Deck 15: Sleep-Wake Disorders, Sexual Dysfunctions, Paraphilic Disorders, and Gender Dysphoria

Question 1

Which of the following can exacerbate sexual dysfunction:

A) Diet
B) Medication
C) Performance anxiety
D) Alcohol

Answer 1

Performance anxiety

Question 2

Of which of the following issues should counselors be especially aware when treating individuals with sexual dysfunction?

A) Transference
B) Countertransference
C) Therapeutic alliance
D) Intimacy

Answer 2

Countertransference

Question 3

Children may sleep-walk due to

A) Anxieties related to changes in family structure, etc.
B) Depression
C) Changes in sleep schedule
D) Imbalances in brain chemicals

Answer 3

Anxieties related to changes in family structure, etc.

Question 4

is the most evidence-based approach for erectile dysfunction.

A) Medication and group therapy
B) Medication and cognitive behavioral therapy
C) Medication and behavioral therapy
D) Medication and rational emotive therapy

Question 5

The most evidence-based treatment for obstructive sleep apnea is

A) Maxillomandibular advancement
B) Medication
C) Cognitive-behavioral therapy
D) Behavior therapy

Question 6

Which of the following is/are used as treatment(s) for sexual desire disorders:

A) Behavior therapy
B) Interpersonal psychotherapy
C) Dialectical behavioral therapy
D) Family therapy

Question 7

Sexual masochism disorder

A) Involves an individual being arousal by observing another being physically or psychologically made to suffer; the person may or may not have acted on these urges with a nonconsenting person
B) Involves an individual being sexually aroused by being sexually humiliated, beaten, bound, and made to suffer during sexual activity
C) Involves an individual acting on the urge to rub against or touch an individual without his or her consent
D) Involves an individual acting on the urge to observe an unsuspecting person either nude or disrobing, or an unsuspecting person engaged in sexual behavior.

Question 8

Gender dysphoria is most common among which group:

A) Women
B) Men
C) Children
D) It is equally common among each group

Question 9

Which of the following disorders is generally resistant to treatment:

A) Sleep disorders
B) Sexual dysfunction disorders
C) Paraphilia
D) Insomnia

Question 10

Parasomnia refers to

A) Abnormal behaviors or events happening between the threshold of wake and sleep
B) Difficulty in initiating, maintaining, or returning to sleep
C) Breathing-related sleep disturbance
D) Excessive sleepiness

Question 11

The primary treatment for hypersomnia is:

A) Cognitive-behavioral therapy
B) Medication
C) Behavior therapy
D) Rational-emotive therapy

Question 12

Which of the following are behavioral interventions for sleep apnea:

A) Weight loss and dieting
B) Using oral applications
C) Sleep hygiene and controlling one's sleep environment
D) Decreasing smoking and alcohol consumption

Question 13

Which of the following disorders involves increasing tension that is released only when one acts on a desired impulse:

A) Sexual dysfunction disorders
B) Sexual desire disorders
C) Paraphilic disorders
D) Gender dysmorphic disorder

Question 14

Medications are a first resort, but often a temporary solution in treating which of the following disorders:

A) Insomnia
B) Hypersomnia
C) Sleep apnea
D) Circadian rhythm sleep-wake disorder

Question 15

Acceptance on the part of the counselor is especially important in treating which of the following disorders:

A) Sexual dysfunction disorders
B) Sexual desire disorders
C) Paraphilia
D) Gender dysphoria

Question 16

Circadian rhythm sleep-wake disorder refers to

A) The mismatch between external and internal sleep-wake systems
B) Abnormal behaviors or events that happen to individuals between the thresholds of wake and sleep
C) The vocalization or complex behaviors during rapid eye movement [REM] stages of sleep
D) Disruption in sleep which leads to sleep avoidance and sleep deprivation

Question 17

Which of the following issues confound assessment and treatment of sexual dysfunction:

A) Boredom in sexual routine
B) Quality of couple's relationship
C) Interference of medication
D) Current life stressors

Question 18

In treating clients with paraphilia, cognitive-behavioral therapy may involve:

A) Recognizing deviant cognitions and orgasmic reconditioning
B) Aversion therapy and orgasmic reconditioning
C) Aversion therapy and extinction
D) Recognizing deviant cognitions and self-policing strategies

Question 19

Please describe the treatment options for the following sexual dysfunction disorders: female orgasmic disorder and premature ejaculation.

Question 20

What are some important counselor considerations in treating clients with gender dysphoria?