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Flashcards in Impulse Control Disorders Deck (13)
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1
Q

Describe an impulse control disorder.

A

Failure to resist an impulse or drive to perform an act that is harmful to self or others

2
Q

How do individuals feel when performing an impulse?

A

Before the action, they feel increasing tension and during the act, gratification. (after - bad consequences)

3
Q

What is the difference between an impulse and a compulsion?

A

Impulse is a tension state that can exist without an action but compulsions always have an action component.

4
Q

What are some causes of impulse control disorders?

A
  • Primary cause: unknown, psychic trauma
  • Incomplete sense of self: not receiving affirming responses from significant relationships & so self fragments
  • Psychosocial: early life events - alcohol abuse, violence, parents with difficulty control impulses
5
Q

What neurotransmitters are associated with being more impulsive?

A

Glutamate, norepi, dopamine

6
Q

What neurotransmitters are associated with being less impulsive?

A

GABA, serotonin

7
Q

What are the diagnostic features of intermittent explosive disorder? How is it treated?

A

Episodes of failure to resist aggressive impulses - assaultive acts or property destruction; treated with therapy + SSRIs & buspirone

8
Q

What are the diagnostic features of pyromania? How is it treated?

A

Deliberate fire setting; feel tension/arousal prior to act and pleasure afterwards (not for monetary gain!); behavior therapy, visit burn unit
Fun facts: psychosocial symbol of sexuality; low CSF levels of serotonin metabolite

9
Q

What are some features of pathological gambling? How is it treated?

A

Preoccupation with gambling; gamble to escape problems; unsuccessful efforts to cut down; do not see themselves as doing something wrong; Treatment: therapy, gamblers anonymous

10
Q

What are some features of kleptomania? How is it treated?

A

Failure to resist impulses to steal objects that are not needed for personal/monetary value; history of dysfunctional childhood; Treatment: therapy + SSRIs

11
Q

What is the difference between impulsive acts and OCD?

A

Impulsive acts - feel pleasure, gratification upon committing act
OCD - feel dissipation of tension upon committing act + other ritualistic behaviors

12
Q

What are some features of trichotillomania? How is it treated?

A

Feeling gratified once they pull their hair; starts in childhood could be due to disturbance in mother-child relationship; overlaps with OCD; treated by psychiatrist & dermatologist - CBT (habit reversal), insight oriented therapy + poor results with medications

13
Q

Risk of suicide decreases with compliance to which drug?

A

Lithium