psych impulse control disorders

Question 1

core qualities of impusive control disorders

Answer 1

repetitive engagement in behavior despite adverse outcome; little control over the neg behavior; anxiety or cravign prior to engagement in behavior; relief or satisfaction during or after completion of the behavior

Question 2

intermittent explosive disorder

Answer 2

recurrent outbursts of aggression that result in assault against people or property, out of proportion to trigger; each episode remits spontaneously, leaving pt remorseful and distressed

Question 3

treatment for intermittent explosive disorder

Answer 3

SSRIs, anticonvulsants, lithium, and propranolol; individual psychotheraoy is difficult and ineffective given the nature of the disease and lack of individual control; group therapy may be helpful

Question 4

kleptomania

Answer 4

inability to resists uncontrollable urges to steal objects that are not needed for personal use or monetary reasons; pleasure or relief is experienced while stealing, but intense guilt and shame are reported by patients

Question 5

epi of kleptomania

Answer 5

more common in women; sx often occure during stress; course of illness is usually chronic

Question 6

treatment for kleptomania

Answer 6

insight-oriented psychotherapy, behavioral therapy and SSRIs; some anecdotal evidence for naltrexone

Question 7

pathological gambling dsm criteria

Answer 7

five or more of: preoccup with gambling, need to gamble for pleasure; repeated attempts to cut down; restlessness and irritability when gambling; gambling done to escape problems; returnign to reclaim losses after gambling;

Question 8

epi of pathological gambling

Answer 8

high in adolescents, lower rates in older adults; marked by periods of abstinence and relapse; one third will achieve recovery without treatment

Question 9

treatment for pathologic gambling

Answer 9

Gamblers Anonymous is most effective; after 3 mos of abstinence from gambling, insight-oriented psychotherapy may be attempted

Question 10

trichotillomania

Answer 10

recurrnet pulling out of one’s hair causing visible hairloss; tension before pulling, relief after pulling

Question 11

tricho epi

Answer 11

more common in women; onset during childhood or adolescence; assoc with stressful event

Question 12

increased incidence of what in tricho patients

Answer 12

OCD, OCPD, mood disorders, and borderline personality disorder

Question 13

treatment for trichotillomania

Answer 13

SSRIs, antipsychotics, or lithium; behavioral interventions might have some benefit

Question 14

pyromania

Answer 14

at least one episode of deliberate fire setting; purpose of fire setting is not for monetary gain, expression of anger or making a political statement, and not due to hallucination or delusion

Question 15

epi of pyromania

Answer 15

equal prev in men and women; mean age of onset is late adolescence; prognosis is better in kids than adults; chronic if untreated

Question 16

treatment of pyromania

Answer 16

behavioral therapy, supervision, and SSRIs

Question 17

neurotransmitter involved in impulsiveness and aggression

Answer 17

low levels of seratonin

Question 18

one fourth of patients with bulimia nervosa have comorbid kleptomania

Answer 18

right

Question 19

pyromania

Answer 19

impulse to start fires to relieve tnsion, typically with feelings of gratification or relief afterward