Impulse Control Disorders Flashcards
How do impulse control disorders present?
As children who’s parents can’t control them, or as an adult who dos not choose to control his or her behavior.
Impulse and aggression increase what?
They increase the risk for suicide attempts, self-harm, and other-directed violence.
Describe the communication control approach to treat impulse control disorders.
Low expressed emotion, calm communication, nonthreatening body posture, matter-of-fact, consistently setting limits.
What prevents many long term problems in impulse control patients?
By recognizing and treating impulse control disorders while person is young
Why do families often conceal concerns or limit treatment of impulse control disorders?
Due to stigma and misperceptions
Define oppositional defiant disorder?
Negative hostile and defiant behaviors that last at least 6 months.
What are 6 characteristics of oppositional defiant disorder?
- looses temper
- argues with adults
- defies rules or requests
- deliberately annoys people and is easily annoyed by others
- blames others for misbehavior
- resentful, spiteful, vindictive
Define intermittent explosive disorder (IED)?
Failure to controll aggressive impulses
What is IED characterized by?
Rapid, intermittent, unanticipated outbursts of disruptive behavior that results in significant harm to people, animals, and or property.
According to DSM-5 what is the minimum onset age of what for IED
6 years of age
What is the treatment for IED?
“off label” use of medications
What three types of drugs are used for IED?
Prozac, mood stabilizers (lithium or anticonvulsants), antipsychotics (Clozaril, Haldol)
What helps to control aggressive impulses in IED patients?
psychotherapy
Define conduct disorder
un-impulsive, repetitive, persistant pattern of violating basic rights of others or age-appropriate rule/societal norms.
What are the characteristics (behaviors) of conduct disorders.
Agression to people or animals, destructive of property, deceitfulness of theft, serious violation of rules such as truancy, may stay out all night or run away.
When does conduct disorder occure?
prior to age 10 mostly in physically aggressive males.
Patients with conduct disorder often display what type of reasoning?
Antisocial reasoning
Without intensive treatment, conduct disorder may develop into what?
Antisocial personality disorder
Define adolescent-onset conduct disorder.
No symptoms are present prior to age 10.
What happens to the ration of male to females diagnosed with adolescent-onset as compared to conduct disorder?
it lessens, more girls become aggressive at this point of development.
Often patients with adolescent-onset conduct disorder show what type of emotion?
Callous (lack of empathy), unemotional
Callousness in a patient diagnosed with adolescent-onset conduct disorder may be a predictor of what in adulthood?
antisocial personality disorder
What are two behaviors exhibited by patients diagnosed with adolescent-oncet conduct disorder?
Pyromania, and Kleptomania
Define Pyromania
Repeated deliberate fire setting
