Exam 3 Impulse Control Dis Flashcards Preview

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Flashcards in Exam 3 Impulse Control Dis Deck (27):
1

Intermittent Explosive Disorder (IED) criteria?

1) Episodes of assault/destruction w/o adequate cause
2) Aggressiveness OOP to stressor

(sidenote) NO psychotic sxs

2

IED tx: Meds? (5)

SSRI
Stabilizers
BZs
Anticonvuls
Antipsych

3

IED tx: other?

Behavior mod

4

Conduct Disorder (CD) criteria? (3)

(sidenote) 7+yo, ADHD-similar sxs

A) Violates rights of others/societal norms:
-aggression to people/animals
-destruction
-deceitful/theft
-rule violation
B) Significant impairment
C) if 18+ yo, does not meet criteria for anti-social personality

5

CD tx: Meds? (4)

Other?

ADHD meds
Antidepress
Stabilizers
Antipsych

Pt/Parent therapy

6

Oppositional Defiant Disorder (ODD) criteria? (4)

A) Negative/hostile/defiant > 6mo w/ 4+:
1-Loses temper
2-Argues w/ adults
3-Defies requests/rules
4-Deliberately annoys
5-Blames
6-Easliy annoyed
7-Angry/resentful
8-Spiteful/vindictive

B) Significant impairment

C) Behaviors not during psychotic or mood dis

D) Not CD, if 18+ not ASPD

7

Kleptomania criteria? (5)

A) Recurrent impulse to steal unneeded items
B) Increased tension before theft
C) Pleasure/relief during theft
D) Not expression of anger or response to delusion/hallucination
E) Not from CD, mania or ASPD

(sidenote) can be w/ mood or addictive dis

8

Kleptomania tx?

Behavior mod
Meds not indicated

9

Pyromania criteria? (6)

A) Deliberate fire setting
B) Fascination w/ fire
C) Increased tension prior
D) Pleasure/Relief setting, watching and aftermath
E) Not for monetary gain
F) Not CD, mania, ASPD

10

Pyromania tx?

Psych therapy (find cause)
Meds not indicated

11

Pathologic Gambling criteria? (2)

A) Persistent/recurrent w/ 5+
1-Preoccupation w/
2-Excitement ↑ w/ ↑ money gambled
3-Can't stop
4-Restless/irritable w/ cutting back
5-Escape from problems
6-Chases losses (gambles more to get even w/ losses)
7-Lies
8-Illegal acts to fund gambling
9-Jeopardized relationships
10-Relies on others to bail him out of trouble
B) Not mania

12

Pathologic Gambling tx? (5)

Psych therapy
Behavior mod
Cognitive behav therapy
Groups
P SSRI, anxiolytics, stabilizers

13

Trichotillomania criteria? (4)

A) Noticeable pulling out of hair
B) Increase tension prior
C) Pleasure/relief while pulling
D) Causes significant distress

14

Trichotillomania tx?

Behavior mod
P SSRI, anxiolytics, stabilizers

15

Paraphilia is?

Deviation from "normal" sexual interests

16

Paraphilia criteria? (3)

A) Recurrent, intense, sexually arousing fantasies/urges/behaviors involving:
1-Non-human objects
2-Suffering/humiliation of self or partner
3-Children/non-consensting partner

B) 6+ months

C) Significant distress/impairment

17

Exhibitionism criteria?

Same as paraphilia specifically involving exposing genitalia to unsuspecting strangers

(sidenote) pleasure is in reaction of victim

18

Voyeurism criteria?

Same as paraphilia specifically involving observing unsuspecting person naked/disrobing/sexual activity

(sidenote) U single males 20-30s, masturbate during

19

Frotteurism criteria?

Same involving rubbing against/touching non-consenting person

20

Fetishism criteria?

Same involving non-living objects

(sidenote) object used for masturbation

21

Masochism criteria?

Same involving being humiliated, bound, suffering

22

Sadism criteria?

Same involving excitement from suffering of victim

23

Pedophilia criteria?

Same involving 13 yo or younger
Pt must be 16 yo and 5+ yrs older than child

24

Paraphilia tx?

CBT: address rationalization/distorted thinking
Social skills
12-step/Group

SSRIs
Anti-androgens for victim-based (depo-provera, triptorelin)
Stablizers (val acid)
Antipsych for aggressive behavior

25

Gender Identity Disorder criteria?

A) Strong/persistent cross-gender identification
B) Persistent discomfort w/ gender or sense of inappropriateness of gender role of their sex
C) Not concurrent w/ physical intersex condition
D) Impariment

(sidenote) NOT non-conformity to sex stereotypes

26

Sexual Disorder NOS criteria (hypersexual behavior)?

Sexual disturbance not meeting criteria for other dysf, disorder, or paraphilia

(sidenote) based on loss of control, inability to stop and negative consequences

27

Quick screen for sex disorder:
PATHOS

Preoccupied w/ sex
Ashamed of sex behavior
Treatment before
Hurt others (emotionally by behavior)
Out of control
Sad (depressed after)

Refer if 3+