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11 Cards in this Set

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Impulses vs. compulsive?
Impulse you feel ok after you do it - egosyntonic

Compulsive you feel terrible afterward... egodystonic
What Neurotransmitter is involved w/ impulses?
Serotonin

very violent behavior
Pat. w/ intermittent explosive disorder? (IED)
Reaction is out of proportion

Driving and a cab cuts you off

Pat. says that he injured somebody's neck because someone took his potato chips
What sex is IED seen?
men
What is in a pat. history of IED?
Head Trauma History
What are the levels of neurotransmitters in IED?
Linked to low levels of serotonin

low level of 5-HIAA

abnormalities of lymbic system
As the years progress what happens to IED?
Symptoms become better
Tx of Patients w/ I Explosive Disorder?
anticonvulsant
antipsychotics
beta blockers

SSRIs some what helpful

group psychotherapy
Differential Diagnosis of IED?
Epilepsy
Brain Tumors
Endocrine Disorder
What personality disorder is a differential diagnosis?
Antisocial

Borderline

Schizophrenia

Substance Intoxication

all lead to violent behavior
What other condition is associated w/ kleptomania?
Bulemia strongly associated