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What is hoarding disorder characterized by?
By a persistent difficulty discarding or parting with possessions regardless of actual value
What does hoarding disorder typically impede?
The ability to use living spaces, and many also have an excessive need to acquire new possessions
What is hoarding disorder unique from?
OCD, as thoughts to acquire are not intrusive and acquiring does not reduce anxiety
In hoarding disorder what is the prevalence?
2% but increases in the elderly
When do symptoms of hoarding disorder begin?
in childhood or adolescence and severity increases with age like older people like to hold onto things
What is Trichotillomnia? (TTM)
Hair pulling disorder is characterized by repetitive hair pulling that results in hair loss
What do people with trichotillomania (TTM) tend to do?
May pull hair from the scalp, eyelashes, arms/legs, underarm, and pubic area
Trichotillomania (TTM) is a complex and individualized disorder
True
In TTM when does pulling of hair occur in response to?
Several different emotional experiences
What is TTM associated with?
significant shame with avoidance of social activities
What is TTM comorbid with?
Depression, suicidal ideation, and alcohol use disorder
Which gender does TTM mostly appear in?
Appears equally in men and women and occurs in 2% of adults
What is a disorder where people lose a lot of hair?
Alopecia
What is excoriation?
Skin picking disorder
What is excoriation characterized by?
Recurrent skin picking resulting in skin lesions
What types of skin damage does excoriation lead to?
Infections, ulcerations, or disfiguring scars
What are typical sites for picking in excoriation?
Face, scalp, arms, legs, and chest
What is the prevalence of excoriation?
as high as 3% and occurring across all racial/ethnic groups
Which gender is excoriation more common in?
More common in women
What are impulsive control disorders?
Disorders that reflect problems with self-control of behavior, that violate the rights of others, and conflict with societal norms or authority figures
What are examples of impulsive control disorders?
Pyromania
Kleptomania
Pyromania and Kleptomania share features with OCD and OCRDs
True
Pyromania and Kleptomania are also considered addictive behaviors
True
If a person has pyromania, it is possible that they can get sexually excited while setting fires
True
What is pyromania?
Deliberate and intentional setting of fires for pleasure, it has been considered an addictive behavior
What do the triggers of pyromania include?
Stress, boredom, inadequacy, and interpersonal conflict
What are four distinct groups of pyromania?
-Psychotic struggle
-Hopeless
-Dysregulated
-Fire interest
Pyromania occurs in 1% of adults
true
When does pyromania begin?
in adolescence
Pyromania is more common in men than women
True
What is pyromania associated with?
aggression, antisocial behavior, shyness, and peer rejection
What did Freud think that the fire in pyromania was about?
Homosexuality
What is kleptomania?
Is a failure to steal items that are not needed for personal use or monetary value and is addictive
What is stealing preceded in kleptomania?
Feelings of tension, and during the act people experience pleasure, gratification, or relief
Only 5% of shoplifting in the U.S. is due to kleptomania
True
What is the prevalence of kleptomania?
0.4% to 0.6%
When does kleptomania begin?
In adolescence and early adulthood
Which gender is kleptomania most common in?
Most common in women than men at 3:1 ratio
What is kleptomania comorbid with?
Mood, anxiety, and suicidality
People tend to not get relief until they steal something