Impulse Control/Dissociative DO

Question 1

example impulse control disorders

Answer 1

intermittent explosive disorder
kleptomania
pyromania
pathologic gambling
trichotillomania
NOS

Question 2

sx of intermittent explosive disorder

Answer 2

discrete episodes of losing control of agressive impulses
agressiveness is out of proportion to stressor
acute onset and remits spontaneously
genuine regret or remorse between attacks
individual describes as spell or attack

Question 3

tx for intermittent explosive disorder

Answer 3

combo therapy and drugs

Question 4

tx for kleptomania

Answer 4

behavior therapy and possible SSRI

Question 5

kleptomania sx

Answer 5

steals items not for their monetary use or personal use
increasing sense of tension immediatly before committing the theft
pleasure. gratification, or relief at the time of committing the theft
stealing not to express anger or vengance, nor in response to a hallucination
not accounted for by conduct disorder, manic episode, or antisocial personality disorder

Question 6

risks for pyromania

Answer 6

Mental retadation, EtOH abuse, resentment toward authority figures

Question 7

best age for good outcome in pyromania

Answer 7

kids

Question 8

treatment for pyromania

Answer 8

therapy

Question 9

sx of pathological gambling

Answer 9

preocupation
need to gamble with increasing amounts of money
can’t stop
restless or irritable when attempting to stop or cut down
gambles as escape
gambling has caused life/family/job problems
not accounted for by manic episode

Question 10

tx for pathological gambling

Answer 10

psycho/group therapy possible drugs

Question 11

trichtotillomania

Answer 11

chronic pathological hairpulling
increasing tension beforehand, releif beforehand
causes clinically significant distress

Question 12

trichobezoars

Answer 12

hairballs

Question 13

cormobidity with trichtotillimania

Answer 13

depression and anxiety

Question 14

poor prognosis in trichtotillimania

Answer 14

late onset

Question 15

tx for trichtotillimania

Answer 15

drugs and therapy

Question 16

dissociation def

Answer 16

usual integration of memory, conciuosness and personal identity is disrupted

Question 17

predispposing factors ti dissaciative disorders

Answer 17

severe family dysfunction, poor premorbid emotional, social, or occupational functioning

Question 18

tx for dissociative disorders

Answer 18

usually psychotherapy

Question 19

types of dissociative disorders

Answer 19

amnesia, fuge, identity disorder, depersonalization, NOS

Question 20

criteria of dissociative amnesia

Answer 20

one or more episodes of inability to recall important personal information, usually of a traumatic or stressful nature”significan distress or functional impairment

Question 21

dissociative fugue

Answer 21

sudden unexpected travel away from home ot work, with no ability to recall one’s past
confusion about personal identiy or assumption of a new identity
remain amnestic about the fugue and unaware of it

Question 22

dissociative identity disorder

Answer 22

precense of two or more distinctive identities or personality states
at least two of these identities recurrently take control of the person’s behavior
inabilityto recall important info that is too extensive to be explained by forgetfullness

Question 23

risk factor of dissociative identity disorder

Answer 23

severe emotional or physical trauma as child

Question 24

co-morbidites in dissociative identity disorder

Answer 24

anxiety, personallity disorder,

Question 25

def of depersonaliation disorder

Answer 25

persistant or recurrent experiances of feeling detached from one’s body
during the experience, reality testing remains intact
causes distress or impairment in functioning