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Q4 Psych > Exam 3 Impulse Control Dis > Flashcards

Exam 3 Impulse Control Dis Flashcards

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1
Q

Intermittent Explosive Disorder (IED) criteria?

A

1) Episodes of assault/destruction w/o adequate cause
2) Aggressiveness OOP to stressor

(sidenote) NO psychotic sxs

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2
Q

IED tx: Meds? (5)

A 
SSRI
Stabilizers
BZs
Anticonvuls
Antipsych
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3
Q

IED tx: other?

A

Behavior mod

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4
Q

Conduct Disorder (CD) criteria? (3)

A

(sidenote) 7+yo, ADHD-similar sxs

A) Violates rights of others/societal norms:
-aggression to people/animals
-destruction
-deceitful/theft
-rule violation
B) Significant impairment
C) if 18+ yo, does not meet criteria for anti-social personality

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5
Q

CD tx: Meds? (4)

Other?

A

ADHD meds
Antidepress
Stabilizers
Antipsych

Pt/Parent therapy

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6
Q

Oppositional Defiant Disorder (ODD) criteria? (4)

A 
A) Negative/hostile/defiant > 6mo w/ 4+:
  1-Loses temper
  2-Argues w/ adults
  3-Defies requests/rules
  4-Deliberately annoys
  5-Blames
  6-Easliy annoyed
  7-Angry/resentful
  8-Spiteful/vindictive

B) Significant impairment

C) Behaviors not during psychotic or mood dis

D) Not CD, if 18+ not ASPD

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7
Q

Kleptomania criteria? (5)

A

A) Recurrent impulse to steal unneeded items
B) Increased tension before theft
C) Pleasure/relief during theft
D) Not expression of anger or response to delusion/hallucination
E) Not from CD, mania or ASPD

(sidenote) can be w/ mood or addictive dis

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8
Q

Kleptomania tx?

A

Behavior mod

Meds not indicated

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9
Q

Pyromania criteria? (6)

A 
A) Deliberate fire setting
B) Fascination w/ fire
C) Increased tension prior
D) Pleasure/Relief setting, watching and aftermath
E) Not for monetary gain
F) Not CD, mania, ASPD
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10
Q

Pyromania tx?

A 
Psych therapy (find cause)
Meds not indicated
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11
Q

Pathologic Gambling criteria? (2)

A 
A) Persistent/recurrent w/ 5+
  1-Preoccupation w/
  2-Excitement ↑ w/ ↑ money gambled
  3-Can't stop
  4-Restless/irritable w/ cutting back
  5-Escape from problems
  6-Chases losses (gambles more to get even w/ losses)
  7-Lies
  8-Illegal acts to fund gambling
  9-Jeopardized relationships
  10-Relies on others to bail him out of trouble
B) Not mania
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12
Q

Pathologic Gambling tx? (5)

A 
Psych therapy
Behavior mod
Cognitive behav therapy
Groups
P SSRI, anxiolytics, stabilizers
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13
Q

Trichotillomania criteria? (4)

A

A) Noticeable pulling out of hair
B) Increase tension prior
C) Pleasure/relief while pulling
D) Causes significant distress

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14
Q

Trichotillomania tx?

A

Behavior mod

P SSRI, anxiolytics, stabilizers

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15
Q

Paraphilia is?

A

Deviation from “normal” sexual interests

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16
Q

Paraphilia criteria? (3)

A

A) Recurrent, intense, sexually arousing fantasies/urges/behaviors involving:
1-Non-human objects
2-Suffering/humiliation of self or partner
3-Children/non-consensting partner

B) 6+ months

C) Significant distress/impairment

17
Q

Exhibitionism criteria?

A

Same as paraphilia specifically involving exposing genitalia to unsuspecting strangers

(sidenote) pleasure is in reaction of victim

18
Q

Voyeurism criteria?

A

Same as paraphilia specifically involving observing unsuspecting person naked/disrobing/sexual activity

(sidenote) U single males 20-30s, masturbate during

19
Q

Frotteurism criteria?

A

Same involving rubbing against/touching non-consenting person

20
Q

Fetishism criteria?

A

Same involving non-living objects

(sidenote) object used for masturbation

21
Q

Masochism criteria?

A

Same involving being humiliated, bound, suffering

22
Q

Sadism criteria?

A

Same involving excitement from suffering of victim

23
Q

Pedophilia criteria?

A

Same involving 13 yo or younger

Pt must be 16 yo and 5+ yrs older than child

24
Q

Paraphilia tx?

A

CBT: address rationalization/distorted thinking
Social skills
12-step/Group

SSRIs
Anti-androgens for victim-based (depo-provera, triptorelin)
Stablizers (val acid)
Antipsych for aggressive behavior

25
Q

Gender Identity Disorder criteria?

A

A) Strong/persistent cross-gender identification
B) Persistent discomfort w/ gender or sense of inappropriateness of gender role of their sex
C) Not concurrent w/ physical intersex condition
D) Impariment

(sidenote) NOT non-conformity to sex stereotypes

26
Q

Sexual Disorder NOS criteria (hypersexual behavior)?

A

Sexual disturbance not meeting criteria for other dysf, disorder, or paraphilia

(sidenote) based on loss of control, inability to stop and negative consequences

27
Q

Quick screen for sex disorder:

PATHOS

A 
Preoccupied w/ sex
Ashamed of sex behavior
Treatment before
Hurt others (emotionally by behavior)
Out of control
Sad (depressed after)

Refer if 3+

Q4 Psych (14 decks)

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