impulse control disorders

Question 1

List diagnostic criteria for intermittent explosive disorder

Answer 1

• aggressive behavior or verbal aggression out of proportion to precipitating stressor
• not premeditated
• at least 6 y.o

Question 2

conduct disorder can be diagnosed in ages

Answer 2

age 7 or older

Question 3

DSM for conduct disorder

Answer 3

• major rights of other or societal normals are violated
  
  • ​lack of remorse/guilt and empathy
  • shallow affect
• social, academic, or occupational impairtment
• does not meet criteria for antisocial personality disorder

Question 4

define oppositional defiant disorder

Answer 4

• recurrent pattern of negativistic, defiant, disobediant, and hostile behavior toward authority figures

Question 5

oppositional defiant disorder may lead to

Answer 5

• conduct disorder

Question 6

tx of oppositional defiant disorder

Answer 6

• behavioral modification
• family therapy

Question 7

DSM for oppositional defiant disorder

Answer 7

• negativistic, hostile, and defiant behavior > 6 months
  
  • deliberatively annoys people
  • often looses temper
  • argues with adults
• significant impairment in social, academic, or occupational functioning
• criteria not met for CD, and if > 18 yo, criteria not met for ASPD

Question 8

Kleptomania may be linked to

Answer 8

OCD

Question 9

DSM for Kleptomania

Answer 9

• recurrent impulse to steal not needed for personal use
• increased tension before act of stealing
• pleasure, gratification, relief at time of theft
• stealing not to express anger

Question 10

tx of Kleptomania

Answer 10

• behavioral modification
• no clear indication for medications

Question 11

DSM for Pyromania

Answer 11

• deliberate and purposeful fire setting
• build up of tension before setting fire
• fascination with fire
• pleasure, gratification, or relief when setting fire
• fire setting not for monetary gain

Question 12

tx Pyromania

Answer 12

• psychotherapy (determine primary cause)
• no clear indication for medication)

Question 13

DSM for pathological gambling

Answer 13

• persistent gambling within a 12 month period
  
  • preoccupation with gambling
  • excitement acheived with increased amount of money gambled
  • unable to stop
  • after losing money comes back to gamble to get even: “chasing loses”
  • lies
  • jeopardized relationships
  • relies on others to provide money

Question 14

tx of pathological gambling

Answer 14

• psychotherapy
  
  • behavioral modification
  • CBT
• group support
• meds: naltrexone

Question 15

DSM for trichotillomania

Answer 15

• pulling out of hair -> noticeable hair loss
• repeated attempts to decrease or stop
• causes significant distress

Question 16

tx of trichotillomania

Answer 16

• behavior modification - desensitization
• meds:
  
  • fluoxetine
  • chlomipramine (anafranil)