SEXUALITY CONCERNS 303 B. The client has a pattern of seduction and sexualization of relationships. C. The client acknowledged that he/she has developed an unhealthy sexualization of relationships. D. The client has terminated his/her pattern of sexual promiscuity and seduction. 6. Sexual Dysfunction (5) A. The client described a consistently very low de sire for or pleasurable anticipation of sexual activity. B. The client has experienced a recurrent lack of the usual physiological response of sexual excitement and arousal. C. The client reported a persistent delay in or absence of orgasm after achievin g arousal, in spite of sensitive sexual pleasuring by a caring partner. D. The client's sexual dysfunction appears to be due to the side effects of long-term psychotropic medication use. E. The client's sexual dysfunction has been ameliorated, and he/she reports increased pleasure and enjoyment in sexual activity. 7. Medical Problems Due to STDs (6) A. The client has a medical condition related to an STD that requires a physician's care. B. The client reported that he/she has tested positive for the hu man immunodeficiency virus (HIV). C. The client's HIV status has resulted in the development of acquired immunodeficiency syndrome (AIDS). D. As the client has received medical treatment for his/her STD, he/she reports better health functioning. 8. Inad equate Prenatal Care (7) A. The client reported that she is pregnant. B. The client has received inadequate prenatal care due to her homelessness, confusion, or other effects of severe mental illness. C. As the client has stabilized her mental illness c ondition, she has accessed more appropriate prenatal care. 9. Conflicts in Romantic Relationships (8) A. The client described conflicts in his/her sexual or romantic relationships due to his/her bizarre behavior or other severe mental illness symptoms. B. The client described a pattern of multiple lost romantic relationships due to his/her severe mental illness symptoms. C. As the client has stabilized his/her bizarre behavior and other severe mental illness symptoms, his/her romantic relationship has i mproved as well. 