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Y3R3 - Psychiatry 🧠 > L14: Psychosexual & Eating Disorders > Flashcards

L14: Psychosexual & Eating Disorders Flashcards

1
Q

Def of Sexual Dysfunction

A
  • Sexual dysfunctions are an inability to respond to sexual stimulation, or the experience of pain during the sexual act.
  • They are defined by disturbance in the subjective sense of pleasure or desire associated with sex, or by the objective performance.
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2
Q

Characters of Sexual Dysfunction

A

Sexual dysfunctions can be:

  • Lifelong or acquired
  • Generalized or situational
  • A result from psychological factors, physiologic factors, or combined factors.
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3
Q

Types of Sexual Dysfunction

A
  • DESIRE, INTEREST AND AROUSAL DISORDERS
  • ORGASMIC DISORDERS
  • SEXUAL PAIN DISORDERS
  • GENDER DYSPHORIA
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4
Q

Disorders of Desire, Interest & Arousal Disorders

A
  • MALE HYPOACTIVE SEXUAL DESIRE DISORDER
  • FEMALE SEXUAL INTEREST/AROUSAL DISORDER
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5
Q

Characters of Male Hypoactive Sexual Desire Disorder

A
  1. Lack or absence of sexual fantasies and desire for minimum duration of 6 months.
  2. The dysfunction can be lifelong.
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6
Q

Epidemeolgy of Male Hypoactive Sexual Desire Disorder

A
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7
Q

Etiology of Male Hypoactive Sexual Desire Disorder

A

Many factors such as age and culture should inform whether the patient fits within the bounds for normal sexual desire.

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8
Q

In sex therapy clinic populations, ………. is one of the most common complaints among married couples, with ……… more affected than ……..

A
  • Lack of desire
  • women more affected than men (F>M).
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9
Q

Characters of female Sexual Interest/Arousal Disorder

A
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10
Q

what are types of Orgasmic Disorders

A
  • FEMALE ORGASMIC DISORDER
  • PREMATURE (EARLY) EJACULATION
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11
Q

What is another name of Female Orgasmic Disorder?

A

(ANORGASMIA OR INHIBITED FEMALE ORGASM)

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12
Q

Def of Female Orgasmic Disorder

A
  • Reduction in frequency, immediacy, or intensity of orgasm.
  • In lifelong female orgasmic disorder, one has never experienced an orgasm by any kind of stimulation.
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13
Q

Epidemeology of Female Orgasmic Disorder

A
  • The estimated proportion of married women over age 35 who never have achieved orgasm is 5%
  • The proportion is higher in unmarried women and younger women.
  • The overall prevalence of inhibited female orgasm is 30%.

NB: Not related to relationship significant stressors.

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13
Q

Characters of Premature Ejaculation

A

In premature ejaculation, men persistently or recurrently achieve orgasm and ejaculation before they wish to.

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14
Q

Dx of Premature Ejaculation

A

The diagnosis is made when a man regularly ejaculates before or within approximately 1 minute after penetration.

Premature ejaculation is the chief complaint of 35% to 40% of men treated for sexual disorders.

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15
Q

Types of Genito-Pelvic Pain/Penetration Disorder

A
  • Dyspareunia
  • Vaginismus
16
Q

def & Characters of Dyspareunia

A
  • Dyspareunia is recurrent or persistent genital pain occurring before, during, or after intercourse.
  • Not related to relationship significant stressors.
17
Q

Def of Vaginismus

A
  • A constriction of the outer third of the vagina due to involuntary pelvic floor muscle tightening or spasm.
18
Q

Characters of Vaginismus

A
19
Q

Characters of Gender Dysphoria

A
  1. Persistent discomfort with one’s biologic sex and in some cases.
  2. The desire to have sex organs of the opposite sex.
20
Q

Subtypes of Gender Dysphoria

A

A. Gender Dysphoria in Children
B. Gender Dysphoria in Adolescents and Adults.

21
Q

Def of Anorexia nervosa

A

Anorexia nervosa is a syndrome characterized a self induced starvation to a significant degree leading to the presence of medical signs and symptoms resulting from starvation.

22
Q

Characters of Anorexia nervosa

A
  • It is often associated with disturbances of body image
  • The perception that one is distressingly large despite obvious thinness.
23
Q

Epidemeology of Anorexia nervosa

A
  • The most common age of onset is between 14 and 18 years.
  • Anorexia nervosa is estimated to occur in about 0.5% to 1% of adolescent girls
  • It occurs 10 to 20 times more often in females than in males (F:M = 10~20 : 1)
24
Q

Etiology of Anorexia nervosa

A
25
Q

Types of Anorexia nervosa

A
26
Q

DSM 5 Criteria of Anorexia nervosa

A
  1. Disturbed body image.
  2. Have intense fear of gaining weight or becoming fat.
  3. Amenorrhea.
  4. Body weight < 15% below normal.
27
Q

Physical Symptoms of Anorexia nervosa

A
28
Q

Prognosis & Course of Anorexia nervosa

A
  • Varies greatly, some patients spontaneously recovered, some experienced course of remission and relapse.
  • For others they experience progressive course with deteriorating course.
29
Q

TTT of Anorexia nervosa

A
  1. Psychotherapy.
  2. Psychotropics.
  3. Admission is a must for deteriorating cases.
30
Q

Def of Bulimia Nervosa

A

Bulimia nervosa is defined as binge eating combined with inappropriate ways of stopping weight gain (such as laxative abuse, vomiting, diuretics, fasting, or excessive exercise).

31
Q

Characters of Bulimia Nervosa

A
  • Social interruption or physical discomfort that is, abdominal pain or nausea terminates the binge eating.
  • Often followed by feelings of guilt, depression, or self-disgust
  • Unlike patients with anorexia nervosa, those with bulimia nervosa may maintain a normal body weight.
32
Q

Epidemeology of Bulimia Nervosa

A
  • Bulimia nervosa is more prevalent than anorexia nervosa.
  • Estimates of bulimia nervosa range from 1% to 4% of young women.
  • As with anorexia nervosa, bulimia nervosa is significantly more common in women than in men, but its onset is often later in adolescence than that of anorexia nervosa.
33
Q

Etiology of Bulimia Nervosa

A
34
Q

DSM 5 Criteria of Bulimia Nervosa

A
  1. Recurrent episodes of binge eating.
  2. Recurrent inappropriate attempts to compensate for overeating and prevent weight gain.
  3. These behaviors occur at least twice a week for 3 months.
  4. Perception of self-worth is excessively influenced by body weight and shape.
35
Q

Physical Symptoms of Bulimia Nervosa

A
36
Q

Prognosis & Course of Bulimia Nervosa

A
  • Better prognosis than anorexia nervosa.
  • Symptoms exacerbated by stressful conditions.
  • One half fully recover with treatment.
  • One half have chronic course with fluctuating symptoms.
37
Q

TTT of Bulimia Nervosa

A
  1. Psychotherapy.
  2. Pharmacotherapy.
  3. Treatment of comorbidities.

Y3R3 - Psychiatry 🧠 (19 decks)

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