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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
Treat withdrawal symptoms
Praise Remove obstacles
Attend to progress
Plan for relapse
Attend to cues and consequences of new and
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
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
Why would you need a sexual
history when dealing with other
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
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
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
Number of lifetime partners
Currently in a sexual relationship
Describe your intimate relationships
Use of safer sex techniques
Ever forced to have sex?
Sexual Desires Disorders
Hypoactive sexual desire disorders
Sexual Arousal Disorders
Partial or total lack of physical response
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%
~50% 1. ID sexual dysfunction and assess possible organic or psychological etiologies.
2. ID high-risk sexual behaviors...
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This note was uploaded on 09/19/2013 for the course MEDICINE All taught by Professor Johnsmith during the Fall '12 term at Eastern Virginia Medical School.
- Fall '12