Impulse Control Disorders (Lauren đźŚ) Flashcards
What kind of therapy is this:
“Challenging people’s thoughts in order to change their feelings and as a result their behavior is changed”
CBT
What kind of therapy am I doing if I ask a patient, “What is your evidence that…..an alligator will eat you in the shower?”
CBT
Challenging her thoughts
What was Dr. Stoehr’s big phobia that he overcame
Public speaking
Can homework and journaling be a part of cognitive behavioral therapy?
Yes
If someone cuts you off and you get so mad that you follow them home and kill them, what disorder do you probably have?
Intermittent Explosive Disorder
What are the six DSM5 criteria that must be fulfilled to diagnose Intermittent Explosive Disroder?
- Episodes of aggressive behavior or verbal aggression
- Aggressiveness out of proportion to the precipitating stressor
- Not premeditated, not seeking a reward
- Cause distress, impairment, or financial/legal consequences
- At least 6 years old
- Behavior not accounted for by another substance or condition
How long do the outbursts of Intermittent Explosive Disorder last?
Less than 30 min
What are the risk factors for Intermittent Explosive DisordeR?
Trauma
Serotonin disruption
Genetic
Are the outbursts of Intermittent Explosive Disorder premeditated?
No
What is the treatment for intermittent Explosive Disorder?
SSRI’s
Mood Stabilizers
Behavior Modification (Desensitization)
What are two examples of Behavioral Modification that he mentioned?
Desensitization (exposure)
Aversion (negative stimuli)
What are the risk factors for Conduct Disorder?
Parental rejection/neglect
Difficult infant temperament
Harsh discipline
Abuse
Unstable family
What are the DSM5 Criteria for Conduct Disorder?
A.) *Rights of others or societal norms are violated- 3 of these in last 12 months: aggression to people and animals. Property destruction. Deceitfulness or theft. Serious violation of rules.
B.) Behavior causes impairment in **social, academic or occupational functioning **
C.) Can be diagnosed as an adult if they do not meet criteria for ASPD
What is the treatment for Conduct Disorder?
Individual and group therapy
Parental behavioral therapy
Pharmacotherapy (ADHD drugs, antidepressants, mood stabilizers, anti-psychotics)
What is this:
“Recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures”
Oppositional Defiant Disorder
Which disorder is commonly associated with ADHD?
Oppositional Defiant Disorder
Oppositional Defiant Disorder usually starts before ___ years old
8
Oppositional Defiant Disorder may lead to what other disorder?
Conduct Disorder
If someone has CD and ODD, which diagnosis will take precedent?
CD
What is the treatment for Oppositional Defiant Disorder?
Behavioral Modification
Family Therapy
****
NO MEDS
What are the DSM5 criteria for Oppositional Defiant Disorder?
A.) Negativistic, hostile, and defiant behavior >6 months with 4 of the following: Loses temper Argues with adults Defies adults’ requests/rules Deliberately annoys people Blames others for their behavior Easily annoyed Angry or resentful Spiteful or vindictive
B.) Impairment in social, academic, or occupational function
C.) The behavior doesnt occur during psychotic or mood disorder
D.) They don’t meet the criteria for Conduct Disorder, and if they’re an adult, they also don’t meet criteria for ASPD
What kind of disorder is Pathological Gambling in DSM5?
Addictive***
Pathologic Gamblers believe __________ is the cause and solution to all their problems
Money
What kind of physiological conditions do Pathologic Gamblers have?
Stress-related (HTN, DM, etc)
What is the progressive course of Pathological Gambling?
- Winning phase
- Losing phase
- Desperation phase
Do most pathological gamblers commit crimes to support their habit?
Yes
Would you expect Pathologic gamblers to have increased rates of mood disorders, ADHD, substance abuse, other Impulse Control Disorders, and cluster B personality disorders?
Yes
The course of Pathological Gambling mimics the curve for what?
Alcohol and drug dependency
What are the DSM5 criteria for pathological gambling?
A.) Persistent maladaptive gambling behavior as indicated by 4 of the following in a 12 month period:
Preoccupation with gambling*
Desired Excitement achieved with increased amount of money gambled*
Unable to stop or cut back**
Restless or irritable when trying to cut back
May serve to escape problems or relieve bad mood
After losing money they gamble again to get even “chasing losses”*
Lies to family members/therapists/others
Jeopardized relationships or job
Relies on others to provide money to relieve desperate financial situations**
B.) Behavior is not better accounted for by a manic episode**
How do pathological gamblers “build up a tolerance” like drug addicts do?
They increase the amounts of money gambled to get the same high
What is the treatment for pathological gambling?
Psychotherapy: behavioral modification and CBT
Group support**
Medications: OCD, anxiety or mood disorder symptoms treated with SSRIs, anxiolytics, or mood stabilizers.
Some promise with opiate antagonists (naltrexone)
What happens during CBT for pathological gambling?
Address the erroneous beliefs of the gambler and the role of chance
Why is group therapy so effective for pathological gamblers?
They call each other out on their bullshit
The specifier of having a lack of prosocial emotions (such as a lack of remorse/guilt or empathy) is associated with what disorder?
Conduct disorder
