Impulse-Control Disorders Flashcards
Disorders involving the inability to resist acting on a drive or temptation. The person experiences increasing tension leading up to the act and sometimes, pleasurable anticipation of acting in the impulse.
Impulse-Control Disorders
The disorder that was previously included as an impulse control disorder in DSM IV-TR, but is now listed as an addictive disorder in DSM- 5.
Gambling Disorder
The disorder that was previously included as an impulse control disorder in DSM IV-TR, but is now listed under the obsessive compulsive disorder in DSM- 5.
Trichotillomania
People with this disorder have episodes in which they act in aggressive impulses that result in serious assaults or destruction of property. This disorder is not often diagnosed and controversial as it may be used as a legal defense for all violent crimes.
Intermittent Explosive Disorder
What are the most effective treatments for people with intermittent explosive disorder?
Cognitive behavioral interventions
Drug treatments
A recurrent failure to resist urges to steal things that are not needed for personal use or their monetary value. This disorder appears to be rare. The person begins to feel a sense of tension just before stealing which is followed by feelings of pleasure or relief while the theft is committed.
Kleptomania
People with kleptomania score high in _, which reflects their inability to judge the immediate gratification of stealing compared with the long term negative consequences.
Impulsivity
People with kleptomania often report having no memory about the act of stealing. Brain imaging research supports these observations, with one study finding damage in what area of the brain? It is associated with poor decision making.
Inferior frontal regions
There appears to be a high comorbidity between kleptomania and _ disorder and to a lesser extent with _.
Mood disorder
Substance abuse and dependence
Some refer to kleptomania as an _ behavior or a reaction on the part of some to relieve unpleasant feelings through stealing.
Antidepressant
What are the treatments used for kleptomania?
Behavioral interventions
Use of antidepressant medication
The opioid antagonist used in the treatment of alcoholism, somewhat effective in reducing the urge to steal in persons diagnosed with kleptomania.
Naltrexone
Involves having an irresistible urge to set fire, feeling tension or arousal before setting a fire and a sense of gratification or relief while the fire burns.
Pyromania
What is the treatment used generally for pyromania?
Cognitive-behavioral
