Eating Disorders Impulse Control Disorders | Anatomy2Medicine
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Eating Disorders Impulse Control Disorders

 

  • Impulse control disorders,
  • Kleptomania
  • Pyromania
  • Trichotillomania

 

 

 

  • Impulsion.

 

      • Blind obedience to internal drives, without regards for acceptance by others or pressure from the super ego
      • commonly seen in children and adults with weak psychic organization.
    • Dipsomania. binge pattern of Alcoholism (Not an impulse disorder)
    • Kleptomania. Compulsive stealing; the objects taken usually having a symbolic value, of which the subject is unconscious, rather than an intrinsic value.
    • Pyromania. Obsessive pre-occupation with fires; compulsion to set fires.
    • Trichotillomania. Compulsive pulling out of one’s hairs.
    • “Stealing” may be a feature seen in

 

  • Kleptomania
  • Schizophrenia
  • Dementia

 

    • Patients with schizophrenia may steal in response to hallucinations and delusions.
    • Patients with cognitive disorders may be accused of stealing when they forget to pay for objects.
    • Behaviour Therapy useful in kleptomania is:

 

  • Aversive Conditioning
  • Systematic Desensitization
  • Insight Oriented Psychotherapy

 

    • Conditions that simulate Trichotillomania,
      • Obsessive-compulsive disorder
      • Malingering
      • Factitious disorder
    • Adjustment Disorder : The development of emotional or behavioural symptoms in response to an identifiable stressor occurring within 3 months of the onset of stressor, with marked distress and impairment in social or occupational
    • Post-Traumatic Stress Disorder (PTSD),

 

  • The symptoms develop after a psychologically traumatic event

 

    • Most patients return to their previous level of functioning within 3 months
    • Psychotherapy is the treatment of choice
    • Diagnostic criteria for PTSD say that the disturbance should not meet the criteria for another specific Axis-I disorder like Major depressive disorder