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]
"Death Always Brings Great Acceptance":
Denial Anger Bargaining Grieving Acceptance
Male erectile dysfunction (MED): biological causes MED: Medicines(propranalol, methyldopa, SSRI, etc.)
Male Erectile Dysfunction (MED): drugs causing it
Gain: primary vs. secondary vs. tertiary
Primary: Patient's Psyche improved.
Secondary: Symptom Sympathy for patient.
Tertiary: Therapist's gain.
Depression: major episode characteristics
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 good indicator of suicidality)
Interest (reduced interest in what is normally pleasurable)
Sleep change (insomnia or hypersomnia, sleeping early, waking up at night, waking up feeling tired)
Energy change (fatigue)
Autistic disorder: features
Again and again (repetitive behavior)
Talking (language) delay
Social development poor
Three years onset
Inherited component [35% concordance]
Sleep stages: features
DElta waves during DEepest sleep (stages 3 & 4, slow-wave). dREaM during REM sleep.
Narcolepsy: symptoms, epidemiology
CHAP: Cataplexy Hallucinations Attacks of sleep Paralysis on waking
· Usual presentation is a young male, hence "chap".
Cluster personality disorders
Cluster A Disorder = Atypical. Unusual and eccentric.
Cluster B Disorder = Beast. Uncontrolled wildness.
Cluster C Disorder = Coward [avoidant type], Compulsive [obsessive-compulsive type], or Clingy [dependent type].
Reinforcement schedules: variable ratio
SLOT machines show SLOwesT extinction.
AIDS Dementia Complex (ADC): features
Atrophy of cortex
Six months death
HM: this classic patient's lesion
HM had Hippocampus Missing.
Middle adolescence (14-17 years): characteristics
Heterosexual crushes/ Homosexual Experience
Education regarding short term benefits
· And there is interest in being a Hero (popular).
Psychogenic: performance anxiety
Libido: decreased with androgen deficiency, drugs
Autonomic neuropathy: impede blood flow redirection
Nitric oxide deficiency: impaired synthesis, decreased blood pressure
Erectile reserve: can't maintain an erection
Rapid pulse/ Respiratory rate
Mental activity increase/ Muscle paralysis