Impulse Control Disorders Chapter 21 Flashcards
Children
Conflict with authority figures
No small rewards
Less gray matter in prefrontal cotrex
Frequently 6 months
Opposition defiant disorder
Treatment for misbehaving child with ODD
Exercise
Adult
Less serotonin
Blows up in violence
Has remorse
Intermittent explosive disorder
Medications for treatment of behavior of adult with IED
SSRI
Only treats behavior not disorder
Child
Violates rights
Cheat steal sets fires
Conduct disorder
Which impulse disorder do you treat with benzos
None
Adults with IED will have these comorbidities
HTN
DIABETES
STRESS DISORDER
Length of time difference between
Conduct disorder
ODD
Conduct >6 months
ODD <6 months
Callous unemotional
Pyromaniac y kleptomania
Conduct disorder >6 months
Conduct disorder difference between males and females
No remorse
Males < 10 poorest prognosis
Females > 10 better chance
Less gray matter in left prefrontal cotrex- boys have more structural abnormalities
Low serotonin
Less gray matter bilaterally and left amygdala
Match
ODD , IED, Conduct disorder
Less gray matter in left prefrontal cotrex- boys have more structural abnormalities ODD
Low serotonin IED
Less gray matter bilaterally and left amygdala Conduct disorder
Impulse control Inteligencia level
Low
Use matter of fact tone
Avoid personal terms YOU & I
Consistent limits
Psychosocial inteterventions for impulse control
T or F
T
