CLINICAL PSYCHOLOGY IMPULSE CONTROL DISORDER

Question 1

What is meant by impulse control disorder.

Answer 1

an irresistible urge to carry out a behaviour resulting in difficulties in self regulation. The behaviour relives the tension and gives a feeling of intense extreme happiness
( euphoria) which is short lived.

Question 2

What are the three types of impulse control disorders

Answer 2

• kleptomania
• pyromania
  *gambling disorder

Question 3

Describe kleptomania

Answer 3

recurrent failure to control the urges to steal leading to multiple act of stealing without an apparent motive. ( 0.6 prevalence rate with a female predominance)

Question 4

List the features of kleptomania patients

Answer 4

*urge to compulsive stealing without being able to control it
*the item which have been stolen is not for personal use or for money / monitory value.
*do not get help or others involvement / do the stealing by them self
*unplanned
*stealing is not done to express anger or vengeance and not related to any hallucinations, delusions.
*stolen items are not used / donated/ returned secretly
*after the action patients feel guilty, shame and embarrassed.
* this acts might be triggered due to negative mood such as feeling lonely , depressed , boredom .

Question 5

Describe pyromania

Answer 5

recurrent failure to control the urge to set fire leading to multiple acts of fire setting without an apparent motive. these people are fascinated with fire , fire related equipment and activity.

Question 6

What are the features of pyromania

Answer 6

*recurrent failure to control strong impulse to set fire
*fascinated by fire , attached to fire or fire accelerants
*tension , affection arousal and high anxiety will be present before the action
*fire are not set due to monetary gain , based on criminal intention or vengeance
*they feel extreme guilty after there action

Question 7

Describe gambling disorder

Answer 7

pattern of persistent or recurrent gambling behaviour which can be online or offline .the gambling behaviour and other features are normally evident over a period of at least 12 months in order for diagnose to be assigned

Question 8

What are the commonly seen features in gambling disorder

Answer 8

*need to gamble with increase amount of money to achieve satisfaction
*restlessness or irritability when trying to reduce gambling
*repeat unsuccessful efforts to control or cut down gambling
*frequent thoughts of gambling
*gambling when feeling distressed
*lying to conceal gambling activity
*relying on others to help with money problems caused by gambling.

Question 9

What is meant by salience

Answer 9

when the addiction become the single most important activity in persons life

Question 10

What is meant by mood modification

Answer 10

subjective experience that people report as a consequence in engaging in the activity such as a buzz, high , feeling of peace and escape ( euphoria)

Question 11

What is meant by tolerance

Question 12

What is meant by withdrawal

Question 13

What is meant by conflict

Question 14

What is meant by relapse

Question 15

Mention one measure of impulse control disorder for kleptomania

Answer 15

kleptomania symptoms assessment scale ( K-SAS)

Question 16

Write the features of K-SAS

Answer 16

*self report measure
*consist with 11 questionnaires answering is considered from past week
*each item rate from 0 to 4 and there are 5 options to choose from
*score between 21 to 30 shows moderate level of kleptomania and above 31 shows severe kleptomania