Impulse Control Disorders Flashcards

1
Q

Which impulse control disorder means that the dysfunction can happen to others (not the patient)?

A

ODD

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2
Q

Progression of ODD

A

30-40% of boys with severe ODD progress to conduct disorder (CD) and of those, 40-50% develop Antisocial Personality Disorder

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3
Q

Which subgroup of CD has more genetic component?

A

Childhood onset group

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4
Q

What ssri is most supported for IED?

A

Fluoxetine

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5
Q

Naltrexone and Kleptomania

A

Found effective in reducing urges to steal and stealing.

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6
Q

Is there an association of pyromania and enuresis?

A

No

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7
Q

Which medication best treats kleptomania?

A

SSRI’s.

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8
Q

DMDD cannot be combined with which psych disorders?

A

IED, ODD, bipolar . Must choose one.

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9
Q

Tourette’s FDA approved antipsychotics

A

pimozide and haldol

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10
Q

What happens in older people who develop PTSD rather than young?

A
  • more hyperarousal
  • more crying spells
  • more avoidance
  • more sleep problems
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11
Q

Medication induced OCD caused by what med?

A

psychostimulants

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12
Q

Risk factors for child developing DMDD

A
  • Maternal depression during pregnancy and/or the first years after childbirth
  • Low maternal level of education
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13
Q

What infection is thought to cause OCD?

A

Group A Strep (GAS)

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14
Q

NAC is used in which impulse control?

A

Adjunctive in skin picking disorder.

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15
Q

What do you have to ask for adult adhd?

A

A diagnosis of adult ADHD requires evidence of symptoms and impairment before 12 years of age.

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16
Q

What do you do after multiple failed trials of monotherapy SSRI or clomipramine in OCD BEFORE DBS?

A

Augmentation of an SSRI with an atypical neuroleptic medication

17
Q

What med is good for a Tourette’s pt with ADHD?

A

Guanfacine is an alpha agonist indicated in the treatment of tics, impulsivity and anxiety. Stimulants can worsen tics and anxiety