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Exam Questions and Answers for Psychopharm- Impulsivity, Compulsivity and Addiction Already Passed $7.99   Add to cart

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Exam Questions and Answers for Psychopharm- Impulsivity, Compulsivity and Addiction Already Passed

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Exam Questions and Answers for Psychopharm- Impulsivity, Compulsivity and Addiction Already Passed Impulsivity - Answers the inability to stop initiation of actions, involved with the Ventral striatum and linked to the thalamus, VMPFC and Anterior Cingulate Cortex Compulsivity - Answers...

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  • October 17, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • Psychopharm
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TutorJosh
Exam Questions and Answers for Psychopharm- Impulsivity, Compulsivity and Addiction Already
Passed



Impulsivity - Answers the inability to stop initiation of actions,



involved with the Ventral striatum



and linked to the thalamus, VMPFC and Anterior Cingulate Cortex

Compulsivity - Answers Inability to terminate ongoing actions



involved in Dorsal Striatum



linked to Thalamus and Orbitofrontal Cortex



Cognition is also involved with these areas and impacts impulsivity and response inhibition

Reward conditioning and memory in the mesolimbic pathway - Answers Associated with the amygdala
and hippocampus and impacts response inhibition and reward/affect

Impulsivity becomes Compulsivity - Answers When drug use, gambling and binge eating are done
repeatedly neuroplastic changes engage the dorsal habit system and migrate those ventral loop
impulses to the dorsal loop.



And thus a compulsion is born.



With compulsion you begin to see binge behavior, withdrawal symptoms, and anticipatory
cravings/arousal.

, OCD relate spectrum disorders - Answers OCD, Trichotillomania, Skin picking, Body Dysmorphic
Disorder, Hoarding, Tourette's/tics, Stereotyped movement disorders, ASD, hypochondriasis,
somatization

Pharmacotherapy for OCD - Answers First-line: SSRI (Prozac (good for teens), Luvox*, Paxil*, Zoloft) and
TCA (clomipramine)



If no response, max dose FIRST. Then augment with:

CBT, Antipsychotics (risperdal and abilify)

Substance/behavioral addictions - Answers Drug addiction

Gambling

Internet addiction

Food (Binge Eating, obesity)

Compulsive shopping

Disruptive/Impulse Control - Answers Pyromania

Kleptomania

IED

BPD

Self-harm/parasuicidal behavior

Antisocial behaviour

Conduct Disorder

ODD

Mania

ADHD

Sexual Disorder - Answers Hypersexuality

Paraphilias (pedophilia, etc.)

Bottom-up and top-down processing - Answers Impulsivity and Compulsivity from the ventral and dorsal
striatum are mitigated by top-down inhibition from the PFC.

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