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Exam #4 - Impulse Contol/Sexuality

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Term
Definition
What is oppositional defiant disorder?   Chris Barr  
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How is mild oppositional defiant disorder defined?   Symptoms confined to one setting  
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How is moderate oppositional defiant disorder defined?   Symptoms present in at least 2 settings  
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How is severe oppositional defiant disorder defined?   Symptoms present in 3 or more settings  
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What two components are a part of oppositional defiant disorder?   Behavioral and emotional components  
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What impairment is a part of conduct disorder?   Impairment of behavior  
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What is the persistent pattern of conduct disorder?   At least 1 criterion present for 6 months or more that violate others' rights or societal norms  
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What are the five criteria of conduct disorder?   Aggressive behavior, fighting (use of weapons, cruelty to people/animals), destruction of property, stealing and lying, violation of rules  
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What is the pattern for intermittent explosive disorder?   Pattern of outbursts and inability to control aggressive impulses  
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How is intermittent explosive disorder triggered?   Really minor events  
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What is the sequence of events in intermittent explosive disorder?   Tension --> aggression --> release --> remorse  
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What are the neurobiological differences in people with intermittent explosive disorder?   Disregulation of serotonin and higher levels of testosterone  
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What is the genetic-based etiology of oppositional defiant disorder and conduct disorder?   Reduced gray matter in the brain that is responsible for impulse control  
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What medications are used to treat oppositional defiant disorder?   Not generally indicated; need a good swift kick in the ass  
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What medications are used for intermittent explosive disorder?   SSRIs, mood stabilizers like lithium and anticonvulsants, and antipsychotics  
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Why aren't antianxiety medications like benzodiazepines used to treat intermittent explosive disorder?   Because they decrease disinhibitions  
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What medications are used to treat conduct disorder?   Antipsychotics, antidepressants, mood stabilizers, antianxiety (to control aggression)  
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How is sexual dysfunction defined?   Problems with desire, arousal or orgasm  
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What is gender dysphoria?   The gender they feel doesn't match their biological gender  
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What are paraphilic disorders?   Using sexual stimuli or acts outside of societal norms  
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What factors affect sexuality?   Biological, behavioral and psychological  
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What are precipitating stressors that affect sexuality?   Physical illness or injury, psychiatric illness, medications, fear of STDs/HIV  
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What medications can negatively impact sexual function?   Antihypertensives and SSRIs  
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What coping mechanisms are related to sexual responses?   Fantasy, projection, denial, rationalization  
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What is projection?   Blaming partner for problem  
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What is one of the most frequently diagnosed disorders in children and adolescents?   Conduct disorder  
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