ECPY 621 – Class 8Sexual, 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