impulse control disorders

Question 1

core qualities of the impulse control disorders are as follows (4)

Answer 1

1. repetitive/compulsive engagement in behavior despite adverse consequences
2. little control over the negative behavior
3. anxiety/craving experienced prior to engagement in impulsive behavior
4. relief/ satisfaction during or after completion of the behavior

Question 2

recurrent behavioral outbursts resulting in verbal and/or physical aggresion against people or property

Answer 2

intermittent explosive disorder

Question 3

low levels of ____________ in the CSF have been shown to be associated with impulsiveness and aggression

Answer 3

serotonin

Question 4

intermittent explosive disorder is more common in

Answer 4

men

Question 5

tretment of intermittent explosive disorder

Answer 5

SSRIs, anticonvulsants or lithium + CBT

Question 6

failure to resists uncontrollable urges to steal objects that are not needed and there is pleasure or relief experienced while stealing however, intense guilt and depression are reported

Answer 6

kleptomania

Question 7

65% of pt w/ kleptomania suffer from

Answer 7

bulimia nervosa

Question 8

treatment for kleptomania

Answer 8

CBT + SSRIs

** anecdotal evidence for naltrexone

Question 9

impulse to start fires to relieve tension, typically with feelings of gratification ore relief afterward

Answer 9

pyromania

Question 10

pyromania treatment

Answer 10

CBT, SSRIs, mood stabilizers and antipsychotics all have been used

** chronic condition