Explain antidepressant sexual side-effects and paraphilia thresholds — CASC communication station

Station brief

Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the outpatient clinic. [4]

Candidate instructions. Explain that sexual side-effects are common with SSRIs, outline options (continue with monitoring, dose review, switch strategies), warn about depression relapse if stopping abruptly without a plan, and educate that consensual adult fetishistic interest without distress or nonconsent is not a disorder and does not require antiandrogens. Check understanding and agree follow-up. [1][2][3]