Psychiatry

Question 1

Sexual masochism vs sadism

Answer 1

Sexual masochism occurs when patients receive sexual arousal or pleasure from being humiliated, demeaned, or abused and sexual sadism individuals experience sexual arousal or pleasure from humiliating or demeaning others

Question 2

Olanzapine and clozapine main side effect

Answer 2

Metabolic: weight gain, and metabolic syndrome.

Question 3

Atypical features in depression

Answer 3

Heavy limbs or psychomotor retardation, a high degree of mood volatility and hypersensitivity to rejection, hyperphagia, and hypersomnolence.

Question 4

Monoamine oxidase inhibitors and depression.

Answer 4

Are effective treatments for treatment-refractory depression with atypical features.
After a patient has failed multiple (2 or more) agents and doses.
Monoamine oxidase inhibitors. phenelzine, isocarboxazid, and tranylcypromine).

Question 5

In patients who require long-term treatment of depression with SSRIs, TCAs, or monoamine oxidase inhibitors, the sexual side effects could be a problem, which are the options?

Answer 5

Bupropion is a norepinephrine and dopamine re-uptake inhibitor, which improves sexual functioning in those taking SSRIs. Other anti-depressants that have minimal sexual side effects or may improve SSRI induced sexual dysfunction include: buspirone, vilazodone and mirtazapine.

Question 6

Haloperidol

Answer 6

nonselective D2 receptor antagonist in postsynaptic neurons.