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Psych > Eating and Sexual disorders > Flashcards

Eating and Sexual disorders Flashcards

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1
Q

reduced desire for sexual contact or total aversion to sexual activity

A

hypoactive desire disorder

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2
Q

inability to attain or maintain sexual arousal sufficient to initiate or complete sexual acts

A

male ED or female sexual arousal disorder
33% married females
75% males >80yo

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3
Q

excessive orgasmic delay, absence of orgasmic response or premature orgasm

A

orgasmic disorder

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4
Q

pain in sexual organs during sexual activity that interferes with or prevents sexual activity

A

dyspareunia/ vaginismus

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5
Q

What is sleep like in major depression?

A

shortened REM latency, early AM awakening, fitful sleep

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6
Q

What is sleep like in PTSD?

A

nightmares

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7
Q

What is sleep like in bipolar disorder (manic part)?

A

drastically decreased need to sleep

*manic episode can be triggered by lack of sleep

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8
Q

What is sleep like in sleep apnea?

A

daytime lethargy, can manifest as depression

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9
Q

What is sleep like in schizophrenia?

A

up all night, agitated aimless activity , driven by delusional thinking

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10
Q

What usually causes patients with eating disorders to present?

A

medical symptoms: dentist, internist, pediatrician

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11
Q

Over estimation of body size and shape, relentless pursuit of thinness, excessive dieting, compulsive exercise

A

anorexia nervosa

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12
Q

What are the 2 types of AN?

A

restrictive: severely limited caloric intake

binge-purge: over eating followed by vom or laxatives

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13
Q

Eating large amounts of food in a brief period followed by acts intended to eliminate or reduce ingested calories (vom, laxatives, exersice, fasting)

A

bulimia nervosa

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14
Q

AN patient type

A

white, early adolescent, above average intelligence and SES, conflict-avoidant, risk-aversive, anxious, perfectionist, O-C traits

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15
Q

BN patient type

A

later adolescence, impulsive, difficulty maintaining relationships, depression

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16
Q

How does serotonin relate to eating disorders?

A

dysregulation in serotonin system appears to be involved in the development and maintenance of eating disorders

17
Q

What is used to treat eating disorders?

A

SSRIs

*more effective in bulimia

18
Q

How does vomiting effect electrolytes?

A

low Cl, low K, high CO2

19
Q

How does the brain reward circuit work?

A

DA neurons in the VTA project to and modulate neuronal activity of the nucleus accumbens via the medial forebrain bundle

20
Q

How does the nucleus accumbens affect behavior?

A

it has extensive connections with the prefrontal association cortices and basolateral amygdalae

21
Q

How do most drugs of abuse act in regard to the nucleus accumbens?

A

they produced marked episodic increase in dopamine levels in the NAcc which disrupts the reward system –> rewarding experience

22
Q

Which drugs of abuse are not associated with serious withdrawal?

A

hallucinogens, marijuana, caffeine

23
Q

How long does detox for alcohol take?

A

5 days

24
Q

How long does detox for opiates take?

A

14 days

25
Q

How long does detox for benzodiazepines take?

A

21 days

26
Q

What is the point of detox programs?

A

prevent potentially life-threatening withdrawal syndromes through treatment prescribed by protocol

27
Q

What is the point of short-term rehab?

A

divert attention away from wanting or needing drugs, motivate continued process toward recovery, and prevent early relapse

28
Q

What is the point of residential programs? How long do they usually last?

A

to achieve life-long sobriety and abstinence

6 mo-2 yr

29
Q

What is required to allow for any type of successful rehab?

A

patient willingness to change

30
Q

What is network intervention?

A

recruiting and engaging significant others to be involved in the recovery process

31
Q

What are harm reduction programs?

A

an attempt to minimize the consequences of any psychoactive substance misuse
–encouraging small steps to make the ultimate goal more attainable

32
Q

What can be given to aid heroin addicts in recovery that doesn’t require a structured social program? What is its MOA?

A

buprenorphine

partial opioid agonist

Psych (12 decks)

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