Wayne State University School of Medicine

Dept. of Psychiatry & Behavioral Neuropsychiatry

Chairman's Grand Rounds 

Date: Wednesday, Jan. 7, 2026

Time: 1-2pm

Speaker: Shachi Desai, DO; Residency, Program, Dept. of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine

Discussant: Shahid Hussain, MD

No Commercial Relationship

Topic: "Desire, Disorder, and Danger: Clinical Frameworks for Understanding Paraphilic Disorders"

Objectives: 

1.  Distinguish between paraphilias and paraphilic disorders using DSM-5-TR diagnostic criteria, with specific attention to consent, harm to others, and distress or impairment.  

2.  Identify and define the DSM-5-TR paraphilic disorders and classify them according to clinically relevant dimensions of consent, harms, and risk. 

3.  Assess chronic and acute risk in patients with paraphilic disorders, including behavioral risk, legal risk, and suicide risk during high-risk periods such as disclosure or legal involvement. 

4.  Evaluate evidence-based treatment approaches for paraphilic disorders, including psychotherapy and pharmacology interventions, using outcome data on recidivism reduction and suicide-risk mitigation.