Trayvon is a 28-year-old male who was recently discharged from the military as a result of some behavioral issues leading to early termination
Trayvon, Postcoital dysphoria (PCD) is a hot topic and it has been identified recently as an under-recognized syndrome that leads to continued distress for couples. It is a complex problem that is not yet fully understood. Clomipramine hydrochloride (Anafranil) is the only FDA-approved pharmacologic treatment typically used in treatment. We don’t have all the answers yet, but research continues. Let’s look at some of the basics right now and I’ll be back in a few days to fill you in on more details.
A. Postcoital dysphoria is a normal response to sex for some patients. Many patients feel really good after intercourse and still have an urge to hug their partner and have a nice time together; others are emotionally drained, feel sad, empty, or depressed, and lose interest in further intimacy. These symptoms tend to be linked to how the patient feels about his or her partner. For example, if you look up the word “dysphoria,” one of its definitions is “depression.” It is often exacerbated by stress with work, family, social obligations, or other reasons related to the patient’s feelings toward current life circumstances. B. In many cases it is just part of the psychological maturational process that everyone must go through to become more comfortable with themselves and others. Such patients often improve after a season of hormonal fluxes (perimenopause/menopause for women). C. In some cases these symptoms may be due to medication side effects that have not been adequately addressed by the family doctor or other health care team members (i.e., nurse practitioner or psychiatrist). D. In rare cases this symptom may reflect an important biological event in itself. Trayvon is a 28-year-old male who was recently discharged from the military as a result of some behavioral issues leading to early termination
Trayvon is a 28-year-old male who was recently discharged from the military as a result of some behavioral issues leading to early termination. He was never in a combat situation, and his behavior and anger seem to predate his military enlistment. He is only in care because the military offers this as a transitional service, and Trayvon thinks it will help him be successful with future job applications. During a comprehensive evaluation of Trayvon, the PMHNP realizes that, among other things, he is experiencing postcoital dysphoria. Predictably this is causing some problems with his girlfriend, and he asks if there is anything he can take to help. The PMHNP advises that: