07a_Sexual Dysfunctions

Question 1

Sexual Dysfunctions:

Overview

Answer 1

Disturbance in ability to:

Respond sexually

Experience sexual pleasure

Question 2

Sexual Dysfunctions:

Rule Outs

Answer 2

Nonsexual mental disorder

Relationship stress or other stressor

Effects of a substance, medication, or medical condition

Question 3

Erectile Disorder:

Diagnostic Criteria

Answer 3

1+ characteristic symptom

6+ months

Question 4

Erectile Disorder:

Characteristic symptoms

Answer 4

Difficulty obtaining erection during sexual activity

Difficulty maintaining erection until completion during sexual activity

Decrease in erectile rigidity on all or almost all occasions of sexual activity

Question 5

First Step of Treatment for All Sexual Dysfunctions

Answer 5

Referral for medical evaluation

Question 6

Erectile Disorder:

Organic etiology Marker

Answer 6

Complete absence of erections during REM sleep

Question 7

Erectile Disorder:

Targets of CBT Treatment

Answer 7

Dysfunctional behaviors

Performance anxiety

Faulty attitudes and beliefs

Deficient knowledge and skills

Question 8

Genito-Pelvic Pain/Penetration Disorder:

Duration criteria

Answer 8

1+ characteristic symptom

6+ months

Question 9

Genito-Pelvic Pain/Penetration Disorder:

Characteristic Symptoms

Answer 9

Difficulties with vaginal penetration during intercourse

Genito-pelvic pain during intercourse or penetration attempts

Anxiety about pain before, during, or as a result of vaginal penetration

Tensing of pelvic floor muscles during attempted vaginal penetration

Question 10

Genito-Pelvic Pain/Penetration Disorder:

Onset Specifiers

Answer 10

Lifelong

Acquired

Question 11

Genito-Pelvic Pain/Penetration Disorder:

Potential etiology

Answer 11

History of sexual and/or physical abuse

Question 12

Premature (Early) Ejaculation:

Diagnostic Criteria

Answer 12

6+ months during all or almost all occasions of sexual activity

Occurs within about 1 minute of vaginal penetration
*Or before the person desires it

Question 13

Premature (Early) Ejaculation:

Onset and extent Specifiers

Answer 13

Onset: Lifelong or Acquired

Extent: Generalized or Situational

Question 14

Premature (Early) Ejaculation:

Etiology

Answer 14

Linked to low serotonin levels

SSRIs have been effective for some individuals

Question 15

Genito-pelvic pain/penetration disorder &
Premature Ejaculation:

Most effective treatment

Answer 15

Sex Therapy