Psych - sexual disorders

Question 1

Erectile Disorder

Answer 1

Erectile Disorder - if man wakes up w/ erection but can’t sustain it w/ someone else, it’s likely psychological. if psychological, could be HTN, MS.

Question 2

Female Orgasmic Disorder

Answer 2

1 and 4 women. either delay or can’t have one. can by psych or physical.

Question 3

Delayed Ejaculation - causes

Answer 3

can be lifelong or acquired. can be scar tissue, trauma, cultural. has an erection but never orgasms.

Question 4

Substance/Medication-Induced Sexual Dysfunction

Answer 4

very common. SSRIs very common.

Question 5

chronic depression -

Answer 5

vegetative symptom of depression. mania ppl are usually hyper sexual.

Question 6

fear of rejection or loss of control

Answer 6

esp w/ orgasmic disorders

Question 7

tx

Answer 7

Cognitive restructuring
Relaxation and behavioral therapy (e.g. squeeze technique (premature ejaculation) and sensate focus exercises - good for anxiety)
Masturbation and Kegel exercises (esp for women)
Surgery: implantation of a prosthetic device or injections of vasodilators
Intracorporeal injections of vasodilators (men)

Question 8

paraphilia - time frame

Answer 8

Preferential use of unusual objects of sexual desire or engagement in unusual sexual activity over > 6 months, causing impairment in occupational or social functioning.

Question 9

For the diagnosis of a paraphilia, a person must have

Answer 9

have fantasies, urges and behaviors that preoccupy him and significantly interfere w/ his life.
Most paraphilias occur almost exclusively in men; however, pedophilia, sexual sadism and masochism are occasionally seen in women.

Question 10

meds for paraphelia (lupe the depo for paraphelia)

Answer 10

SSRIs, female sex hormones and antiandrogens (e.g. Lupron Depot and Depo-Provera)

Question 11

psychotherapy for paraphelia (paraphelia is distorted)

Answer 11

(target cognitive distortions and help client identify and prevent triggers to inappropriate sexual behaviors)

Question 12

Predictors of Poor Prognosis for paraphelia

Answer 12

inability to have sexual intercourse w/out the paraphiliag
no guilt about the paraphilia
referral by law enforcement authorities rather than self-referral
onset at a young age

Question 13

gender dysphoria

Answer 13

This is NOT pathological in and of itself, but if the person has persistent feelings of unease about the biological sex differing from the gender identity, it is called “gender dysphoria

Question 14

sexual disorders - meds - what is the herbal one?

Answer 14

Meds: SSRIs, Viagra, Levitra, Cialis, Yohimbine (herbal), testosterone and/or estrogen replacement

Question 15

Levitra (levi relaxes)

Answer 15

relaxes muscles

Question 16

Cialis (ci vas)

Answer 16

vasodilator

Question 17

meds that cause dysfunction

Answer 17

antihistamines, steroids

Question 18

if someone thinks sex is sinful, what type of therapy?

Answer 18

cognitive restructuring/reframing