Eating and Sexual disorders Flashcards
reduced desire for sexual contact or total aversion to sexual activity
hypoactive desire disorder
inability to attain or maintain sexual arousal sufficient to initiate or complete sexual acts
male ED or female sexual arousal disorder
33% married females
75% males >80yo
excessive orgasmic delay, absence of orgasmic response or premature orgasm
orgasmic disorder
pain in sexual organs during sexual activity that interferes with or prevents sexual activity
dyspareunia/ vaginismus
What is sleep like in major depression?
shortened REM latency, early AM awakening, fitful sleep
What is sleep like in PTSD?
nightmares
What is sleep like in bipolar disorder (manic part)?
drastically decreased need to sleep
*manic episode can be triggered by lack of sleep
What is sleep like in sleep apnea?
daytime lethargy, can manifest as depression
What is sleep like in schizophrenia?
up all night, agitated aimless activity , driven by delusional thinking
What usually causes patients with eating disorders to present?
medical symptoms: dentist, internist, pediatrician
Over estimation of body size and shape, relentless pursuit of thinness, excessive dieting, compulsive exercise
anorexia nervosa
What are the 2 types of AN?
restrictive: severely limited caloric intake
binge-purge: over eating followed by vom or laxatives
Eating large amounts of food in a brief period followed by acts intended to eliminate or reduce ingested calories (vom, laxatives, exersice, fasting)
bulimia nervosa
AN patient type
white, early adolescent, above average intelligence and SES, conflict-avoidant, risk-aversive, anxious, perfectionist, O-C traits
BN patient type
later adolescence, impulsive, difficulty maintaining relationships, depression
How does serotonin relate to eating disorders?
dysregulation in serotonin system appears to be involved in the development and maintenance of eating disorders
What is used to treat eating disorders?
SSRIs
*more effective in bulimia
How does vomiting effect electrolytes?
low Cl, low K, high CO2
How does the brain reward circuit work?
DA neurons in the VTA project to and modulate neuronal activity of the nucleus accumbens via the medial forebrain bundle
How does the nucleus accumbens affect behavior?
it has extensive connections with the prefrontal association cortices and basolateral amygdalae
How do most drugs of abuse act in regard to the nucleus accumbens?
they produced marked episodic increase in dopamine levels in the NAcc which disrupts the reward system –> rewarding experience
Which drugs of abuse are not associated with serious withdrawal?
hallucinogens, marijuana, caffeine
How long does detox for alcohol take?
5 days
How long does detox for opiates take?
14 days
