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Area and ids a goal that might be achievable before

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Unformatted text preview: ding a few blank circles. D iscussion revolves around the patient's priority area and IDs a goal that might be achievable before the next office visit. Termination Offer menu of options for reinforcing change Frequent contact Treat withdrawal symptoms Praise Remove obstacles Attend to progress Plan for relapse Self-monitoring Attend to cues and consequences of new and old behavior Address maladaptive thoughts New coping strategies for HALT Review lessons learned Acknowledge positive steps ID motivational stage Begin cycle again Screen for hope vs. despair New behavior becomes part of self-concept. Offer patient opportunity to assist others. Tuesday, September 20, 2005 What are the 5 stages of the sexual response cycle? 1. Desire: Fantasies or thoughts bout sexual activity and/or desire to have sexual activity. 2. Arousal/Excitement: Subjective sense of sexual pleasure with accompanying physiological changes. 3. Plateau 4. Orgasm: Peaking of sexual pleasure associated with rhythmic contractions of the perineal muscles and pelvic organs and with ejaculations in men. 5. Reduction/Resolution: Sense of physical relaxation and emotional well-being following orgasm. Lect ure: Sexual Hist ory What kind of sexual information are men and women least likely to divulge? Why would you need a sexual history when dealing with other medical problems? What are the 7 dimensions of evaluating a person's sexual history? Tuesday, September 20, 2005 In men, sexual function problems are more difficult to elicit while women are less likely to divulge non-marital relationships. Sexual behaviors differ by: PLISSIT Model of Brief Sexual Counseling Describe female sexual dysfunction. priapism Handout : T he Sexual Hist ory % women w/ sexual dysfunction % men w/ sexual dysfunct ion prevalence of sexual problems and concerns in primary care settings Goals of sexual history taking in primary care. May impact medication compliance Target STD screening appropriately May be the true, though unspoken, reason for the visit Coitarche Number of lifetime partners Currently in a sexual relationship Describe your intimate relationships Use of safer sex techniques Ever forced to have sex? Sexual satisfaction Socioeconomic Status Education Religious belief Cultural/Ethnic Background Permission Limited Information Specific Suggestions Intensive Therapy Sexual Desires Disorders Hypoactive sexual desire disorders Sexual aversion Sexual Arousal Disorders Partial or total lack of physical response Orgasmic Disorder Persistent delay or absence of orgasm Sexual Pain Disorder Dyspareunia - occurrence of pain during sexual intercourse Vaginismus - painful spasm of the vagina preventing intercourse Sexual dysfunction not otherwise specified. Priapism - abnormal, more or less persistent, & often painful erection of the penis; usually assoc. with disease and not desire 20 - 63% ~40% ~50% 1. ID sexual dysfunction and assess possible organic or psychological etiologies. 2. ID high-risk sexual behaviors...
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