Impulse Control Disorders Flashcards
Which impulse control disorder means that the dysfunction can happen to others (not the patient)?
ODD
Progression of ODD
30-40% of boys with severe ODD progress to conduct disorder (CD) and of those, 40-50% develop Antisocial Personality Disorder
Which subgroup of CD has more genetic component?
Childhood onset group
What ssri is most supported for IED?
Fluoxetine
Naltrexone and Kleptomania
Found effective in reducing urges to steal and stealing.
Is there an association of pyromania and enuresis?
No
Which medication best treats kleptomania?
SSRI’s.
DMDD cannot be combined with which psych disorders?
IED, ODD, bipolar . Must choose one.
Tourette’s FDA approved antipsychotics
pimozide and haldol
What happens in older people who develop PTSD rather than young?
- more hyperarousal
- more crying spells
- more avoidance
- more sleep problems
Medication induced OCD caused by what med?
psychostimulants
Risk factors for child developing DMDD
- Maternal depression during pregnancy and/or the first years after childbirth
- Low maternal level of education
What infection is thought to cause OCD?
Group A Strep (GAS)
NAC is used in which impulse control?
Adjunctive in skin picking disorder.
What do you have to ask for adult adhd?
A diagnosis of adult ADHD requires evidence of symptoms and impairment before 12 years of age.
What do you do after multiple failed trials of monotherapy SSRI or clomipramine in OCD BEFORE DBS?
Augmentation of an SSRI with an atypical neuroleptic medication
What med is good for a Tourette’s pt with ADHD?
Guanfacine is an alpha agonist indicated in the treatment of tics, impulsivity and anxiety. Stimulants can worsen tics and anxiety
