PSYCH 1 Flashcards
1
Q
male hypoactive sexual desire disorder
- Correct any underlying _____ imbalances
- PSYCH interventions:
• _____ (CBT)
• _____ thoughts challenged
• Taught to avoid distractions
• Develop _____
• Learn to communicate sexual _____ to partner
A
hormonal Cognitive behavioral therapy Negative sexual fantasies preferences
2
Q
erectile disorder
TREATMENT
- _____ inhibitors: sildenafil (_____), tadalafil (Cialis), vardenafil (Levitra)
- Useful in both organic and psychogenic causes
- Conjoint couple behavioral psychotherapy
- Prognosis in acquired psychogenic erectile dysfunction is excellent
- _____, synthetic version of prostaglandin E is injected into the base or side of the penis or with a special syringe, into the urethra
- _____ device (surgery)
A
Phosphodiesterase 5
Viagra
Alprostadil
Vacuum pump
3
Q
premature ejaculation
- _____ drugs: paroxetine (Paxil) and clomipramine (Anafranil)
- Topical _____ (prilocaine-_____ mix) can delay ejaculation
- Psychotherapeutic: behavioral approaches
o _____ and squeeze technique
o _____ stimulation
A
Serotonergic anesthetics lidocaine Start-stop manual
4
Q
delayed ejaculation disorder
- Substance induced: switch _____
- Psychotherapeutic tmt: behavioral therapy using a _____ for intense stimulation; phase skill onto partner related activities
A
meds
vibrator
5
Q
female sexual interest/arousal disorders
- _____ receptor agonists (apomorphine) may be tried
- New medication: Flibanserin (Addyi) and Bremelanotide (Vyleesi)
- _____
- Psychotherapeutic Treatment: sensate focus exercises
o _____ exercises
o Self-focused
o Assert about what she finds pleasurable sexually
o _____ and botanical oils??? - _____ replacement for menopausal women
A
Dopamine Testosterone Masturbation CBT estrogen
6
Q
female orgasmic disorder
- _____ has had positive effects
- _____
- Most women can learn to achieve orgasm by self-stimulation
- Prognosis: due to psych factors is good
A
Sildenafil
bupropion
7
Q
Genito-pelvic pain/penetration disorder
- _____ (duloxetine, Cymbalta) may help if depression exists with this condition
- Causes by atrophic vaginitis: vaginal creams
- _____ or pelvic floor biofeedback
- Topical _____
- Corticosteroid cream
- _____ (ospemifene) non hormonal treatment for vaginal dryness.
A
Antidepressants
CBT
lidocaine
Osphena
8
Q
vaginismus
- Tmt: _____ (Clonazepam) with systemic desensitization
- Behavioral approaches are the preferred treatment: relaxation training
A
benzodiazepam
9
Q
exhibitionism
- _____ and ____ off label
- Hormonal preparations (LHRH agonists) to reduce serum testosterone and reduce sex drive
- _____ (Gonadotropin releasing hormone analogue)
- Buspar and relaxation training
- Psychotherapy: CBT
A
SSRIs
naltrexone
Triptorelin
10
Q
pedophilia
- Usually in a specialized setting
- Treatment must be comprehensive and attempts to:
o Reduce pedophilic interests
o Establish adult sexual interests
o Decrease attitudes and beliefs supportive of pedophilic behaviors - Meds: _____, antipsychotics and _____
- Antidepressants reduce compulsive urges
- _____
- Hormones: MPA and LPA
o Reduce sexual drives, erotic fantasies, sexual activity, aggressiveness - Psychotherapy:
o _____ techniques using smell, satiation and images
o Cognitive restructuring
o Victim empathy training - Other treatments:
o Surgical castration
o Stereotactic neurosurgery
o Not usually used in U.S., but they work well
A
SSRIs
mood stabilizers
Naltrexone
Desensitization
11
Q
sexual sadism
- In specialized centers
- Usually legal system involved
- _____ sometimes used
- Sexual offenders: _____ agonists
- Individual psychotherapy, CBT
A
SSRIs
hormone
12
Q
transvestic fetishism
- Tmt: SSRIs, _____, _____
- Psychodynamic psychotherapy
A
Buspar
lithium
13
Q
voyeurism
- _____
- CBT
- Behavioral therapy
A
SSRIs
14
Q
gender dysphoria
- Treat any underlying depression/anxiety
- Referral to specialized gender clinic
o _____
o Possible _____ therapy
o Possible surgical correction
A
Therapy
hormone
