8/6/2019 Behavioral x

1/4

Premature ejaculation: treatment 2 S's:SSRIs [eg: fluoxitime]Squeezing technique [glans pressure before climax] More detail with 2 more S's:

Sensate-focus excercises [relieves anxiety]Stop and start method [5-6 rehearsals of stopping stimulation

before climax]

Keober-Ross dying process: stages"Death Always Brings Great Acceptance":Denial AngerBargaining Grieving Acceptance

Male erectile dysfunction (MED): biological causes MED:Medicines(propranalol, methyldopa, SSRI, etc.)EthanolDiabetes mellitus

Male Erectile Dysfunction (MED): drugs causing it

"STOP erection":SSRI (fluoxtine)Thioridazone

methyldOpaPropranalol

Gain: primary vs. secondary vs. tertiaryPrimary: Patient's Psyche improved.Secondary: Symptom Sympathy for patient.Tertiary: Therapist's gain.

Depression: major episode characteristicsSPACE DIGS:Sleep disruptionPsychomotor retardationAppetite changeConcentration lossEnergy loss

8/6/2019 Behavioral x

2/4

Depressed moodInterest wanesGuiltSuicidal tendencies

Depression: symptomsBAD CRISES:Behavioural change (slowing down or agitation)Appetite change (weight loss or weight gain in the young)Depressed look (looking down)Concentration decrease (does not do serial 7s well)Ruminations (constant negative thoughts, hopelessness goodindicator of suicidality)Interest (reduced interest in what is normally pleasurable)Sleep change (insomnia or hypersomnia, sleeping early, wakingup at night, waking up feeling tired)Energy change (fatigue)Suicide

Autistic disorder: featuresAUTISTICS:

Again and again (repetitive behavior)Unusual AbilitiesTalking (language) delayIQ subnormalSocial development poorThree years onsetInherited component [35% concordance]Cognitive impairmentSelf injury

Sleep stages: featuresDElta waves during DEepest sleep (stages 3 & 4, slow-wave).dREaM during REM sleep.

Narcolepsy: symptoms, epidemiology

8/6/2019 Behavioral x

3/4

CHAP: Cataplexy Hallucinations Attacks of sleep Paralysis onwaking Usual presentation is a young male, hence "chap".

Cluster personality disordersClusterA Disorder = Atypical. Unusual and eccentric.ClusterB Disorder = Beast. Uncontrolled wildness.ClusterC Disorder = Coward [avoidant type], Compulsive[obsessive-compulsive type], orClingy [dependent type].

Reinforcement schedules: variable ratioSLOT machines show SLOwesT extinction.

AIDS Dementia Complex (ADC): featuresAIDS:Atrophy of cortexInfection/ InflammationDemyelinationSix months death

HM: this classic patient's lesion

HM had Hippocampus Missing.

Middle adolescence (14-17 years): characteristics

HERO:Heterosexual crushes/ Homosexual ExperienceEducation regarding short term benefitsRisk takingOmnipotence

And there is interest in being a Hero (popular).

Impotence causes

PLANE:Psychogenic: performance anxietyLibido: decreased with androgen deficiency, drugs

8/6/2019 Behavioral x

4/4

Autonomic neuropathy: impede blood flow redirectionNitric oxide deficiency: impaired synthesis, decreased blood

pressureErectile reserve: can't maintain an erection

REM: featuresREM:Rapid pulse/ Respiratory rateErectionMental activity increase/ Muscle paralysis