Some of the psychosexual disorders discussed in the previous and following chapters are strongly linked to the crises of developing intimacy and sex-role identity. Depression or problems in school may herald budding sexual difficulties. However, the problems most likely to be brought to the clinician are sexual inadequacy and conflicts about one's sexual response. The sexual inadequacies frequently seen in this age group are male impotence and orgasmic dysfunction in the female. Men who feel overcome by or fearful of women subsequently develop anxieties about their sexual performance or prowess. As their levels of anxiety rise, attempts are made to consciously create an erection, which usually results in impotence. Until the initial fear-anxiety-impotence cycle is disrupted, the man may become progressively more dysfunctional.