First Aid CH13 Impule Control Disorders

Question 1

define impulse control disorders

Answer 1

problems in the self-control of emotions and behaviors, behaviors violate rights of others and/or conflict with societal norms, continue despite adverse consequences, relay they have little control, anxiety or craving is experienced prior to the behavior and relief or satisfaction is reaped from completing the behavior

Question 2

define intermittent explosive disorder

Answer 2

recurrent baseless behavioral outbursts of verbal and/or physical aggression against people or things that are grossly out of proportion to triggering stressor

Question 3

IED behavior patterns

Answer 3

frequent outbursts that cause no damage twice weekly for 3 months

rare (>3x/yr) outbursts that cause damage to people, animals, or things

Question 4

what lab results are consistent with impulsiveness and aggression?

Answer 4

low serotonin lvls in CSF

Question 5

tx of IED (intermittent explosive disorder)

Answer 5

SSRIs, anticonvulsants, lithium, CBT

Question 6

define Kleptomania

Answer 6

failure to resists uncontrollable urges to steal that aren’t needed or perhaps worth much/anything, there’s increased tension prior to theft which is released after theft is carries out, post-theft feelings include depression and intense guilt, objects given or thrown away, returned, or hoarded

Question 7

how many shoplifters may have kleptomania?

Answer 7

as many as 24%

Question 8

kleptomania tx

Answer 8

CBT, SSRIs

Question 9

define pyromania

Answer 9

impulse to start fires to relieve tension with feelings of gratification afterwards, must have at least two deliberate episodes, pt is interested in fire, no malintent behind episodes

Question 10

ddx for pyromania

Answer 10

conduct disorder, manic episodes, antisocial PD

Question 11

pyromania tx

Answer 11

nothing definite, CBT, antipsychotics or antidepressants