12-6

Question 1

Marked incongruence b/n one’s assigned gender and one’s experiences gender for at least 6 mos

Answer 1

Gender Dysphoria (GID, Transgender)

Question 2

Result from altered androgen exposure during critical periods in-utero

Answer 2

Gender Dysphoria

Question 3

Problems related to normal sexual response cycle for at least 6 mos

Answer 3

Sexual Dysfuntions

Question 4

Problems with libido and/or physiological arousal

Answer 4

Female Sexual Interest/Arousal Disorder

Question 5

Delay in, inability to, or low-intensity orgasms

Answer 5

Female Orgasmic Disorder

Question 6

Difficulties with vaginal penetration or vulvovaginal/pelvic pain during intercourse

Answer 6

Genito-Pelvic Pain/Penetration Disorder

Question 7

Genital pain during intercourse

Answer 7

Dyspareunia

Question 8

Vaginal contraction upon attempted cause penetration difficulties and pain

Answer 8

Vaginismus

Question 9

Problems with low libido

Answer 9

Male Hypoactive Sexual Desire Disorder

Question 10

Problems maintaining or attaining an erection

Answer 10

Erectile Disorder

Question 11

1 min ejaculation

Answer 11

Premature ejaculation

Question 12

Delay or absence of ejaculation

Answer 12

Delayed ejaculation

Question 13

Determines whether erections occur during REM, if REM erections occur then problem is not organic

Answer 13

Snap Gauge Test

Question 14

Senate focus exercises (non-sex) to increase libido and responsiveness

Answer 14

Dual Sex Therapy

Question 15

Treatment to slow ejaculation in premature ejaculation

Answer 15

Squeeze technique
Start & stop technique
SSRIs

Question 16

PLISSIT (overall treatment strategy) for sexual dysfunction

Answer 16

Permission
Limited Information
Specific Suggestions
Intensive Therapy

Question 17

Intense and persistent and deviant sexual interest, >6 mos

Answer 17

Paraphilia

Question 18

If an individual

A. Acts on urge with non-consenting person

B. Acts on urge with consenting person and actions cause distress/functional impairment

C. Does NOT act on urge but urge causes significant distress/functional impairment

Answer 18

Paraphilic Disorder

Question 19

Sexual arousal from exposing genitals to an unsuspecting stranger

Answer 19

Exhibitionism

Question 20

Sexual arousal from observing unsuspecting persons either naked, disrobing, or engaging in sexual activity and must be 18+ years

Answer 20

Voyeurism

Question 21

Sexual arousal from nonliving objects or highly-specific sexual focus on a non-genital body part

Answer 21

Fetishism

Question 22

Sexual arousal by cross-dressing

Answer 22

Transvestism

Question 23

Sexual arousal from touching or rubbing against a non-consenting person

Answer 23

Frotteurism

Question 24

Sexual arousal from causing psychological/physical suffering of another person

Answer 24

Sexual Sadism

Question 25

Sexual arousal from receiving psychological/physical suffering

Answer 25

Sexual Masochism

Question 26

Sexual arousal by a prepubescent child

Answer 26

Pedophilia

Question 27

Etiology of paraphilia

Answer 27

Testosterone levels affecting sex drive Frontal lobe dysfunction and serotonin dysregulation affecting impulse control Classical conditioning

Question 28

While engaging in one’s paraphilia, an ACTUAL noxious stimulus is applied to the patient OR while fantasizing about one’s paraphilia pt. IMAGINES aversive consequences (covert sensitization)

Answer 28

Aversion Therapy which is Behavioral Therapy

Question 29

Medication for Paraphilic Treatment

Answer 29

Antidepressants: SSRIs to reduce libido, control impulses and reduce obsessions Anti-androgens (chemical castration, ex: Depo-Provera) to decrease testosterone levels and sex-drive