Impulse Control

Question 1

Basic cycle of impulse control disorder:

Answer 1

anxiety –> do behavior (theft, fire, sex) –> anxiety relieved

Question 2

Treatment for intermittent explosive disorder

Answer 2

• SSRIs (#1 fluox)
• mood stabilizers
• CBT/family therapy

Question 3

Physical finding in IED

Answer 3

low levels 5HT in CSF

Question 4

Contrast kleptomania and typical theft

Answer 4

• klepto: patients do not need what they steal for personal use or monetary value
• objects are typically given away, thrown away, maybe just hoarded

Question 5

Treatment for kleptomania:

Answer 5

• CBT
• SSRIs
• maybe naloxone

Question 6

Pyromania:

-diagnostic criteria

Answer 6

at least 2 episodes