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Impulse Control Disorders
N/A
7
Medical
Professional
03/20/2010

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Cards

Term
What is the definition of an impulse control disorder?
Definition
characterized by an inability to resist behaviors that may bring harm to oneself or others
-pts often experience anxiety prior to the impulse and relief or satisfaction after the behavior
Term
Failure to resist aggressive impulses that result in assault or property destruction; level of aggressiveness is out of proportion to any triggering events
Definition
Intermittent Explosive Disorder tx: SSRIs, anticonvulsants, lithium, propranolol
Term
Which NT deficiency is ass'd with impulsivity and aggression?
Definition
Serotonin
Term
Failure to resist urges to steal stuff that are not necesscities; pleasure or relief is experienced while stealing; purpose of stealing is not to express anger and is not due to another illness
Definition
Kleptomania
-25% of patients will have comorbid bulimia nervosa
-Tx: insight-oriented psychotherapy; behavioral tx, densensitization, and aversive conditioning
Term
More than 1 episode of intentional fire setting; tension present before the act and pleasure or relief afterwards; fascination with or attraction to fire and its uses and consequences
Definition
Pyromania
Tx: behavioral therapy, supervision, SSRIs
Term
What are the DSM criteria for obsessive gambling?
Definition
DSM IV:
recurrent maladaptive gambling behavior, as shown by 5 or more of the following:
1. preoccupation with gambling
2. Need to gamble with increasing amount of money to achieve pleasure
3. Repeated and unsuccessful attempts to cut down on gambling
4. Restlessness or irritability when attempting to stop gambling
5. Gambling done to escape problems or relieve dysphoria
6. Returning to reclaim losses after gambling
7. Lying to therapist or family members to hide gambling
8. Committing illegal acts to finance gambling
9. Jeopardizing relationships or job because of gambling
10. Relying on others to financially support gambling
Tx: Gambler's anonymous
Term
Recurrent pulling out of hair resulting in visible hair loss with significant impairment in daily functioning
Definition
Trichotillomania
tx: SSRIs, antipsychotics, lithium
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