First Aid: Impulse Control Disorders Flashcards Preview

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Flashcards in First Aid: Impulse Control Disorders Deck (27)
1

With impulse control disorders, what is experienced prior to the impulse?

anxiety

2

With impulse control disorders, what is experienced after the behavior is completed?

relief

3

What is the DSM-IV criteria for intermittent explosive disorder?

-Failure to resist aggressive impulses that result in assault or property destruction
-Level of aggressiveness is out of proportion to any triggering events

4

Do patients with intermittent explosive disorder usually feel remorse for their actions?

yes

5

What neurochemical change has been shown to be associated with impulsiveness and aggression?

low levels of serotonin

6

What is the gender difference in intermittent explosive disorder?

men > women

7

What is the age of onset for intermittent explosive disorder?

typically in late teens or twenties

8

What are common comorbidities for intermittent explosive disorder?

-H/o child abuse
-H/o head trauma
-H/o Seizures

9

What is the prognosis for intermittent explosive disorder?

may progress in severity til middle age

10

What is the treatment for intermittent explosive disorder?

SSRIs
Anticonvulsants
Lithium
Propranolol

11

What is the role of therapy in intermittent explosive disorder?

Individual psychotherapy is difficult and ineffective

12

What is the DSM-IV diagnostic criteria for kleptomania?

-Failure to resist urges to steal objects that are not needed for personal or monetary reasons
-Pleasure or relief is experienced while stealing
-Purpose of stealing is not to express anger and is not due to hallucination or delusion

13

What is the gender difference for kleptomania?

women > men

14

True or false: very few shoplifters have kleptomania?

true (under 5%)

15

What are some comorbidities of kleptomania?

-Mood disorders
-Eating disorders (25% of bulimics)
-OCD

16

What is the treatment for kleptomania?

-Insight-oriented psychotherapy
-Behavioral therapy (systematic desensitization and aversive conditioning)
-SSRIs

17

What is the DSM-IV criteria for pyromania?

-More than 1 episode of intentional fire setting
-Tension present before the act and pleasure or relief experienced afterwards
-Fascination with or attraction to fire and its uses and consequences
-Purpose of fire setting is not for monetary gain, expression of anger, making a political statement and is not due to a hallucination or delusion

18

What gender is more likely to have pyromania?

men

19

What is a common comorbidity with pyromania?

mental retardation

20

What is the prognosis for pyromania?

better in children than adults (children usually have complete recovery)

21

What type of treatment is used for pyromania?

-Behavior therapy
-Supervision
-SSRIs

22

What is the DSM-IV criteria for pathological gambling?

Recurrent maladaptive gambling behavior, as shown by 5 or more of the following:
-Preoccupation with gambling
-Need to gamble with increasing amount of $ to achieve pleasure
-Repeated and unsuccessful attempts to cut down on gambling
-Restlessness or irritability when attempting to stop gambling
-Gambling done to escape problems or relieve dysphoria
-Chasing losses
-Lying to therapist or family members about gambling
-Jeopardizing relationships or job because of gambling
-Relying on others to financially support gambling

23

What is the most affective treatment for pathological gambling?

Gamblers Anonymous (12 step program)

24

What is the DSM-IV criteria for trichotillomania?

-Recurrent pulling out of one's hair, resulting in visible hair loss
-Usually involves scalp but can involve eyebrows, eyelashes, and facial and pubic hair
-Tension present before the behavior and pleasure or relief resulting afterwards
-Causes significant distress or impairment in daily functioning

25

When does trichotillomania usually begin?

onset during childhood or adolescence (25% after stressful event)

26

What are some common comorbidities of trichotillomania?

OCD
OCPD
Borderline Personality Disorder

27

What is the treatment for trichotillomania?

-SSRIs, antipsychotics, lithium
-Hypnosis, relaxation techniques
-Behavioral therapy, substituting behaviors, positive reinforcement