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26 Cards in this Set
- Front
- Back
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criteria for intermittent explosive disorder
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failure to resist aggressive impulses that result in assault or propety destruction
level of aggressiveness is out of proportin to any triggering event |
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what NT abnormality is associated with impulsiveness and aggresssion
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serotonin
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treatment for impulse control disorder
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SSRIs
anticonvulsants lithium propranolol FORGET about individual therapy group and/or family therapy might work |
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criteria for kleptomania
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failure to resist urges to steal objects that are not needed for personal or monetary reasons
pleasure or relief purpose is not to express anger and not due to a hallucination or delusion |
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kleptomania is a comorbid condition with?
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bulimia (25% of bulimics!!)
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treatment for kleptomania
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insight oriented psychotherapy
behavior therapy (desensitization and aversive conditioning) SSRIs maybe naltrexone |
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criteria for pyromania
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more than one episode of intentional fire setting
tension present before; pleasure/relief after fascination with/attraction to fire purpose not for monetary gain, anger, statement, hallucination, delusion |
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treatment for pyromani
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catch early -- kids can be cured
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criteria for pathological gambling
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5 or more of:
preoccupied with gambling need to do increased amts to get pleasure repeated failed attempts at stopping gambling to escape probs/relieve dysphoria returning to reclaim losses after gambling lying to therapist/family to hide committing illegal acts to finance jeopardizing relationships or jobs relying on others to financially support |
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treatment for pathological gambling
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Gamblers Anonymous
insight oriented psychoteraphy after 3 months of abstinence treat comorbid mood, anxiety, substance |
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criteria for trichotillomania
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recurrent pulling out of one's hair w visible loss
scalp usually but can also be other tension before; pleasure or relief after significant distress/impairment |
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treatment for trichotillomania
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SSRIs, antipsychotics, lithium
hypnosis, relaxation behavioral therapy |
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two types of anorexia
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restrictive type
binge eating/purging type |
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what is bing eating/purging type of anorexia associated with?
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major depression
substance abuse |
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Anorexia criteria
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more than 15% below normal body weight
intense fear of fat disturbed body image amenorrhea |
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electrolyte abnormalities in anorexics
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hypo Cl
hyper K alkalosis hypercholesterolemia arrhythias cardiac arrest lanugo melanosis coli leukopenia osteoporosis |
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why are bulimics more likely to seek help
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symptoms are more ego dystonic
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two types of bulimia
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purging
non purging |
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definition of binge eating
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excessive food intake
over 2 hours sense of lack of control |
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dsm criteria for bulimia
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recurrent binge eating
recurrent, inappropriate attempts to compensate at least 2x/week for 3 months perception of self-worth excessively influenced by body weight |
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electrolyte abnormality in bulimia
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hypo Cl
HypO K alkalosis |
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binge eating falls under what diagnosis
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Binge eating NOS
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criteria for binge eating NOS
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recurrent binging (2 hrs, lack of control)
severe distress about it binging at least 2 days/week for 6 months no comensatory behaviors 3 or more of: - eating very rapidly - eating til uncomfortably full - eating large amts when not hungry - eating alone due to embarrassment - feeling disgusted, depressed, guilty |
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tx for bulimia
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individual therapy
CBT SSRIs (or, secondarily, TCAs) |
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tx for anorexia
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behavioral therapy
family therapy supervised weight gain programs paroxetine or mirtazapine (weight promoting) |
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tx for binge eating
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individual psych and behavioral therapy
strict diet and exercise program treat comorbid mood or anxiety disorders |
