ECPY 621 – Class 8 Sexual, Eating, Sleeping and other Impulse Control Disorders

Overview  Review Case 2—review of paper  Sexual, Sleeping, Eating and Impulse Control Disorders  Activity

For next papers  Dx on all Axis Axis I: Clinical disorders Axis II:Personality Disorders/Mental Disorders Axis III:General Medical Conditions Axis IV:Psychosocial/Environmental Problems Axis V:Global Assessment of Functioning

Next Papers cont’  Measurable Long term and Short Term Goals  Current/Past: Medications Drugs Injuries  Good/positives about client

Sexual Disorders  Hypoactive Sexual Desire Disorder  Sexual Aversion Disorder  Female Sexual Arousal Disorder  Male Erectile Disorder  Female Orgasmic Disorder  Male Orgasmic Disorder  Premature Ejaculation

Sexual Disorders- pain disorders  Dyspareunia  Vaginismus

Sexual Disorders- paraphilias  Exhibitionism  Fetishism  Frotteurism  Pedophilia  Sexual Masochism  Sexual Sadism  Transvestic Fetish  Voyeurism

Sexual Disorders – Gender Identity  Gender Identity Disorder in Children  Gender Identity Disorder in Adolescents/Adults

Problems in Dx Sexual Disorders  Patients don’t fulfill criteria  Fulfill more than one  Fulfill symptoms as part of another psychiatric disorder

Eating Disorders  Anorexia Nervosa  Bulimia Nervosa Purging Type Nonpurging Type  Eating Disorder NOS

Key Points for Eating Disorder  Anorexia Nervosa require an intense fear of gaining weight even though they are underweight  Bulimia cannot be made if criteria is met for Anorexia  For Bulimia: Frequent periods of binging with loss of control Followed by guilt, depression or compensatory behavior

Sleep Disorders  Primary Insomnia  Primary Hypersomnia  Narcolepsy  Breathing related Sleep Disorder  Circadian Rhythm Sleep Disorder

Sleep Disorders -- Parasomnias  Nightmare Disorder  Sleep Terror Disorder  Sleepwalking Disorder

Sleep Disorders – related to other  To another Mental Disorder  Due to General Medical Condition  Substance-Induced Sleep Disorder

Additional Information  Table 14-1

Impulse Control NOS  Intermittent Explosive Disorder Not Antisocial, Borderline, Psychotic  Kleptomania Not Conduct, Manic, Antisocial  Pyromania Not Conduct, Manic, Antisocial or substance/GMC  Pathological Gambling Not Manic  Trichotillomania Not another mental disorder/GMC

Activity  Video Segment 2-2  Video Segment 2-7