Chapter 13_Impulse Control Disorders

Question 1

Characteristics of impulse control disorder

Answer 1

• repetitive or compulsive engagement in behavior despite adverse consequences
• little control over negative behavior
• anxiety/craving experienced prior to engagement of behavior
• relief or satisfaction during or after completion

Question 2

DSM-5 criteria for intermittent explosive disorder

Answer 2

• recurrent behavioral outburts resulting in verbal/physical aggression against other people/propert
  EITHER frequent verybal/physical outbursts that don’t destruct people/property twice weekly for 3 months OR rarer (greater than 3) verbal/physical outbursts resulting in damage to people/property
• Outbursts and aggression out of proportion to trigger
• Not premeditated or comitted to obtain desired reward
• causes significant impairment
  -not better explained by other mental disorder/substance/medical condition

Question 3

Low levels of what NT has been shown to be associated with impulsiveness and aggression?

Answer 3

serotonin (in CSF)

Question 4

When does intermittent explosive disorder usually start to develop?

Answer 4

Late childhood/adolescence

Question 5

Treatment options for intermittent explosive?

Answer 5

• SSRIs, lithium, anticonvulsants
• CBT effective, can be used as combo with meds
• Group/family therapy may be useful

Question 6

DSM criteria for kleptomania

Answer 6

• failure to resist uncontrollable urge to steal objects that aren’t necessarily needed for personal use/monetary value
• Increased tension before stealing
• Pleasure/relief experienced during stealing; many will be guilty after stealing
• stealing not comitted to express anger or response to delusion

Question 7

What disorders are comorbid with kleptomania?

Answer 7

BULIMIA NERVOSA ESPECIALLY
mood disorders
anxiety, substance use, personality disorders

Question 8

Treatment for kleptomania

Answer 8

CBT and SSRIs

Question 9

DSM criteria for pyromania

Answer 9

• at least two episodes of deliberate fire setting
• relief/gratification from fire setting
• curiousity, attraction to fire
• fire setting is not for monetary gain, anger, to conceal criminal activity or personal expression. not in response to delusion
• not explained by other condition

Question 10

Treatment for pyromania

Answer 10

NO STANDARD TREATMENT (many will not seek helpnd will remain chronic)

can try some random meds like SSRIs