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Erikson developmental phases
- Intimacy vs. Isolation - find partner, find out who they are
- Generativity vs. Stagnation
- Ego integrity vs. Despair
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Medical disorders that impact the psychological well-being of a person
- CV disease - 15% develop form of PTSD after MI; 2-5x more likely to die in one year if have depression
- Diabetes
- Pain
- Stroke
- MS
- These disorders are heavily correlated with depression
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Psychiatric disorders
- ADHD - variable presentation in adulthood; disorganization, inability to finish tasks, restlessness; tx: Ritalin
- Gender identity disorder
- Paraphilias
- Sexual problems
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Sex
- Self-awareness
- Why ask? important part of people's lives; some meds decr libido
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Sexual response cycle
- Desire
- Excitement
- Orgasm
- Resolution
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Sexual disorders
- Can occur at anytime of cycle
- Sexual dysfunction - ask if having any side effects of meds
- Gender identity disorder - strong and persistent cross-gender identification; becomes very uncomfortable with own gender at puberty
- Paraphilias - sexual behaviors that fall outside of the realm of what is defined as culturally normal
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Paraphilias
- Fetishism - sexual focus on objects
- Pedophilia - sexual arousal with children under the age of 16
- Exhibitionism - intentional display of genitalia in public places
- Voyeurism - "peeping tom"
- Frotteurism - occurs more freq in crowded areas; rubbing genitalia on other people
- Telephone scatalogia - obscene phone calls
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