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13 Cards in this Set
- Front
- Back
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A drive or temptation to perform some act that is harmful to the person or others
The person experiences increasing tension or arousal before committing the act and pleasure, gratification, or relief during the act |
Impulsivity
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Recurrent and persistent thoughts, images, or impulses that are experienced as intrusive and inappropriate causing marked anxiety
Thoughts, images or impulses that are not simply excessive real-life worries Attempts to ignore or suppress or neutralize such thoughts with another thought or action Recognize that the thoughts are irrational |
Obsessions
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Repetitive behaviors that the person feels driven to perform in response to an obsession
Behavior or mental acts are aimed at reducing distress or preventing some dreaded event; clearly excessive |
Compulsion
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Name some treatments for Pathological gamblers.
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Gambler’s Anonymous
Psychodynamic psychotherapy Family therapy Treat comorbid disorders Behavioral approaches Pharmacological interventions:SSRI’s, opioid antagonists |
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Name some comorbidities of pathological gambling.
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Substance and alcohol use disorders
MDD, Bipolar disorder Anxiety disorders ADHD TS ASPD and Narcissistic PD |
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Name some disorders you must rule out before diagnosing IED.
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Must rule out other mental disorders: ASPD, BPD, TBI, AD, substance use, TLE
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Kleptomania has a high comorbidity of _________ ___________.
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Mood disorders
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List some differential diagnoses for a patient presenting with symptoms of kleptomania or pyromania.
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Mania, Conduct disorder, Antisocial Personality Disorder, Malingering, *Schizophrenia, *Dementia
Also found that temporal epilepsy can be a differential diagnoses for ICDs |
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List the four phases of pathological gambling
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Four phases: winning, losing, desperation, hopelessness
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Describe treatment options for pyromania.
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Mainly behavioral: efficacy questionable
Aversive therapy Positive reinforcement |
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Describe treatment for Trichotillomania.
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Psychoeducation and reassurance very important
Psychotherapy Hypnosis Behavioral: habit reversal Psychopharmacology: TCA’s, SSRI’s, lithium, opiate antagonists |
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Describe etiology for Trichotillomania.
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Etiology:
Psychodynamic: occurs in response to loss or separation in childhood Behaviorists: habit or conditioned Biochemical: -stem from mood and anxiety disorders in patient and their families; also increased OCD and tics in family members *Opioid system may be involved |
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Discuss the physiological etiology of PG.
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Serotonergic and noradrenergic receptor system problems:
↓MHPG (3-methoxy-4-hydroxyphenylglycol) in plasma, CSF MHPG and increased urinary NE output Low platelet MAO activity, linked to difficulties with inhibition |
