Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
Are impulse control disorders ego-syntonic or ego-dystonic?
|
Generally, impulse control disorders are ego-syntonic. The patient feels that the socially unacceptable act is the right thing to do, or simply that carrying out the action feels good.
|
|
|
Define Intermittent Explosive Disorder
|
Inappropriate, often violent, outbursts in an otherwise normal person that are out of proportion to the stressor (think "road rage").
Marked by extreme anger and anxiety, which is relieved by the violent or explosive act |
|
|
Demographics for intermittent explosive disorder
|
Young males are more common. As they age, the symptoms become less prominent
|
|
|
Treatment for intermittent explosive disorder
|
Group therapy is the most effective
SSRIs can be used , but mood stabilizers are often necessary |
|
|
Define pyromania
|
Intentional fire-setting for pleasure, anxiety reduction or sexual arousal
|
|
|
What must be ruled out for a diagnosis of pyromania?
|
Arson. Secondary gain (insurance premiums or revenge) differentiates arson from pyromania
|
|
|
Treatment for pyromania
|
None - SSRI's may help some, but most end up in jail.
|
|
|
Epidemiology for pyromania
|
Young male predominance
|
|
|
Definition of cleptomania
|
Stealing small items of insignificant value for the purpose of relieving anxiety. When the patient sees the item, they experience anxiety. The act of stealing relieves the anxiety
|
|
|
Diseases associated with cleptomania
|
OCD and bulemia
|
|
|
What must be ruled out to diagnose cleptomania?
|
Petty theft. Generally cleptomaniacs steal the same item repeatedly because that is the item that causes anxiety.
|
|
|
Demographics of cleptomania
|
female predominance
|
|
|
Treatment of cleptomania
|
Responds well to SSRIs. CBT is also used
|
|
|
Define trichotillomania, and give a typical presentation
|
Patients pull out hair to relieve anxiety. The patient typically presents with hair of varying lengths, due to pulling out hair at different times
|
|
|
Demographics of trichotillomania
|
Female in her 20s
|
|
|
What must be ruled out for a diagnosis of trichotillomania?
|
Rule out fungal infections with a KOH prep.
Rule out causes of allopecia. |
|
|
Treatment for trichotillomania
|
SSRI's
|
|
|
Serious consequence of trichotillomania
|
Some patients eat the hair they pull out. This can lead to a bezoar. Suspect if the patient presents with abdominal pain or symptoms of a small bowel obstruction.
|
