Impulse Control Disorders

Question 1

In impulse control disorders, patients are unable to resist a negative impulse. Before the act they have increased anxiety and after the act they feel a reduction in anxiety

Answer 1

IMPULSE CONTROL

Question 2

Impulse control

is mediated by the_______

Answer 2

serotonergic system.

Question 3

INTERMITTENT EXPLOSIVE DISORDER may be linked to?

Answer 3

May be linked to low levels of 5HIAA, abnormalities in the limbic system, or testosterone

Question 4

INTERMITTENT EXPLOSIVE DISORDER may be linked to?

Answer 4

May be linked to low levels of 5HIAA, abnormalities in the limbic system, or testosterone

Question 5

Medical Tx for INTERMITTENT EXPLOSIVE DISORDER

Answer 5

Pharmacotherapy consisting of anticonvulsants, antipsychotics, beta-blockers, or SSRIs

Question 6

Behavioral Tx for INTERMITTENT EXPLOSIVE DISORDER

Answer 6

Psychotherapy, although not the preferred treatment, may be beneficial. When psychotherapy is used, it must be with pharmacotherapy and in a group setting

Question 7

A disorder characterized by the recurrent failure to resist impulses to steal objects
that the patient does not need. There is increased anxiety prior to the act, followed by release of anxiety after the act. The act of stealing is the goal.

Answer 7

KLEPTOMANIA

Question 8

Associations of KLEPTOMANIA

Answer 8

Often associated with mood disorders, OCDs, and eating disorders, such as bulimia nervosa.

Question 9

Physical and Psychiatric Presenting Symptoms of KLEPTOMANIA.

Answer 9

May have signs of anxiety and depression.

Feel guilty or ashamed of their actions

Question 10

Tx of KLEPTOMANIA.

Answer 10

Insight-oriented therapy may be indicated to help the patients understand their
behavior.

Behavioral therapy, including aversive conditioning and systematic desensitization, has been helpful in some patients

Question 11

A disorder characterized by deliberate fire-setting on more than one occasion.
There is anxiety before the act and a release of anxiety after the act, sometimes followed by fascination and gratification. Must rule out arson

Answer 11

PYROMANIA

Question 12

RF for pyromania

Answer 12

Seen more frequently in men who are mildly retarded and may have a history of alcohol abuse.

Many have histories of truancy and cruelty to animals.

Question 13

SSx of pyromania

Answer 13

Many watch fires in their neighborhoods
and/or set off fire alarms. Lack remorse for the consequences of their actions, and show
resentment toward authority figures. May become sexually aroused by the fire.

Question 14

Tx of pyromania

Answer 14

Because no treatment has been proven to be beneficial, incarceration may be
indicated.

Question 15

A disorder characterized by persistent and recurrent gambling behavior that
includes a preoccupation with gambling, a need to gamble with more money, attempts to
stop gambling and/or to win back losses, illegal acts to finance the gambling, or loss of
relationships due to gambling

Answer 15

GAMBLING DISORDER

Question 16

Personalities associated with gambling DO

Answer 16

May be linked to mood disorders,

OCDs, panic disorder, agoraphobia, and ADHD.

Question 17

Tx of gambling DO

Answer 17

Gamblers anonymous (GA) is the most effective treatment. It involves public
confessions, peer pressure, and sponsors.

Question 18

Medical Tx for gambling DO

Answer 18

Although pharmacotherapy is usually not indicated, some studies have shown some efficacy with SSRIs

Question 19

A disorder characterized by pulling one’s own hair, resulting in hair loss. There is
anxiety before the act and a release of anxiety after the act.

Answer 19

TRICHOTILLOMANIA

Question 20

RF for TRICHOTILLOMANIA

Answer 20

Affects women more than men. Associated disorders include

OCD, obsessive-compulsive personality disorder, and depressive disorders.

Question 21

Tx of TRICHOTILLOMANIA

Answer 21

Treatment usually consists of behavior-modification techniques to decrease
patient’s anxiety

Question 22

Medical Tx of TRICHOTILLOMANIA

Answer 22

pharmacotherapy, such as SSRIs, anticonvulsants, or antipsychotics
to help decrease the urges.