Impulse Control Disorders (Lauren 🌭)

Question 1

What kind of therapy is this:

“Challenging people’s thoughts in order to change their feelings and as a result their behavior is changed”

Answer 1

CBT

Question 2

What kind of therapy am I doing if I ask a patient, “What is your evidence that…..an alligator will eat you in the shower?”

Answer 2

CBT

Challenging her thoughts

Question 3

What was Dr. Stoehr’s big phobia that he overcame

Answer 3

Public speaking

Question 4

Can homework and journaling be a part of cognitive behavioral therapy?

Answer 4

Yes

Question 5

If someone cuts you off and you get so mad that you follow them home and kill them, what disorder do you probably have?

Answer 5

Intermittent Explosive Disorder

Question 6

What are the six DSM5 criteria that must be fulfilled to diagnose Intermittent Explosive Disroder?

Answer 6

1. Episodes of aggressive behavior or verbal aggression
2. Aggressiveness out of proportion to the precipitating stressor
3. Not premeditated, not seeking a reward
4. Cause distress, impairment, or financial/legal consequences
5. At least 6 years old
6. Behavior not accounted for by another substance or condition

Question 7

How long do the outbursts of Intermittent Explosive Disorder last?

Answer 7

Less than 30 min

Question 8

What are the risk factors for Intermittent Explosive DisordeR?

Answer 8

Trauma

Serotonin disruption

Genetic

Question 9

Are the outbursts of Intermittent Explosive Disorder premeditated?

Answer 9

No

Question 10

What is the treatment for intermittent Explosive Disorder?

Answer 10

SSRI’s

Mood Stabilizers

Behavior Modification (Desensitization)

Question 11

What are two examples of Behavioral Modification that he mentioned?

Answer 11

Desensitization (exposure)

Aversion (negative stimuli)

Question 12

What are the risk factors for Conduct Disorder?

Answer 12

Parental rejection/neglect

Difficult infant temperament

Harsh discipline

Abuse

Unstable family

Question 13

What are the DSM5 Criteria for Conduct Disorder?

Answer 13

A.) *Rights of others or societal norms are violated- 3 of these in last 12 months: aggression to people and animals. Property destruction. Deceitfulness or theft. Serious violation of rules.

B.) Behavior causes impairment in **social, academic or occupational functioning **

C.) Can be diagnosed as an adult if they do not meet criteria for ASPD

Question 14

What is the treatment for Conduct Disorder?

Answer 14

Individual and group therapy

Parental behavioral therapy

Pharmacotherapy (ADHD drugs, antidepressants, mood stabilizers, anti-psychotics)

Question 15

What is this:

“Recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures”

Answer 15

Oppositional Defiant Disorder

Question 16

Which disorder is commonly associated with ADHD?

Answer 16

Oppositional Defiant Disorder

Question 17

Oppositional Defiant Disorder usually starts before ___ years old

Answer 17

8

Question 18

Oppositional Defiant Disorder may lead to what other disorder?

Answer 18

Conduct Disorder

Question 19

If someone has CD and ODD, which diagnosis will take precedent?

Answer 19

CD

Question 20

What is the treatment for Oppositional Defiant Disorder?

Answer 20

Behavioral Modification

Family Therapy
****

NO MEDS

Question 21

What are the DSM5 criteria for Oppositional Defiant Disorder?

Answer 21

A.) Negativistic, hostile, and defiant behavior >6 months with 4 of the following:
Loses temper
Argues with adults
Defies adults’ requests/rules
Deliberately annoys people
Blames others for their behavior
Easily annoyed
Angry or resentful
Spiteful or vindictive

B.) Impairment in social, academic, or occupational function

C.) The behavior doesnt occur during psychotic or mood disorder

D.) They don’t meet the criteria for Conduct Disorder, and if they’re an adult, they also don’t meet criteria for ASPD

Question 22

What kind of disorder is Pathological Gambling in DSM5?

Answer 22

Addictive***

Question 23

Pathologic Gamblers believe __________ is the cause and solution to all their problems

Answer 23

Money

Question 24

What kind of physiological conditions do Pathologic Gamblers have?

Answer 24

Stress-related (HTN, DM, etc)

Question 25

What is the progressive course of Pathological Gambling?

Answer 25

1. Winning phase 2. Losing phase 3. Desperation phase

Question 26

Do most pathological gamblers commit crimes to support their habit?

Answer 26

Yes

Question 27

Would you expect Pathologic gamblers to have increased rates of mood disorders, ADHD, substance abuse, other Impulse Control Disorders, and cluster B personality disorders?

Answer 27

Yes

Question 28

The course of Pathological Gambling mimics the curve for what?

Answer 28

Alcohol and drug dependency

Question 29

What are the DSM5 criteria for pathological gambling?

Answer 29

A.) Persistent maladaptive gambling behavior as indicated by 4 of the following in a 12 month period: Preoccupation with gambling* Desired Excitement achieved with increased amount of money gambled* Unable to stop or cut back** Restless or irritable when trying to cut back May serve to escape problems or relieve bad mood After losing money they gamble again to get even “chasing losses”*** Lies to family members/therapists/others Jeopardized relationships or job** Relies on others to provide money to relieve desperate financial situations** B.) Behavior is not better accounted for by a manic episode**

Question 30

How do pathological gamblers “build up a tolerance” like drug addicts do?

Answer 30

They increase the amounts of money gambled to get the same high

Question 31

What is the treatment for pathological gambling?

Answer 31

Psychotherapy: behavioral modification and CBT Group support** Medications: OCD, anxiety or mood disorder symptoms treated with SSRIs, anxiolytics, or mood stabilizers. Some promise with opiate antagonists (naltrexone)

Question 32

What happens during CBT for pathological gambling?

Answer 32

Address the erroneous beliefs of the gambler and the role of chance

Question 33

Why is group therapy so effective for pathological gamblers?

Answer 33

They call each other out on their bullshit

Question 34

The specifier of having a lack of prosocial emotions (such as a lack of remorse/guilt or empathy) is associated with what disorder?

Answer 34

Conduct disorder