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

l 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 Anger Bargaining Grieving Acceptance Male erectile dysfunction (MED): biological causes MED: Medicines(propranalol, methyldopa, SSRI, etc.) Ethanol Diabetes mellitus Male Erectile Dysfunction (MED): drugs causing it "STOP erection": SSRI (fluoxtine) Thioridazone methyldOpa Propranalol Gain: primary vs. secondary vs. tertiary Primary: Patient's Psyche improved. Secondary: Symptom Sympathy for patient. Tertiary: Therapist's gain. Depression: major episode characteristics SPACE DIGS: Sleep disruption Psychomotor retardation Appetite change Concentration loss Energy loss

Depressed mood Interest wanes Guilt Suicidal tendencies Depression: symptoms BAD 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 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) Suicide Autistic disorder: features AUTISTICS: Again and again (repetitive behavior) Unusual Abilities Talking (language) delay IQ subnormal Social development poor Three years onset Inherited component [35% concordance] Cognitive impairment Self injury 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 AIDS: Atrophy of cortex Infection/ Inflammation Demyelination Six months death HM: this classic patient's lesion HM had Hippocampus Missing. Middle adolescence (14-17 years): characteristics HERO: Heterosexual crushes/ Homosexual Experience Education regarding short term benefits Risk taking Omnipotence And there is interest in being a Hero (popular). Impotence causes PLANE: 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 REM: features REM: Rapid pulse/ Respiratory rate Erection Mental activity increase/ Muscle paralysis