Psychiatry and Behavioral Medicine: Misc topics

Question 1

Rett’s Disorder 
is Technically not DSM __ code

Answer 1

5

Question 2

Rett’s Disorder prevalence ?

Answer 2

1 per 23,000 live female births

Question 3

Rett’s Disorder etiology and risk factors ?

Answer 3

Genetic disorder

Question 4

Rett’s Disorder DDx ?

Answer 4

Genetic disorder
Cerebral Palsy
Encephalitis
Fetal Alcohol Syndrome
Patau Syndrome
Phenylketonuria
Prader-Willi Syndrome
Spastic Ataxia
Tuberous Sclerosis

Question 5

Rett’s Disorder prognosis ?

Answer 5

Variable

Reasonable prognosis however may revert under stress. Survival rates decline in individuals older than 10 years; the 35-year survival rate is 70%. Death may be sudden and often is secondary to pneumonia.

**pneumonia - cause they cant feed themselves etc. **

Question 6

Rett’s Disorder medications ?

Answer 6

No medications available specifically for treatment of Rett.

Antiepileptic drugs (AEDs) may be prescribed to control seizurelike activity.

Antireflux agents may be given to treat gastroesophageal reflux (GER)
Procedures / Therapy / Surgery

Question 7

Rett’s Disorder procedures / therapy / surgery ?

Answer 7

Comprehensive team approach

Question 8

Kleptomania prevalence ?

Answer 8

6 per 1000 people and ~5% of shoplifters

Question 9

Kleptomania Etiology and risk factors ?

Answer 9

F > M

Family Hx

Having another mental illness

Head Trauma

Question 10

Kleptomania DDx ?

Answer 10

Conduct Disorder

Antisocial Personality Disorder

Question 11

Kleptomania Prognosis ?

Answer 11

Variable with reasonable prognosis however may revert under stress

Question 12

Kleptomania Medications ?

Answer 12

Little evidence of effectiveness of Medications

Question 13

Kleptomania procedures / therapy / surgery ?

Answer 13

Covert sensitization, in which you picture yourself stealing and then facing negative consequences, such as being caught

Aversion therapy, in which you practice mildly painful techniques, such as holding your breath until you become uncomfortable, when you get an urge to steal

Systematic desensitization, in which you practice relaxation techniques and picture yourself controlling urges to steal

Question 14

Pyromania prevalence ?

Answer 14

~1.0 % in the U.S.

Question 15

Pyromania etiology and risk factors ?

Answer 15

Hx of past crimes especially vandalism or truancy

ADHD, OC, ODD

Question 16

Pyromania DDx ?

Answer 16

Conduct disorder
Antisocial personality disorder
Mania
Schizophrenia
Dementia
Borderline personality disorder
Mental retardation
Substance intoxication

Question 17

Pyromania prognosis ?

Answer 17

Very good

Cognitive and behavioral treatment programs directed at children and adolescents have been very successful, with recidivism rates as low as 0.8%

Question 18

Pyromania medications ?

Answer 18

SSRIs

and treat any underlying co-morbid condition (such as bipolar disorder, schizophrenia, alcohol or substance abuse, or seizure disorder)

Question 19

Pyromania procedures / therapy / surgery ?

Answer 19

CBT and behavioral therapies