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impulsivity

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PRESENTATION OUTLINE

1.

IMPULSE CONTROL

GUADALAJARA LAMAR PSIQUIATRÍA 5•C
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2.

DEFINITION

  • Common conditions
  • Difference impulsive/compulsive
  • Formal and NOS
Photo by Christy Mckenna
3.

DX CHARACTERISTICS

1: Repetitive engagement
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4.

2: DIMINISHED CONTROL

Photo by Kazarelth
5.

3:CRAVING STATE BE

"Before Engaging" in the problem
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6.

HEDONIC QUALITY

Towards the problem, of course
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7.

BEHAVIOUR

Addiction
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8.

KLEPTOMANIA

  • Stealing the not needed
  • Shame & guilt
  • Aprehended: 64-87%
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9.

TRICHOTILLOMANIA

Hair pulling
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10.

GAMBLING

.6 TO 1.6% US COMPULSIVE/IMPULSIVE
Photo by John-Morgan
11.

INTERMITENT EXPLOSIVE

MULTIPLE TIMES A MONTH 30 MIN
Photo by Reid Rosenberg
12.

PYROMANIA

3% OF DEPRESSED. ARSON?
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13.

SKIN PICKING

TISSUE DAMAGE 4% COLLEGIATE 2% DERM
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14.

COMPULSIVE BUYER

5.18% US ADULTS
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15.

COMPULSIVE SEXUAL

3 TO 6% US PARAPHILIC/NON-PARAPHILIC
16.

PATHOPHYSIOLOHY

  • Low serotonin metabolite
  • 5-hydroxyindole acetic acid in CSF
  • Bad response to metachlorophenyl piperazine in prefrontal cortex (PET study)
  • Impaired disinhibition
Photo by kevin dooley
17.

TX...

CLOSMIPRAMINE 125MG FOR GAMBLING
Photo by Terry Madeley
18.

SOURCES

  • Grant, J. E., Odlaug, B. L., Kim, S. W. (2007). Impulse control disorders: clinical characteristics and pharmacologycal management. Psychiatric Times, 24(10),64-9.
  • Schreiber, L., Odlaug, B. L, Grant, J. E. (2011). Impulse control disorders: updated review of clinical characteristics and pharmacological management. Front Psychiatry, 2:1.
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