Oxford Handbook of Psychiatry (3 edn)
Contents
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Introduction Introduction
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Menstrual-related disorders Menstrual-related disorders
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Premenstrual symptoms Premenstrual symptoms
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Management Management
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Premenstrual syndrome (PMS) or tension (PMT) Premenstrual syndrome (PMS) or tension (PMT)
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Premenstrual dysphoric disorder (PMDD) Premenstrual dysphoric disorder (PMDD)
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Menopausal disorders Menopausal disorders
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Assessment Assessment
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Management Management
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Premenstrual disorders Premenstrual disorders
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Aetiology Aetiology
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Morbidity Morbidity
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Psychiatric consultation Psychiatric consultation
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Differential diagnosis Differential diagnosis
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Investigations Investigations
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Assessment tools Assessment tools
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Treatment of PMS and PMDD Treatment of PMS and PMDD
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First-line therapy First-line therapy
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Second-line therapy Second-line therapy
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Other promising possible treatments or adjuncts Other promising possible treatments or adjuncts
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Disorders associated with pregnancy Disorders associated with pregnancy
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Anxiety/mood symptoms in normal pregnancy Anxiety/mood symptoms in normal pregnancy
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Miscarriage and abortion Miscarriage and abortion
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Hyperemesis gravidarum Hyperemesis gravidarum
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Pseudocyesis Pseudocyesis
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Disorders related to childbirth Disorders related to childbirth
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Baby blues Baby blues
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Postnatal depression (PND) Postnatal depression (PND)
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Postpartum psychosis Postpartum psychosis
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Sexual dysfunction 1: general principles Sexual dysfunction 1: general principles
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A brief note on ‘talking about sex’ A brief note on ‘talking about sex’
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Defining sexual dysfunction Defining sexual dysfunction
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Subclinical problems Subclinical problems
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Sexual dysfunction 2: problems common to men and women Sexual dysfunction 2: problems common to men and women
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Lack or loss of sexual desire Lack or loss of sexual desire
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Management Management
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Sexual aversion and lack of sexual enjoyment Sexual aversion and lack of sexual enjoyment
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Excessive sexual desire Excessive sexual desire
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Sexual dysfunction 3: problems specific to women Sexual dysfunction 3: problems specific to women
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Failure of genital response Failure of genital response
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Management Management
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Orgasmic dysfunction Orgasmic dysfunction
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Management Management
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Non-organic vaginismus Non-organic vaginismus
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Management Management
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Non-organic dyspareunia Non-organic dyspareunia
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Management Management
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Sexual dysfunction 4: problems specific to men Sexual dysfunction 4: problems specific to men
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Disorders of sexual preference 1: general aspects Disorders of sexual preference 1: general aspects
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Essence Essence
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Definition Definition
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Classification Classification
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Aetiology Aetiology
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Physiological factors Physiological factors
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Psychological theories Psychological theories
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Epidemiology Epidemiology
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Disorders of sexual preference 2: assessment and management Disorders of sexual preference 2: assessment and management
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Assessment Assessment
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Is there another mental disorder? Is there another mental disorder?
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Psychosexual assessment Psychosexual assessment
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What does the person want from treatment? What does the person want from treatment?
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Further investigations Further investigations
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Management Management
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General issues General issues
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Specific treatment approaches Specific treatment approaches
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Transsexualism 1: diagnosis Transsexualism 1: diagnosis
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Aetiology Aetiology
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Epidemiology Epidemiology
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Diagnosis Diagnosis
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Differential diagnosis Differential diagnosis
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Comorbidity Comorbidity
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Transsexualism 2: management Transsexualism 2: management
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Assessment Assessment
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Treatment Treatment
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Legal Legal
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Prognosis Prognosis
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12 Reproductive psychiatry, sexual dysfunction, and sexuality
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Published:February 2013
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Extract
Introduction
Of necessity this chapter is an amalgam of a number of areas in psychiatry that overlap but which are important subspecialties in themselves. They intersect with other medical specialties including gynaecology, obstetrics, urology, and general practice. Most services will be integrated with their medical counterparts as the assessment process necessitates a more holistic approach, even to the point where psychiatrists are employed in obstetric departments and offer a perinatal service for pregnant and post-partum women. It is true to say that research has formerly focused more on female reproductive psychiatry. This does not mean that men do not have their share of problems in this area, rather that the research base is relatively lacking at this point in time.
Mental health problems can arise at various milestones in an individual’s physiological, psychological, and social development. It is important to include issues relating to normal physiological changes, hormonal factors, sexual orientation and its expression, and sexual function when considering associated predisposing, precipitating, and perpetuating factors.
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