IMPULSE CONTROL DISORDER

Question 1

How does the patient feel after satisfying IMPULSE?

Answer 1

Remorse & Guilt about the act

Question 2

ICD is more common in

Answer 2

♀️ > ♂️

Question 3

Pathological Fire Setting Behaviour

Answer 3

Pyromania

Question 4

Pyromania is ASSOCIATED with

Answer 4

1. Substance abuse disorder (ALCOHOLISM)
2. AFFECTIVE DISORDER (Depression, Bipolar Disorder)
3. Personality Disturbance (BORDERLINE PERSONALITY DISORDER)
4. ADHD & LEARNING DISABILITIES
5. OTHER ICDs (KLEPTOMANIA in ♀️ fire setters)

Question 5

Stealing things of No or less value

Answer 5

Kleptomania

Question 6

Important features to diagnose KLEPTOMANIA

Answer 6

1. NOT for personal gain(Use) or monetary value
2. NOT TO EXPRESS ANGER OR VENGEANCE
3. NOT IN RESPONSE TO DELUSION (OR) HALLUCINATION
4. NOT PLANNED
5. NOT EXPLAINED BY CONDUCT DISORDER, MANIAC EPISODE OR ANTI-SOCIAL PERSONALITY DISORDER

Question 7

Compulsive buying DISORDER

Answer 7

Oniomania

Question 8

Sexual addiction is known as

Answer 8

Compulsive Sexual Behaviour

Question 9

EXPLOSIVE PERSONALITY

Answer 9

⭐ Intermittent explosive disorder

Typically CAUSE HARM to OTHERS
No aggressiveness BETWEEN episodes
After episode: Regret or self reproach

Question 10

💊💉 MANAGEMENT of EXPLOSIVE PERSONALITY

Answer 10

Mood stabilizer
SSRI
Anti-epileptics: Carbamazepine

Question 11

🔬DIAGNOSIS of EXPLOSIVE PERSONALITY

Answer 11

Significant HARM ➕: 3 episodes/year
Significant HARM ⛔: 2 episode/week * 3 months

Question 12

Low CSF 5-HIAA levels

Answer 12

Impulsive aggression

Question 13

Neurotransmitters ASSOCIATED with IMPULSIVE DISORDERS

Answer 13

Serotonin ⬇️ ⬇️