last one hopefully Flashcards
exhibitionistic disorder
sexual gratification attained by exposing genitals to unsuspecting strangers
treatment for exhibitionist disorder
psychotherapy
SSRIs
if additional tx needed - anti androgen therapy
when is someone with exhibitionistic disorder considered to be in remission
not acted on urges for at least 5 years while in uncontrolled environment
female sexual interest/arousal disorder
lack of, or significantly reduced, sexual interest/arousal, as manifested by at least 3 sx for a minimum of 6 months
fetishistic disorder
recurrent and intense sexual urges, fantasies, or behaviors that involve the use of a nonliving object or congenital part, often to the exclusion of all other stimuli, accompanied by clinically significant distress or impairment
male hypoactive sexual desire disorder
persistently or recurrently deficient or basset sexual/erotic thoughts or fantasies and desire for sexual activity for a minimum duration of approximately 6 months
pedophilic disorder
repeated and intense sexual urges or fantasies about watching, toughing, or engaging in sexual acts with children (generally 13 years or younger) and either act on these urges or experiences clinically significant distress or impairment
treatment of choice for pedophilia
IM medroxyprogesterone acetate
non IM tx for pedophilia
GnRH agonist - leuprolide
sexual masochism disorder
sexual gratification in response to undergoing humiliation, bondage, or suffering
tx for sexual masochism disorder
psychotherapy and meds that can reduce sex drive (antidepressants)
voyeuristic disorder
sexual gratification attained by observing unsuspecting individuals undressing or naked
tx for voyeuristic disorder
psychotherapy and SSRIs
antiandrogen drugs if needed
what med can be used for people with insomnia who have trouble staying asleep
doxepin
Doxepin MOA
histamine H1 receptor antagonist