Psychosocial Factors in Sexual Disorders

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38 Questions

What is a common psychosocial factor that can contribute to sexual dysfunction?

Work-related stress

What is a characteristic of Erectile Disorder?

Inability to achieve or maintain an erection

What is a psychological effect that can lead to sexual dysfunction?

Feeling of anxiety

What is a characteristic of Male Hypoactive Sexual Disorder (HSDD)?

Absence of sexual fantasies and thoughts

What is a potential outcome of marital or relationship problems?

Sexual dysfunction

What is a potential underlying cause of sexual dysfunction?

Effect of a past sexual trauma

What is the primary effect of disulfiram (Antabuse) on the body?

It helps maintain abstinence from alcohol

What is the typical dosage of disulfiram (Antabuse) during the maintenance phase?

125-250mg/day

What occurs 36-72 hours after the last drink in individuals with severe alcoholism?

Delirium Tremens

What is the primary purpose of medication in treating opioid abuse?

To block the effects of opiates

What is the characteristic of the pre-alcoholic phase of alcoholism?

Social drinking with developing tolerance

What is the typical duration of disulfiram (Antabuse) treatment during the initial phase?

1-2 weeks

What is the characteristic of the prodromal phase of alcoholism?

Denial begins to develop and blackout occurs

What is the dosage of medication used to treat opioid abuse?

350mg/week

What is the primary focus of Psychosocial Interventions?

Increasing non-specialist care

What is the role of non-specialized healthcare providers in Psychosocial Interventions?

To identify and assess MNS conditions, provide basic care, and refer complex cases

What is the purpose of the mhGAP Master Chart?

To provide an overview of priority conditions and their emergency presentations

Who are the non-specialized healthcare providers involved in Psychosocial Interventions?

General physicians, family physicians, nurses

What is the goal of psychoeducation in Psychosocial Interventions?

To reduce stress and strengthen social supports

What is the role of mental health specialists in Psychosocial Interventions?

To work collaboratively with non-specialist healthcare providers and offer supervision and support

What is the outcome of promoting functioning in daily activities through Psychosocial Interventions?

Enhancing daily functioning and independence

What is the ultimate goal of Psychosocial Interventions?

To address the unmet needs of people with priority MNS conditions

What is an empowering aspect of taking medication for psychosis?

Taking responsibility for one's own recovery

What might be a sign of weakness on one side of the body in an unconscious person?

Floppiness of the limb

What is an important consideration when assessing a person with psychosis?

Re-assessing symptoms and considering medication side effects

What is a potential cause of seizures?

Infections such as meningitis

What should be considered in addition to managing acute seizures in a person with epilepsy who uses drugs or alcohol?

Assessment according to the drug and alcohol use sections of the mhGAP-IG

What is an important question to ask when assessing a person with psychosis?

Are they diabetic?

What is a potential complication of medication use in a person with psychosis?

Side effects of medication

What is an important aspect of psychosocial interventions in a person with psychosis?

Strengthening social support

What is a characteristic of a person experiencing a convulsive movement or fit?

Loss of consciousness or impaired consciousness

What type of seizure is likely to occur in a child with fever?

Febrile seizure

What is a potential outcome after a convulsive movement or fit?

Fatigue, drowsiness, and sleepiness

What is a characteristic of complex febrile seizures?

They need to be ruled out

What age range is typically associated with febrile seizures?

Three months to five years of age

What is a type of intervention that can be used for treatment of behavioral disorders?

Behavioral interventions for children and adolescents, and caregiver skills training

What is an immediate action to take if someone is experiencing a convulsive movement or fit?

Refer to the hospital as this is an emergency

What is a type of seizure that can occur in children?

Febrile seizure

Study Notes

Psychosocial Factors of Premature Ejaculation

  • Include work-related stress, anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, concerns about body image, and effects of a past sexual trauma

Effects of Alcoholism

  • Phases of progression include:
    • Pre-alcoholic phase: social drinking until tolerance begins to develop
    • Prodromal phase: blackout occurs, alcohol becomes a need, and denial begins to develop
  • Adverse effects include:
    • Anxiety/agitation
    • Excessive vomiting/nausea
    • Seizures/tremors
  • Treatment options include:
    • Disulfiram (Antabuse) 250-500mg/day for 1-2 weeks, then 125-250mg/day as maintenance
    • Naltrexone 350mg/week in 3 divided doses to block the effects of opiates

Psychosocial Interventions

  • Focus on increasing non-specialist care, including:
    • Non-specialized healthcare providers trained in basic mental health competencies
    • Psychoeducation to reduce stress and strengthen social supports
  • Phases of intervention include:
    • Screening and assessment
    • Treatment planning
    • Treatment implementation
    • Follow-up and monitoring

Mental Health Gap Action Programme (mhGAP)

  • Aims to increase non-specialist care, including training for non-specialized healthcare providers
  • Focuses on identifying and addressing unmet needs of people with priority mental, neurological, and substance use (MNS) conditions

Epilepsy

  • Defined as brief disturbances in the electrical functions of the brain
  • Causes can be difficult to identify
  • Symptoms include:
    • Impaired consciousness
    • Convulsive movements or fits
    • Loss of consciousness or impaired consciousness
    • Stiffness, rigidity, tongue bite, injury, incontinence of urine or feces
  • Management involves:
    • Assessment according to the mhGAP-IG
    • Referral to hospital as an emergency
    • Psychosocial interventions to strengthen social support and reduce stress

Febrile Seizures

  • Occur in children (three months to five years of age) suffering from fever without neurological illness or brain infection
  • Types include:
    • Complex febrile seizures (need to be ruled out)
    • Simple febrile seizures

This quiz covers the psychosocial factors that contribute to sexual disorders, including premature ejaculation and erectile dysfunction. It explores the impact of work-related stress and anxiety on sexual health.

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