Conduct Disorders Flashcards
1
Q
Disorders of Behavior
A
- Diagnosis of exclusion
- May have soft neuro signs
- History most important diagnostic aid
- Abnormal serotonin metabolism
2
Q
Intermittent Explosive Disorder (IED)
A
- Degree of aggression our of proportion to precipitating stressor
- May experience tingling, tremor, palpitations, chest tightness prior to episode
- May feel sorry or guilty afterwards
- Age of onset: 6-20
- Comorbidities: Mood disorders, anxiety disorders, SUD
3
Q
Intermittent Explosive Disorder: Treatment
A
- Combination of pharmacologic and psychotherapeutic
- Anticonvulsants
- Lithium
- Trazadone
- SSRI
- Beta-blocker
- Calcium Channel Blocker
4
Q
Kleptomania
A
- Stealing objects not needed for personal use
- Females greater than males 3:1
- Age of onset in variable
- Family history of obsessive compulsive disorder
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5
Q
Kleptomania: Treatment
A
- Behavior therapy including systematic desensitization, averse conditioning
- SSRI
- Tricyclic
- Trazadone
- Lithium
- Valporate
- ECT
6
Q
Pyromania
A
- Inability to resist impulse to start fires
- May set fires to “help” put them out
- Many start in childhood
- May have learning difficulties
7
Q
Pyromania: Treatment
A
- Duty to ward and protect
- Behavior therapy
- Supervision/incarceration
8
Q
Trichotillomania
A
- Failure to resist impulse to pull out one’s hair
- May have urges to pull others hair
- Females greater than males 10:1
- Underlying mood disorders: OCD, SUD
9
Q
Trichotillomania: Treatment
A
- Biofeedback, hypnotherapy, behavior therapy
- SSRIs
- Pimozide (Orap)
- Naltrexone
10
Q
Gambling Disorder
A
- Begins in adolescent for men
- Later in life for women
- Behavior similar to a=other addictions
11
Q
Gambling Disorder: Treatment
A
- 12 Step
- SSRI
- Buspirone
- Mood Stabliizers: Lithium & Depakote
