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Narcolepsy: symptoms, epidemiology

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

Mnemonic:
CHAP

Mistake?

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Depression: major episode characteristics

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

Gain: primary vs. secondary vs. tertiary

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

Impotence causes

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

Kübler-Ross model: Five stages of grief

Denial Anger Bargaining Depression Acceptance

Male erectile dysfunction (MED): biological causes

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

Middle adolescence (14-17 years): characteristics

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

Sleep stages: features

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