were referred from their general practitioners. The main problems were erectile dysfunction and reduced sexual desire in men--and reduced sexual desire and orgasmic dysfunction in women. Compared to a specialized sexological clinic, a lower frequency of sexual deviations was observed. In 3/4 a need for sexological treatment was demonstrated. It is argued that it will be an appropriate task to have a unit for visitation and treatment in each county for example in a psychiatric context. In one fifth of the patients, a psychiatric diagnosis of relevance for the treatment was recorded. We need to reevaluate the actual structure for sexological treatment. Only one specialized clinic in the country seems to little, when most patients are treated as out-patients.