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Business pro development Report Homework Solution

Business pro development Report Homework Solution

Comment Ruby : Respond  to your  colleagues by comparing the differential diagnostic features of the  disorder you were assigned to the diagnostic features of the disorder  your colleagues were assigned.    NOTE: Positive comment (bellow is attached the sleep disorder assigned to me)                                                                 Main Post   Substance /Medication Induced Sexual Dysfunction (SMISD)             The purpose of this discussion is to  explain the diagnostic criteria for SMISD, and evidence-based  psychotherapy and psychopharmacological treatment for SMISD. I will be supporting these  treatments and diagnostic criteria with learning course resources and  other academic resources. The diagnosis of SMISD is when there is evidence of  substance intoxication or withdrawal that is apparent from the history  physical examination or laboratory results. The sexual dysfunction SMISD occurs soon  after significant substance intoxication or withdrawal, or after  exposure to a medication or a change in medication use. Some examples of substances and  medications that cause SMISD are alcohol amphetamines or related  substances, cocaine, opioids, sedatives-hypnotics, anxiolytics, and other known or  unknown substances (Sadock et al., 2014). Almost every pharmacological  agent, especially those in the psychiatry field have been associated with an effect  on sexuality. In men these effects include low sex drive, erectile  failure, low volume of ejaculate, and delayed or retrograde ejaculation. In women there is  decreased sex drive, decreased vaginal lubrication, inhibited, or  delayed orgasm and decreased or absent vaginal contractions may occur. Drugs may also  enhance the sexual responses and increase the sex drive, but this is  less common than adverse effects (Sadock et al., 2014). Diagnostic criteria              The diagnostic criteria for SMISD requires  that a significant disturbance in sexual function is predominant in the  clinical picture. There SMISD must be evident from the history, physical examination, or  laboratory findings of a significant sexual dysfunction during or soon  after substance intoxication or withdrawal or after exposure to her medication. The  involved medication can produce sexual dysfunction symptoms. In  addition, the dysfunction must not be a result of another dysfunction that is not drug-  induced must not occur during delirium and must cause clinically  significant distress in the client (Association, 2015). Psychopharmacology and Psychotherapy for SMISD              SMISD can be treated by pharmacologic or  psychotherapy or both. Some classes of medication that can cause sexual  dysfunction antipsychotics. The prevalence of low libido and problems with orgasm in  patients treated with antipsychotics regardless of sex is 54.2% and  41.7% respectively. A widely accepted mechanism underlying antipsychotic associated  sexual dysfunction is dopamine D2 receptor antagonism. This causes high  prolactin levels, which can subsequently lead to a variety of sexual problems  including erectile dysfunction, ejaculatory disturbances and  gynecomastia in men, amenorrhea, and vaginal dryness in woman. Also, low libido,  anorgasmia, and galactorrhea in both sexes. Some other medications that  cause sexual dysfunction are antipsychotics, antiparkinsonian drugs,  anticholinergics, antiepileptics, muscle relaxants, cannabis, opioids  and anti-anxiety drugs (Downing et al., 2019). Psychopharmacological treatments:  Dose reduction or abstinence   Switching to a prolactin sparing antipsychotic example Aripiprazole, Olanzapine and Quetiapine  Augmenting with Aripiprazole.  Adding Phosphodiesterase inhibitors specifically to treat Ed, PDE-5 inhibitors like Sildenafil can be used.   Androgen therapy for male and female.  Bupropion and some second-generation antipsychotics.  Testosterone replacement and low  hepatic impact medications, H1 receptor antagonism with allergic  antihistamine use improves ED.  Alprostadil and injectable medications Edex, MUSE and Brevital.  Anti-depressants can be used for treating phobic sex.  Trazodone can be used to increase nocturnal erections (Razdan et al., 2017).  Psychotherapy  Dual-sex therapy  Hypnotherapy  Behavior therapy   Mindfulness in cognitive technique  Group therapy  Specific techniques and exercises  Analytically oriented sex therapy (Sadock et al., 2014)  Conclusion             Clinicians need to be more vigilant about  antipsychotic- associated sexual dysfunction and available treatment  options, because these adverse effects can affect a patient’s quality of life and adherence  to anti-psychotic medication (Downing et al., 2019). Maintaining good  sexual health and function is especially important in these patients to help improve  their mood, quality of life and medication compliance. The specific  aspect of sexual function that is affected by psychiatric drugs is often ambiguous when  described in current literature. Broad questionnaires like the Arizona  Sexual Experience Scale can be used to evaluate many components of sexual health (Razdan et al., 2017). References             Association, A. P. (2015). Dsm-5® (5th ed.). American Psychiatric Association.             Downing, L., Kim, D. D., Procyshyn, R. M., & Tibbo, P. (2019). Management of sexual adverse                           effects induced by atypical antipsychotic medication. Journal of Psychiatry and                            Neuroscience, 44(4), 287–288. https://doi.org/10.1503/jpn.190053            Razdan, S., Greer, A. B., Patel, A., Alameddine, M., Jue, J. S., & Ramasamy, R. (2017). Effect                           of prescription medications on erectile dysfunction. Postgraduate Medical Journal,                          94(1109), 171–178. https://doi.org/10.1136/postgradmedj-2017-135233             Sadock, B. J., Sadock, V. A., & Pedro, R. M. (2014). Kaplan and sadock’s synopsis of                            psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Lww.

Respond  to your  colleagues by comparing the differential diagnostic features of the  disorder you were assigned to the diagnostic features of the disorder  your colleagues were assigned.    NOTE: Positive comment (bellow is attached the sleep disorder assigned to me)                                                                 Main Post   Substance /Medication Induced Sexual Dysfunction (SMISD)             The purpose of this discussion is to  explain the diagnostic criteria for SMISD, and evidence-based  psychotherapy and psychopharmacological treatment for SMISD. I will be supporting these  treatments and diagnostic criteria with learning course resources and  other academic resources. The diagnosis of SMISD is when there is evidence of  substance intoxication or withdrawal that is apparent from the history  physical examination or laboratory results. The sexual dysfunction SMISD occurs soon  after significant substance intoxication or withdrawal, or after  exposure to a medication or a change in medication use. Some examples of substances and  medications that cause SMISD are alcohol amphetamines or related  substances, cocaine, opioids, sedatives-hypnotics, anxiolytics, and other known or  unknown substances (Sadock et al., 2014). Almost every pharmacological  agent, especially those in the psychiatry field have been associated with an effect  on sexuality. In men these effects include low sex drive, erectile  failure, low volume of ejaculate, and delayed or retrograde ejaculation. In women there is  decreased sex drive, decreased vaginal lubrication, inhibited, or  delayed orgasm and decreased or absent vaginal contractions may occur. Drugs may also  enhance the sexual responses and increase the sex drive, but this is  less common than adverse effects (Sadock et al., 2014). Diagnostic criteria              The diagnostic criteria for SMISD requires  that a significant disturbance in sexual function is predominant in the  clinical picture. There SMISD must be evident from the history, physical examination, or  laboratory findings of a significant sexual dysfunction during or soon  after substance intoxication or withdrawal or after exposure to her medication. The  involved medication can produce sexual dysfunction symptoms. In  addition, the dysfunction must not be a result of another dysfunction that is not drug-  induced must not occur during delirium and must cause clinically  significant distress in the client (Association, 2015). Psychopharmacology and Psychotherapy for SMISD              SMISD can be treated by pharmacologic or  psychotherapy or both. Some classes of medication that can cause sexual  dysfunction antipsychotics. The prevalence of low libido and problems with orgasm in  patients treated with antipsychotics regardless of sex is 54.2% and  41.7% respectively. A widely accepted mechanism underlying antipsychotic associated  sexual dysfunction is dopamine D2 receptor antagonism. This causes high  prolactin levels, which can subsequently lead to a variety of sexual problems  including erectile dysfunction, ejaculatory disturbances and  gynecomastia in men, amenorrhea, and vaginal dryness in woman. Also, low libido,  anorgasmia, and galactorrhea in both sexes. Some other medications that  cause sexual dysfunction are antipsychotics, antiparkinsonian drugs,  anticholinergics, antiepileptics, muscle relaxants, cannabis, opioids  and anti-anxiety drugs (Downing et al., 2019). Psychopharmacological treatments:  Dose reduction or abstinence   Switching to a prolactin sparing antipsychotic example Aripiprazole, Olanzapine and Quetiapine  Augmenting with Aripiprazole.  Adding Phosphodiesterase inhibitors specifically to treat Ed, PDE-5 inhibitors like Sildenafil can be used.   Androgen therapy for male and female.  Bupropion and some second-generation antipsychotics.  Testosterone replacement and low  hepatic impact medications, H1 receptor antagonism with allergic  antihistamine use improves ED.  Alprostadil and injectable medications Edex, MUSE and Brevital.  Anti-depressants can be used for treating phobic sex.  Trazodone can be used to increase nocturnal erections (Razdan et al., 2017).  Psychotherapy  Dual-sex therapy  Hypnotherapy  Behavior therapy   Mindfulness in cognitive technique  Group therapy  Specific techniques and exercises  Analytically oriented sex therapy (Sadock et al., 2014)  Conclusion             Clinicians need to be more vigilant about  antipsychotic- associated sexual dysfunction and available treatment  options, because these adverse effects can affect a patient's quality of life and adherence  to anti-psychotic medication (Downing et al., 2019). Maintaining good  sexual health and function is especially important in these patients to help improve  their mood, quality of life and medication compliance. The specific  aspect of sexual function that is affected by psychiatric drugs is often ambiguous when  described in current literature. Broad questionnaires like the Arizona  Sexual Experience Scale can be used to evaluate many components of sexual health (Razdan et al., 2017). References             Association, A. P. (2015). Dsm-5® (5th ed.). American Psychiatric Association.             Downing, L., Kim, D. D., Procyshyn, R. M., & Tibbo, P. (2019). Management of sexual adverse                           effects induced by atypical antipsychotic medication. Journal of Psychiatry and                            Neuroscience, 44(4), 287–288. https://doi.org/10.1503/jpn.190053            Razdan, S., Greer, A. B., Patel, A., Alameddine, M., Jue, J. S., & Ramasamy, R. (2017). Effect                           of prescription medications on erectile dysfunction. Postgraduate Medical Journal,                          94(1109), 171–178. https://doi.org/10.1136/postgradmedj-2017-135233             Sadock, B. J., Sadock, V. A., & Pedro, R. M. (2014). Kaplan and sadock's synopsis of                            psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Lww.

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