substance abuse and addiction

Question 1

what are one of the few markers available to psychiatry?

Answer 1

sleep

Note that in Psychiatry, sleep is one of the few “markers” we have. There are characteristic sleep patterns that correlate with certain diagnoses.

Question 2

: Shortened REM latency; early AM awakening, fitful sleep. Hypersomnia also possible in mood disorders.

Answer 2

Major Depression: Shortened REM latency; early AM awakening, fitful sleep. Hypersomnia also possible in mood disorders.

Question 3

nightmares

Answer 3

PTSD

Question 4

: Drastically decreased need for sleep. Highly irritable. Manic episode can be precipitated by sleep deprivation (jet travel).

Answer 4

Bipolar – Manic

Question 5

Often manifests as daytime lethargy; can be mistaken for depression or lack of motivation

Answer 5

Sleep Apnea: Often manifests as daytime lethargy; can be mistaken for depression or lack of motivation

Question 6

Patient often is up all night, in agitated aimless activity, driven by delusional thinking.

Answer 6

Schizophrenia

Question 7

t/f: Restoring good sleep is a high priority.

Answer 7

true

Question 8

t/f. Note the medical manifestations of eating disorders (see assigned readings). Typically, patients do not seek psychiatric help for eating disorders, but the medical symptoms bring the patient to the attention of dentists, pediatricians, and internists. The consequences can be life threatening.

Answer 8

true

Question 9

The DSM-5 requires“significant impairment or distress” as necessary qualifiers for any diagnosis. Note that many sexual dysfunctions are due to medication side effects and may result in medication noncompliance.

Answer 9

The DSM-5 requires significant impairment or distress” as necessary qualifiers for any diagnosis. Note that many sexual dysfunctions are due to medication side effects and may result in medication noncompliance.

Question 10

“Intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners.”

Answer 10

paraphillias

Question 11

In paraphillias, “Intense and Persistent Erotic Interest” Can Involve:

Answer 11

1. Erotic activities (spanking, bondage, whipping, strangulation, autoerotic asphyxiation, frottage)
2. Erotic targets(Children, animals, corpses, amputees, inanimate objects)

Question 12

Reduced desire for sexual contact or total aversion to sexual activity

Answer 12

Hypoactive desire disorder
Sexual aversion disorder

20% of known adults

Question 13

Inability to attain or maintain sexual arousal sufficient to initiate or complete sexual acts

Answer 13

Sexual arousal disorder
Female sexual arousal disorder
Male erectile disorder

33% married females
2-4% <35 yrs old
75% > 80 yrs old

Question 14

Excessive orgasmic delay, absence of orgasmic response, or premature orgasm

Answer 14

Female orgasmic disorder - 5% adult females
Male orgasmic disorder - 4% adult males
Premature ejaculation - 30% adult males

Question 15

dyspareunia

vagnismus

Answer 15

Pain in sexual organs during sexual activity that interferes w/or prevents sexual activity

Question 16

Paraphilia:

exhibitionsim

fetishissm

frotteurism

pedophilia

masochism/sadism

transvestic fetishism

voyeurism

Answer 16

deviant arousal patterns and object choices

Question 17

Discomfort w/or non-acceptance of primary sexual identification and desire to change sexual identification to the opposite gender

Answer 17

Gender identity disorder

Question 18

Variable sexual dysfunction resulting from identified medical conditions or treatment. .

Answer 18

Sexual dysfunction due to medical conditions

Question 19

genital expsoure to an unsuspecting person or stranger

Answer 19

exhibitionism

Question 20

use of non-living objects (eg peices for apparel of the other sex) for arousal

Answer 20

fetishism

Question 21

touching and rubbin against a non-consenting person

Answer 21

frotteruism

Question 22

attraction to or behavior invovling a prepubescent boy or girl

Answer 22

pedophilia

Question 23

intense fantasies, urgers or behaviors, whether real or simulated, of being humiliated, made to suffer

Answer 23

masochism

Question 24

arousal achieved from the real psychological or physical suffering of the victim

Answer 24

sadism

Question 25

cross-dressing by a male in women’s attire that produces sexual arousal

Answer 25

transvestic fetishism

Question 26

arousal while viewing nudity or sexual activity by others who have not given permission

Answer 26

voyuerism

Question 27

sexual issues:

1. homosexuality = not mental disorder
2. what does DSM-V require as necessary qualifiers for any diangosis?

Answer 27

1. true
2. _significant impairment or distress _