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DSM5 > sexual dysfunction and gender dysphoria > Flashcards

sexual dysfunction and gender dysphoria Flashcards

1
Q

diagnostic criteria for delayed ejaculation

A

-at least 1 manifestation for at least 6 months not better explained by another medical/mental disorder or substance

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2
Q

2 possible manifestations of delayed ejaculation

A

-marked delay in ejaculation
-marked infrequency/absence of ejaculation

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3
Q

specifiers for delayed ejaculation

A

lifelong
acquired
generalized
situational
mild, mod, severe

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4
Q

diagnostic criteria for erectile disorder

A

-1+ manifestation most/all of the time for at least 6 months that causes clinically significant distress not better explained by another medical/mental disorder or substance

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5
Q

3 possible manifestations of erectile disorder

A

-difficulty obtaining erection
-difficulty maintaining erection
-decrease in erectile rigidity
-

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6
Q

difference between erectile dysfunction and erectile disorder

A

erectile dysfunction is a singular problem. Erectile disorder is persistent erectile dysfunction for 6+ months

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7
Q

risk factors for erectile disorder

A

age
smoking
lack of exercise
diabetes
decreased desire

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8
Q

erectile disorder is predictive of what medical issue

A

CAD

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9
Q

when should you test for low testosterone with erectile disorder

A

especially with DM, hypoactive desire, and non-responders to phosphodiesterase inhibitors

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10
Q

what mental disorder is closely associated with erectile disorder

A

depression

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11
Q

diagnostic criteria for female orgasmic disorder

A

one or both
marked delay/infrequency of orgasm
marked reduced intensity of orgasm

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12
Q

how long do sx have to persist for dx of female orgasmic disorder

A

at least 6 months

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13
Q

diagnostic criteria for female sexual interest/arousal disorder

A

lack/reduced sexual interest for at least 6 months that causes clinically significant distress and is not better explained by another medical/mental disorder or a substance

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14
Q

6 possible manifestations of female sexual interest/arousal disorder

A

-absent/reduced interest in sex
-absent/reduced sexual thoughts/fantasies
-no/reduced initiation or unresponsive to partner
-absent/reduced pleasure in most/all sexual encounters
-absent/reduced arousal r/t sexual cues
-absent/reduced genital sensation during sexual activity

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15
Q

diagnostic criteria for genito-pelvic pain/penetration disorder

A

at least 1 persistent/recurrent difficulty for at least 6 months

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16
Q

4 possible areas of difficulty in genito-pelvic pain/penetration disorder

A

-vaginal penetration during intercourse
-vulvo-vaginal/pelvic pain during penetration attempts
-fear/anxiety about pain
-tensing of pelvic floor during penetration attempts

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17
Q

dyspareunia

A

pain during intercourse

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18
Q

vaginismus

A

involuntary muscle contraction making penetration difficult or impossible

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19
Q

vulvodynia

A

idiopathic vulvar pain lasting 3+ months

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20
Q

diagnostic criteria for male hypoactive sexual desire disorder

A

persistent little/no fantasies or sexual desire lasting at least 6 months that causes clinically significant distress and is not better explained by another medical/mental disorder or substance

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21
Q

diagnostic criteria for premature ejaculation

A

persistent pattern of ejaculation within 1 minute of penetration lasting at least 6 months causing clinically significant distress not better explained by another medical/mental disorder or a substance

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22
Q

what medical conditions are associated with premature ejaculation

A

-thyroid disease
-prostatitis
-drug withdrawal

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23
Q

substances most frequently associated with sexual dysfunction

A

alcohol
opioids
sedatives
hypnotics
anxiolytics
stimulants
antidepressants
antipsychotics
hormone contraceptives

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24
Q

gender dysphoria definition

A

distress from incongruence between expressed and assigned gender

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25
Q

transgender

A

gender identity is different than birth-assigned gender

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26
Q

cisgender

A

gender identity congruent with birth assigned gender

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27
Q

transexual

A

one who seeks or is undergoing transformation from one gender to another

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28
Q

how many manifestations must be present for gender dysphoria dx in children

A

6+

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29
Q

8 possible manifestations of gender dysphoria in children

A

-strong desire to be another gender
-strong preference for cross-dressing
-cross-gender roles in make-believe play
-strong preference for toys/games typically used by opposite sex
-preference for playmates of opposite gender
-strong rejection of toys typically used by assigned gender
-strong dislike of own sexual anatomy
-desire for sex characteristics that match expressed gender

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30
Q

how many manifestations must be present for dx of gender dysphoria in adolescents/adults

A

2+

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31
Q

6 possible manifestations of gender dysphoria in adolescents/adults

A

-incongruence between expressed gender and sex characteristics
-strong desire to be rid of own sex characteristics
-strong desire for sex characteristics of other gender
-strong desire to be other gender
-strong desire to be treated as other gender
-conviction that they have thoughts/feelings/reactions of other gender

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32
Q

categories of paraphilic disorders

A

anomalous activity preferences
anomalous target preferences

33
Q

subcategories of anomalous activity preference paraphilias

A

courtship disorders
algolagnic disorders

34
Q

courtship paraphilic disorders

A

voyeuristic
exhibitionistic
frotteuristic

35
Q

what does algolagnic disorder mean

A

associated with pain and suffering

36
Q

what are the algolagnic paraphilias

A

sexual masochistic disorder
sexual sadism disorder

37
Q

what are the subcategories of anomalous target preference paraphilias

A

directed at another
directed elsewhere

38
Q

anomalous target preference paraphilia directed at another

A

pedophilic disorder

39
Q

anomalous target preference paraphilias directed elsewhere

A

fetishistic
transvestic

40
Q

length of time symptoms must be present to qualify as paraphilic disorder

A

at least 6 months

41
Q

what is common to all paraphilia diagnostic criteria

A

-manifested by urges/fantasies/behaviors
-have either acted on them or is causing distress/impairment
-symptoms for at least 6 months

42
Q

voyeuristic disorder

A

intense sexual arousal from watching someone naked, disrobing, or engaged in sexual behavior

43
Q

which paraphilias have an age requirement of 18 years

A

voyeuristic
exhibitionistic

44
Q

what is the age requirement for pedophilic disorder

A

at least 16 and 5 years older than victim

45
Q

specifiers for all paraphilic disorders

A

-in a controlled environment
-in full remission

46
Q

criteria for paraphilia to be in full remission

A

no acting on urges or associated distress for at least 5 years in an uncontrolled environment

47
Q

when can patients who deny urges or distress be dx with a paraphilic disorder

A

when there is evidence they have acted on urges

48
Q

what lends credibility to a paraphilic behavior being recurrent

A

multiple victims on multiple occasions

49
Q

what is the most common potentially law breaking sexual behavior

A

voyeurism

50
Q

common paraphilic comorbidities

A

-other paraphilic disorders
-depressive, anxiety, bipolar disorders
-substance use disorder
-conduct/antisocial personality disorders

51
Q

exhibitionistic paraphilic disorder

A

sexual arousal from exposing genitals to unsuspecting persons

52
Q

specifiers unique to exhibitionistic disorder

A

sexually aroused by exposing genitals to children, adults, or both

53
Q

frotteuristic disorder

A

intense sexual arousal from touching/rubbing against unsuspecting victims

54
Q

sexual masochism disorder

A

recurrent intense sexual arousal r/t being humiliated, beaten, bound, or otherwise made to suffer

55
Q

specifier unique to sexual masochism disorder

A

with asphyxiophilia

56
Q

what is different about diagnostic criteria in sexual masochism as opposed to the other paraphilias

A

applies to those who freely admit paraphilic interests

57
Q

what if there are paraphilic behaviors but they do not cause distress/impairment

A

they are considered paraphilias (sexual interests) not necessarily disorders

58
Q

sexual sadism disorder

A

recurrent intense sexual arousal from the suffering of others

59
Q

what is a typical associated feature of both sexual sadism and masochism

A

extensive use of sadomasochistic porn

60
Q

pedophilic disorder

A

recurrent intense sexual arousal from prepubescent children

61
Q

specifiers unique to pedophilic disorder

A

-exclusive type (attracted only to children)
-nonexclusive type
-attracted to males
-attracted to females
-attracted to both

62
Q

3 types of emotional congruence with children

A

-prefer social interactions with children over adults
-feel like they have more in common with children
-choosing occupations or volunteer activities to be close to children

63
Q

when do most paraphilias begin to manifest

A

adolescence

64
Q

diagnostic tests for pedophilic disorder

A

penile plethysmography
viewing time

65
Q

what is the difference between child sexual abuse in pedophilia as opposed to antisocial personality disorder

A

in antisocial personality disorder it is typically d/t easy access to the child and in pedophilia it is due to attraction to child

66
Q

fetishistic disorder

A

recurrent intense sexual arousal from nonliving objects or specific nongenital body parts

67
Q

what differentiates fetishistic disorder from cross-dressing

A

fetishistic disorder is not dx if fetish objects are exclusively clothing items for cross-dressing or inanimate objects made for sexual stimulation

68
Q

specifiers unique to fetishistic disorder

A

-body
-nonliving object
other

69
Q

what is the primary means of sexual arousal in fetishistic disorder

A

whatever the fetish object is. Arousal can often not be achieved without it

70
Q

Partialism in fetishistic disorder

A

exclusive focus on body part

71
Q

transvestic disorder

A

recurrent intense sexual arousal from cross-dressing

72
Q

specifiers unique to transvestic disorder

A

with fetishism
with autogynephilia

73
Q

transvestic disorder with fetishism

A

sexually aroused by fabrics

74
Q

transvestic disorder with autogynephilia

A

sexually aroused by thoughts/images of self as a woman

75
Q

what increases likelihood of gender dysphoria with transvestic disorder

A

autogynephilia

76
Q

what decreases chances of gender dysphoria with transvestic disorder

A

fetishism

77
Q

difference in masturbation associated with transvestic disorder in younger and older men

A

usually leads to erection and masturbation in younger men. Older men may refrain or delay erection and masturbation to prolong cross-dressing session

78
Q

purging and acquisition pattern of behavior in transvestic disorder

A

spends a great deal of money on clothes, discards them in an effort to stop cross-dressing, then begins to acquire them again

79
Q

sexual arousal v. desire in transvestic disorder as one ages

A

may feel less sexual arousal even though desire to cross-dress remains the same or heightens

DSM5 (18 decks)

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