What historical information should be collected from a patient with an aversion to all genital sexual contact?

Collecting a history of sexual abuse is crucial when a patient presents with an aversion to all genital sexual contact. This aversion can stem from trauma, and understanding a patient's past experiences with abuse can provide insights into their current psychological and emotional state. It helps to identify whether the aversion is a result of previous traumatic events that have not been processed or resolved.

Sexual abuse is known to have long-lasting effects on an individual's mental health, including the development of sexual aversion or phobias. By exploring this aspect of the patient’s history, a clinician can tailor treatment approaches to address underlying issues that might contribute to the aversion, potentially leading to more effective therapeutic interventions.

While family history, previous relationships, and substance abuse history may offer valuable information, they do not directly address the specific issue of aversion to genital sexual contact in the same way that understanding a history of abuse would.