Lecture 10: Compulsive Disorders (Curtis) Flashcards

0
Q

Compulsion

A

repetitive behavior or mental act done to prevent or reduce anxiety or distress.

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1
Q

def. of obsession

A

persistent idea, thought, impulse, or image that is experienced as intrusive and inappropriate and that causes marked anxiety or distress

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2
Q

What is the Diagnostic and Statistical Manual used to diagnose?

A

compulsion

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3
Q

obessive-compulsive disorder (OCD)

A

a human psychiatric diagnosis. Only compulsions, not obessions can be confirmed in animals, although both probably occur.

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4
Q

redirected behavior

A

motivation to perform an activity toward an appropriate target is interrupted/prevented, so behavior is directed toward a less appropriate target. Can develop in stereotypy

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5
Q

displacement behavior

A

motivation to perform two behaviors that are in conflict with each other, then perform an unrelated behavior that is out of context. can develop into stereotypy

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6
Q

vacuum activity

A

instinctive behavior performed in the absence of the stimulus to which it would normally be directed. No apparent useful purpose. Can develop into stereotypy

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7
Q

Stereotypy

A

a specific behavior pattern that is repetitive, constant, predictable, and w/o obvious goal or function. Not ALL stereotypies are compulsive disorders!

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8
Q

How to tell difference b/w stereotypy and compulsive disorder

A

If behavior continues after stress is removed, you have a true compulsive behavior. If it doesn’t continue, it’s a stereotypy

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9
Q

Describe behavior assoc. with a compulsive disorder:

A
  • out of context
  • exaggerated or excessive
  • repeated
  • continue even when source of stress is removed
  • may interfere w/ normal functions
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10
Q

Etiology of compulsive disorders

A

multifactorial causes. Probably involves NT changes. Can have ACQUIRED causes (ie. conflict, frustration, stress, inappropriate environments, physical lesions, etc.) or GENETIC causes (some genetic strains are predisposed to develop compulsive disorder)

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11
Q

Equines are predisposed to which compulsive behaviors?

A

cribbing, stall circling, pawing, weaving, stall kicking, flank biting.

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12
Q

What is cribbing?

A

horse grasps a horizontal surface w/ its incisors and aspirates air into the pharynx

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13
Q

Catte are predisposed to which compulsive behaviors?

A

bar licking, tongue rolling

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14
Q

Pigs are predisposed to which compulsive behaviors?

A

rooting, chain chewing

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15
Q

Birds are predisposed to which compulsive behaviors?

A

feather-picking and self-mutilation (esp. cockatoos and african greys)

16
Q

Dobermans are predisposed to which compulsive behaviors?

A

flank sucking

17
Q

Bull Terriers are predisposed to which compulsive behaviors?

A

spinning, freezing

18
Q

Miniature schnauzers are predisposed to which compulsive behaviors?

A

checking hind end, freezing, fly chasing, star gazing

19
Q

Large breed dogs are predisposed to which compulsive behaviors?

A

acral lick granuloma

20
Q

oriental cat breeds are predisposed to which compulsive behaviors?

A

wool sucking, fabric eating

21
Q

when diagnosing compulsive disorder (CD), you should rule out:

A

seizure activity. An animal with true CD is fully conscious, can be interrupted, w/ no post-ictal phase.

22
Q

6 classifications of compulsive disorder. How are they classified?

A
  • LIGVAH
    1. Locomotion
    2. Ingestive
    3. Grooming
    4. Vocalization
    5. Aggression
    6. Hallucinatory
23
Q

Examples of locomotion CD

A

circling, tail chasing, pacing, digging, freezing, shadow chasing

24
Q

examples of grooming CD

A

chewing/licking self, flank sucking, self-mutilation

25
Q

what is psychogenic alopecia?

A

excessive grooming. classified as a grooming CD

26
Q

examples of ingestive CD

A

polyphagia, polydipsia, wool sucking/chewing, pica

27
Q

examples of vocalization CD

A

rhythmic barking, howling, crying, self-directed vocalization

28
Q

ex. of aggression CD

A

self-directed aggression, attack inanimate objects

29
Q

feline hyperesthesia syndrome

A

possible neurological disorder (could also be just behavioral) in which cat attacks/mutilates tail and is hyperesthetic to light touch on back, flanks or tail region. Neurological origins could be from paresthesias (tingly feeling on skin), sensory neuropathy, or myopathy.

30
Q

examples of hallucinatory CD

A

staring, fly chasing, searching for imaginary prey

31
Q

Neurophysiology

A

the study of how different behaviors rely on different neural pathways. May explain differential responsiveness of various forms of OCD to different medications.

32
Q

What medical considerations should be made when diagnosing CD?

A

rule out medical problems, treat concurrent medical conditions

33
Q

what environmental modifications need to be made with CD?

A
  • identify/remove cause of conflict
  • reduce env. stress
  • provide sufficient stimulation
  • provide consistent exercise schedule
  • provide predictable env.
34
Q

behavioral modifications for CD

A
  • structured interactions
  • no punish.
  • avoid reinforcing undesirable behaviors
  • response substitution
  • distract and redirect*
  • DS/CC to stress-inducing scenarios
35
Q

pharm. tx for CD

A

SSRIs, Tri-cyclic antidepressants, narcotic antagonists, antipsychotics/neuroleptics, anticonvulsants (phenobarbital, neurontin, keppra)

Long-term tx uses TCA,SSRI. Short-term tx uses benzodiazepine (alprazolam)