Impulse control and eating disorders Flashcards
What are the characteristics of an impulse control disorder?
compulsive engagement with little control, craving and relief after completing behavior
What are the DSM criteria for intermittent explosive disorder?
outburts of aggression that result in assault against people/property, out of proportion to triggering event, remits spontaneously
What are the treatment options for impulse control disorder?
therapy not effective - SSRIs
What are the DSM criteria for kleptomania?
inability to resist urges to steal objects, pleasure or relief while stealing
What are the treatment option for kleptomania?
insight oriented therapy, behavior therapy, SSRIs
What are common co-morbid conditions with kleptomania?
bullemia, OCD, eating control disorders
What are the DSM criteria for pyromania?
at least 1 episode of deliberate fire setting, tension relieved with the act - purpose of fire is not to get money, express anger
What are the two major types of anorexia?
restrictive type - no binge eating/purging
binge-eating/purging - eat in binges, followed by self induced vomiting
What are the DSM criteria for anorexia?
< 17.5), intense fear about gaining weight, disturbed body image
What are the best therapies available for anorexia?
Cognitive behavioral therapy, family therapy, supervised weight gain programs
What are the 2 major types of bulimia?
purging type or non-purging type
What are the key differences between bulimic and anorexic patients?
bulimic patients maintain normal weight, more ego dystonic
What is the definition of binge eating?
excessive food intake over a 2 hour period accompanied by lack of control
What medications have been proven to be effective for the treatment of bulimia?
SSRIs
What lab abnormalities are common in anorexic patients?
Hypercholesterolemia
