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PSYCH ROTATION > First Aid: Impulse Control Disorders > Flashcards

First Aid: Impulse Control Disorders Flashcards

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1
Q

With impulse control disorders, what is experienced prior to the impulse?

A

anxiety

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2
Q

With impulse control disorders, what is experienced after the behavior is completed?

A

relief

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3
Q

What is the DSM-IV criteria for intermittent explosive disorder?

A
  • Failure to resist aggressive impulses that result in assault or property destruction
  • Level of aggressiveness is out of proportion to any triggering events
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4
Q

Do patients with intermittent explosive disorder usually feel remorse for their actions?

A

yes

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5
Q

What neurochemical change has been shown to be associated with impulsiveness and aggression?

A

low levels of serotonin

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6
Q

What is the gender difference in intermittent explosive disorder?

A

men > women

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7
Q

What is the age of onset for intermittent explosive disorder?

A

typically in late teens or twenties

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8
Q

What are common comorbidities for intermittent explosive disorder?

A
  • H/o child abuse
  • H/o head trauma
  • H/o Seizures
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9
Q

What is the prognosis for intermittent explosive disorder?

A

may progress in severity til middle age

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10
Q

What is the treatment for intermittent explosive disorder?

A

SSRIs
Anticonvulsants
Lithium
Propranolol

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11
Q

What is the role of therapy in intermittent explosive disorder?

A

Individual psychotherapy is difficult and ineffective

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12
Q

What is the DSM-IV diagnostic criteria for kleptomania?

A
  • Failure to resist urges to steal objects that are not needed for personal or monetary reasons
  • Pleasure or relief is experienced while stealing
  • Purpose of stealing is not to express anger and is not due to hallucination or delusion
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13
Q

What is the gender difference for kleptomania?

A

women > men

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14
Q

True or false: very few shoplifters have kleptomania?

A

true (under 5%)

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15
Q

What are some comorbidities of kleptomania?

A
  • Mood disorders
  • Eating disorders (25% of bulimics)
  • OCD
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16
Q

What is the treatment for kleptomania?

A
  • Insight-oriented psychotherapy
  • Behavioral therapy (systematic desensitization and aversive conditioning)
  • SSRIs
17
Q

What is the DSM-IV criteria for pyromania?

A
  • More than 1 episode of intentional fire setting
  • Tension present before the act and pleasure or relief experienced afterwards
  • Fascination with or attraction to fire and its uses and consequences
  • Purpose of fire setting is not for monetary gain, expression of anger, making a political statement and is not due to a hallucination or delusion
18
Q

What gender is more likely to have pyromania?

A

men

19
Q

What is a common comorbidity with pyromania?

A

mental retardation

20
Q

What is the prognosis for pyromania?

A

better in children than adults (children usually have complete recovery)

21
Q

What type of treatment is used for pyromania?

A
  • Behavior therapy
  • Supervision
  • SSRIs
22
Q

What is the DSM-IV criteria for pathological gambling?

A

Recurrent maladaptive gambling behavior, as shown by 5 or more of the following:

  • Preoccupation with gambling
  • Need to gamble with increasing amount of $ to achieve pleasure
  • Repeated and unsuccessful attempts to cut down on gambling
  • Restlessness or irritability when attempting to stop gambling
  • Gambling done to escape problems or relieve dysphoria
  • Chasing losses
  • Lying to therapist or family members about gambling
  • Jeopardizing relationships or job because of gambling
  • Relying on others to financially support gambling
23
Q

What is the most affective treatment for pathological gambling?

A

Gamblers Anonymous (12 step program)

24
Q

What is the DSM-IV criteria for trichotillomania?

A
  • Recurrent pulling out of one’s hair, resulting in visible hair loss
  • Usually involves scalp but can involve eyebrows, eyelashes, and facial and pubic hair
  • Tension present before the behavior and pleasure or relief resulting afterwards
  • Causes significant distress or impairment in daily functioning
25
Q

When does trichotillomania usually begin?

A

onset during childhood or adolescence (25% after stressful event)

26
Q

What are some common comorbidities of trichotillomania?

A

OCD
OCPD
Borderline Personality Disorder

27
Q

What is the treatment for trichotillomania?

A
  • SSRIs, antipsychotics, lithium
  • Hypnosis, relaxation techniques
  • Behavioral therapy, substituting behaviors, positive reinforcement

PSYCH ROTATION (18 decks)

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