Impulse

Question 1

__________ is a disposition to act to decrease heightened tension caused by buildup of instinctual drives or by diminished ego defenses against the drives.

Answer 1

Impulse

Question 2

______________ disorders attempt to bypass the experience of disabling symptoms or painful effects by acting on the environment.

Answer 2

Impulse control

Question 3

________________ disorder is characterized by discrete episodes of losing control of aggressive impulses. These have an acute onset and remit spontaneously. They are most often described as a spell or attack by the patient, who feels genuine regret or remorse afterward.

Answer 3

Intermittent Explosive disorder

Question 4

Verbal aggression, such as temper tantrums, tirades, and verbal arguments, or physical aggression, such as toward animals, property, or other persons, that occurs twice weekly for a period of 3 months is indicative of _________________ disorder.

Answer 4

Intermittent Explosive disorder

Question 5

Three behavioral outbursts involving damage or destruction of property or physical injury against animals or people in a 12 month period is diagnostic of ________________ disorder.

Answer 5

Intermittent Explosive disorder

Question 6

(T/F) The magnitude of aggressiveness expressed during the recurrent outbursts exhibited in Intermittent Explosive disorder is grossly out of proportion to the provocation or stressor.

Answer 6

True.

Question 7

The recurrent aggressive outbursts in Intermittent Explosive Disorder (are/are not) premeditated.

Answer 7

Are not

Question 8

Intermittent Explosive disorder typically onsets during (early/late) adolescence.

Answer 8

Late

Question 9

Intermittent Explosive disorder is more common in (males/females).

Answer 9

Males

Question 10

What is the course of treatment for Intermittent Explosive Disorder?

Answer 10

• Psychotherapy
• Pharmacotherapy

Question 11

______________ is the recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. There is an increasing sense of tension within the individual before committing the theft, followed by pleasure or gratification after the theft.

Answer 11

Kleptomania

Question 12

In kleptomania, stealing (is/is not) committed to express anger or vengeance.

Answer 12

Is not

Question 13

Fewer than __% of shoplifters actually have kleptomania, which is prevalent in only __% of the population.

Answer 13

• Fewer than 5% of shoplifters
• Prevalent in only 0.6% of the population

Question 14

Kleptomania is more common in (males/females) by a ratio of 3:1.

Answer 14

Females

Question 15

Kleptomania typically onsets during (early/late) adolescence.

Answer 15

Late

Question 16

What is the course of treatment for kleptomania?

Answer 16

• Behavioral therapy
• SSRIs

Question 17

The deliberate and purposeful fire setting on more than one occasion, marked by tension or arousal before the act and followed by pleasure or gratification after, is referred to as ______________.

Answer 17

Pyromania

Question 18

(T/F) Patients suffering from pyromania display a fascination with, interest in, or curiosity about fire and its situational contexts.

Answer 18

True.

Question 19

Pyromania is more common in (males/females).

Answer 19

Males

Question 20

Pyromania typically onsets during (early/late) adolescence.

Answer 20

Late

Question 21

What is the course of treatment for pyromania?

Answer 21

Mostly psychotherapy

Question 22

_____________ is the persistent and recurrent problematic gambling behavior. This behavior leads to clinically significant impairment or distress.

Answer 22

Gambling disorder

Question 23

Patients suffering from gambling disorder must display four signs from a list of symptoms for 12 months in order to be diagnosed. What is the list of symptoms?

Answer 23

• Preoccupation with gambling
• Needs to gamble with increasing amounts of money to achieve desired excitement
• Unsuccessful attempts or efforts to stop
• Restless or irritable when attempting to stop
• Gambles when distressed
• After losing, returns next day to get even
• Lies about extent of gambling
• Committed illegal acts to finance gambling
• Jeopardized relationship, job, education for gambling
• Relies on others to provide money to relieve financial situation caused by gambling

Question 24

Gambling disorder has a prevalence of __% of the general population.

Answer 24

1%

Question 25

**Gambling disorder** is more common in (males/females).

Answer 25

Males

Question 26

What is the course of treatment for gambling disorder?

Answer 26

* Psychotherapy * Pharmacotherapy * Gamblers Anonymous

Question 27

\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is the recurrent **pulling out of one's hair**, resulting in hair loss. This condition is marked by repeated attempts to decrease or stop the hair pulling, as it causes distress and impairment in social and occupational areas of functioning.

Answer 27

Trichotillomania

Question 28

\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is the recurrent **picking of one's skin** that results in skin lesions. It is marked by repeated attempts to decrease or stop the skin picking, as it causes distress or impairment.

Answer 28

Excoriation disorder

Question 29

\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is a pattern of **angry/irritable moods**, **argumentative/defiant behaviors**, or **vindictiveness** lasting at least **six months**. These behaviors are demonstrated during interaction with at least one individual who is not a sibling.

Answer 29

Oppositional Defiant disorder

Question 30

Oppositional Defiant disorder is diagnosed after displaying **4** symptoms from a list for at least **six** **months**. What is the list of symptoms?

Answer 30

* **Angry/Irritable Mood** * Often loses temper * Touchy or easily annoyed * Angry and resentful * **Argumentative/Defiant Behavior** * Argue with authority figures * Actively rebels against authority * Deliberately annoys others * Blames others for his or her mistakes or misbehavior * **Vindictiveness** * Spiteful or vindictive at least twice in the last six months

Question 31

\_\_\_\_\_\_\_\_\_\_\_\_\_ is a repetitive and **persistent pattern of behavior** in which the basic rights of others or major **age-appropriate societal norms** or rules are **violated**.

Answer 31

Conduct disorder

Question 32

**Conduct disorder** is diagnosed by the presence of at least **3** criteria from a list of 15 in the past year, with **at least one of the criterion present in the past six months**. What are some of the criteria?

Answer 32

* **Aggression to people or animals** * Bullies, threatens, intimidates others * Initiates fights * Has used a weapon * Physically cruel to people or animals * Stolen while confronting a victim * Forced someone into sexual activity * **Destruction of property** * Engaged in fire setting with intent to cause damage * Deliberately destroyed property * **Deceitfulness or Theft** * **Serious Violations of Rules**

Question 33

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are disorders in which the usual integration of memory, consciousness, or personal identity is interrupted in an **attempt to cope** with **overwhelming** or **traumatic stress**.

Answer 33

Dissociative disorders

Question 34

What is the course of treatment for **dissociative disorders**?

Answer 34

Psychotherapy

Question 35

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is a dissociative disorder characterized by one or more episodes of inability to recall important personal information, **usually of a traumatic or stressful nature**.

Answer 35

Dissociative amnesia

Question 36

\_\_\_\_\_\_\_\_\_\_\_ is the apparently **purposeful travel** or **bewildered wandering t**hat is associated with identity amnesia or amnesia of other important autobiographical information. Afterwards, the individual is also amnestic about the travel.

Answer 36

Fugue

Question 37

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is a dissociative disorder defined as the disruption of identity characterized by **two or more distinct personality states**. This may be described in some cultures as an experience of possession. The disruption in identity involves marked **discontinuity in sense of self** and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.

Answer 37

Dissociative Identity disorder

Question 38

(T/F) **Dissociative Identity Disorder** is characterized by recurrent **gaps in the recall** of everyday events, important personal information, and/or traumatic events that are inconsistent with normal forgetting.

Answer 38

True.

Question 39

What are some of the common signs of **multiplicity (multiple personalities)** in a patient?

Answer 39

* Reports of **time distortions** or lapses * Behavioral episodes that are not remembered by patient * Being recognized or called by another name by people whom the patient does not recognize * Patient refers to self with different name or in third-person * Other personalities elicited under hypnosis * Use of the word **"we"** in interview * Discovery of writings, drawing, or objects among personal belongings that the patient does not recognize * History of severe emotional or physical trauma as a child

Question 40

**Dissociative Identity disorder** is more common in (males/females), with a ratio between 5:1 - 9:1.

Answer 40

Females

Question 41

Over \_\_% of outpatients with Dissociative Identity disorder have attempted suicide.

Answer 41

70%

Question 42

**Dissociative Identity disorder** usually onsets during (early/late) adolescence.

Answer 42

Late

Question 43

\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is defined as experiences of unreality, detachment, or being an outside observer with respect to one's thoughts, feelings, sensations, body, or actions.

Answer 43

Depersonalization

Question 44

\_\_\_\_\_\_\_\_\_\_\_\_\_ is marked by experiences of unreality or detachment with respect to surroundings.

Answer 44

Derealization