Sleep disruption Psychomotor retardation Appetite change Concentration loss Energy loss Depressed mood

Secondary: Symptom Sympathy for patient. Tertiary: Therapist's gain Primary: Patient's Psyche improved.

Psychogenic: performance anxiety Libido: decreased with androgen deficiency, drugs Autonomic neuropathy: impede blood flow redirection Nitric oxide deficiency: impaired synthesis, decreased blood pressure Erectile reserve: can't maintain an erection

Denial Anger Bargaining Depression Acceptance

Medicines (propranalol, methyldopa, SSRI, etc.) Ethanol Diabetes mellitus MED

Heterosexual crushes/ Homosexual Experience Education regarding short term benefits Risk taking Omnipotence HERO

Cataplexy Hallucinations Attacks of sleep Paralysis on waking Usual presentation is a young male, hence "chap"

dREaM during REM sleep. DElta waves during DEepest sleep (stages 3 & 4, slow-wave).