Persistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD) is characterized by persistent, unwanted physiological genital arousal (i.e., sensitivity, fullness, and/or swelling) in the absence of sexual excitement or desire which can persist for hours to days and causes significant impairment in psychosocial well-being (e.g., distress) and daily functioning. The etiology and course of PGAD/GPD is still relatively unknown and, unsurprisingly, there are not yet clear evidence-based treatment recommendations for those suffering from PGAD/GPD. We present the case of a 58-year-old woman with acquired persistent genital arousal disorder, which began in March 2020; she believed she developed PGAD/GPD due to a period of significant distress and anxiety related to the COVID-19 pandemic. After seeking medical diagnosis and treatment from multiple healthcare providers and trying a combination of pharmacological and medical treatment modalities, she presented for psychological treatment. An integrative therapy approach (3 assessment sessions, 11 treatment sessions), which included cognitive behavior therapy, distress tolerance and emotion regulation skills from dialectical behavior therapy, and mindfulness practice, was utilized. The patient reported improvements anecdotally (e.g., decreased impact on occupational and social functioning, greater self-compassion, less frequent and shorter duration of PGAD/GPD flare-ups, improved ability to cope with PGAD/GPD symptoms, and decreased need for sleeping medication) and on self-report measures (e.g., lower PGAD/GPD catastrophizing, lower anxiety and depression, and greater overall quality of life).We report the use of an integrative (i.e., psychoeducational, cognitive behavioral, dialectical behavioral, and mindfulness-based) intervention, which may be an effective psychological treatment for PGAD/GPD.

持续性生殖器唤起障碍/生殖盆感觉迟钝（PGAD/GPD）的特征是在缺乏性兴奋或性欲的情况下持续的、不必要的生理性生殖器唤起（即敏感、饱满和/或肿胀），这种唤起可能持续数小时至数天，并导致心理社会健康（例如，痛苦）和日常功能显着受损。PGAD/GPD 的病因和病程仍相对未知，并且对于 PGAD/GPD 患者尚无明确的循证治疗建议，这并不奇怪。我们介绍了一名 58 岁女性的病例，她于 2020 年 3 月开始患有获得性持续性生殖器唤起障碍；她认为自己患上 PGAD/GPD 是由于与 COVID-19 大流行相关的一段时期的严重痛苦和焦虑。在寻求多家医疗机构的医疗诊断和治疗并尝试药物和药物相结合的治疗方式后，她提出心理治疗。采用综合治疗方法（3 次评估课程，11 次治疗课程），其中包括认知行为疗法、辩证行为疗法的痛苦耐受性和情绪调节技能以及正念练习。患者报告了一些轶事性的改善（例如，对职业和社会功能的影响减少、自我同情心增强、PGAD/GPD 发作频率降低且持续时间缩短、应对 PGAD/GPD 症状的能力提高以及对安眠药物的需求减少）和自我报告措施（例如，降低 PGAD/GPD 灾难性、降低焦虑和抑郁以及提高整体生活质量）。我们报告了综合（即心理教育、认知行为、辩证行为和正念）的使用基于）干预，这可能是 PGAD/GPD 的有效心理治疗。