Anxiety Disorders Overview
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Questions and Answers

What is a characteristic symptom of Conversion Disorder?

  • Deliberate faking of symptoms for gain
  • Physical symptoms without a medical explanation (correct)
  • Mood swings between sadness and euphoria
  • Severe obsessions and compulsions

Which disorder is characterized by mild but persistent depression lasting for 2 years or more?

  • Cyclothymic Disorder
  • Bipolar Disorder II
  • Persistent Depressive Disorder (correct)
  • Major Depressive Disorder

Which of the following best describes Females sexual interest/arousal disorder?

  • Ejaculation before it is desired
  • Recurring inability to maintain adequate lubrication (correct)
  • Inability to achieve orgasm despite desire
  • Lack of interest in sexual fantasy

What defines a Manic Episode?

<p>Extreme euphoria and high energy (A)</p> Signup and view all the answers

What is the key difference between Bipolar Disorder I and II?

<p>Bipolar I has full manic episodes, while Bipolar II has hypomanic episodes (B)</p> Signup and view all the answers

What is a symptom associated with Intermittent Explosive Disorder?

<p>Frequent impulsivity and aggression (C)</p> Signup and view all the answers

Which disorder involves an inability to achieve or maintain adequate erection?

<p>Erectile disorder (D)</p> Signup and view all the answers

What is the hallmark of Conduct Disorder in children?

<p>Consistent patterns of aggression and disobedience (B)</p> Signup and view all the answers

Which symptom is characterized by mimicking another individual's speech?

<p>Echolalia (C)</p> Signup and view all the answers

How long must symptoms persist to qualify for Schizophreniform Disorder?

<p>At least 1 month but less than 6 months (B)</p> Signup and view all the answers

Which of the following statements best describes Schizoaffective Disorder?

<p>It involves symptoms of schizophrenia and a mood disorder. (D)</p> Signup and view all the answers

Which type of delusion involves the belief that one is under constant surveillance?

<p>Persecutory (C)</p> Signup and view all the answers

Which disorder results from withdrawal from certain substances and includes hallucinations or delusions?

<p>Substance/Medication Psychotic Disorder (B)</p> Signup and view all the answers

Which neurodevelopmental disorder is characterized by persistent challenges with social interactions and repetitive behaviors?

<p>Autism Spectrum Disorder (ASD) (D)</p> Signup and view all the answers

What is a defining characteristic of Delirium?

<p>Impaired consciousness and cognition over several hours or days (C)</p> Signup and view all the answers

Which disorder is characterized by an ongoing pattern of inattention and hyperactive-impulsive behavior?

<p>Attention-Deficit/Hyperactivity Disorder (ADHD) (D)</p> Signup and view all the answers

What is one requirement for an individual to be committed against their will?

<p>They must pose a direct threat to themselves or others. (D)</p> Signup and view all the answers

How does civil commitment law prioritize society?

<p>By defining the circumstances under which a person can be committed. (C)</p> Signup and view all the answers

What was a significant outcome of the Addington v. Texas (1979) decision?

<p>It limited the government's ability to commit non-dangerous individuals. (D)</p> Signup and view all the answers

What is the controversial concept associated with mental illness?

<p>That those with mental illness may be perceived as more dangerous. (B)</p> Signup and view all the answers

What is one consequence of deinstitutionalization?

<p>It has resulted in the transinstitutionalization of individuals. (A)</p> Signup and view all the answers

What role does the Supreme Court play in civil commitment?

<p>It protects non-dangerous individuals capable of living safely with support. (C)</p> Signup and view all the answers

What major issue arose from the criminalization of mental health care in the past?

<p>Inadequate treatment for individuals with mental illness. (B)</p> Signup and view all the answers

What does assisted outpatient treatment (AOT) involve?

<p>Individual agreements to treatment while residing at home. (D)</p> Signup and view all the answers

What is one reason why the insanity defense is used less frequently than many believe?

<p>It is complicated to determine legal insanity. (A)</p> Signup and view all the answers

What does the 'Guilty but Mentally Ill' verdict recognize?

<p>The individual has mental illness but is accountable. (A)</p> Signup and view all the answers

What is therapeutic jurisprudence primarily concerned with?

<p>Behavioral change for individuals in legal troubles. (A)</p> Signup and view all the answers

Which statement correctly describes the right to refuse treatment?

<p>Individuals may lose this right if deemed incompetent. (C)</p> Signup and view all the answers

What obligation do professionals have under the duty to warn?

<p>They must warn potential victims if there is a credible threat. (A)</p> Signup and view all the answers

What has been a significant change in patients' rights in mental health facilities?

<p>Their communication with the outside world has increased. (C)</p> Signup and view all the answers

How have treatment rights for individuals with mental illnesses evolved?

<p>They have gained more rights and protections. (D)</p> Signup and view all the answers

What role do mental health professionals play as expert witnesses?

<p>They provide specialized knowledge to aid in legal decisions. (C)</p> Signup and view all the answers

Which disorder is characterized by a strong need for attention and dramatic behavior?

<p>Histrionic Personality Disorder (A)</p> Signup and view all the answers

What defines Avoidant Personality Disorder?

<p>Fear of embarrassment and a desire for social relationships (A)</p> Signup and view all the answers

Which of the following disorders is associated with a lack of empathy and an inflated self-image?

<p>Narcissistic Personality Disorder (D)</p> Signup and view all the answers

What characterizes a Substance Use Disorder?

<p>A pattern of substance use causing distress (B)</p> Signup and view all the answers

What behavioral pattern is characteristic of Schizoid Personality Disorder?

<p>Lack of interest in social relationships (D)</p> Signup and view all the answers

What is the primary focus of Evidence-Based Practice?

<p>Practices supported by effective research findings (C)</p> Signup and view all the answers

Which disorder includes a pattern of uncooperative and defiant behavior toward authority figures?

<p>Oppositional Defiant Disorder (C)</p> Signup and view all the answers

What is a common feature of Borderline Personality Disorder?

<p>Impulsive behavior and unstable moods (C)</p> Signup and view all the answers

What occurs during alcohol withdrawal?

<p>Symptoms include tremors and gastrointestinal issues (D)</p> Signup and view all the answers

Individuals with which disorder experience urges to set fires despite knowing the consequences?

<p>Pyromania (D)</p> Signup and view all the answers

What are the primary characteristics of Cannabis Use Disorder?

<p>Increased usage for the same effects (A)</p> Signup and view all the answers

What defines Caffeine Withdrawal?

<p>Symptoms developing after abrupt cessation of use (A)</p> Signup and view all the answers

Which disorder is marked by pervasive distrust and suspicion of others?

<p>Paranoid Personality Disorder (D)</p> Signup and view all the answers

What immediate health problems can a Substance Induced Disorder cause?

<p>Immediate health issues during intoxication or withdrawal (D)</p> Signup and view all the answers

What are some symptoms experienced during LSD use?

<p>Severe hallucinations and potential convulsions (D)</p> Signup and view all the answers

Which of the following best describes Alcohol Intoxication?

<p>Temporary behavioral or psychological changes (C)</p> Signup and view all the answers

Flashcards

Conversion Disorder

A psychiatric condition where anxiety manifests as unexplained physical symptoms.

Major Depressive Episode

A period of at least two weeks where a person loses interest and pleasure in activities.

Manic Episode

A period of high energy, excitement, or euphoria.

Bipolar I Disorder

A mental condition characterized by cycles of depressive episodes and full manic episodes.

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Erectile Disorder

Recurring inability to attain or maintain an adequate erection.

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Intermittent Explosive Disorder (IED)

Frequent outbursts of anger disproportionate to the situation, impulsive.

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Conduct Disorder

A consistent pattern of aggressive and disobedient behavior.

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Persistent Depressive Disorder (Dysthymia)

Mild but persistent depressive symptoms for at least two years.

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Oppositional Defiant Disorder (ODD)

A pattern of uncooperative, defiant, and hostile behavior towards others.

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Kleptomania

An uncontrollable urge to steal things.

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Pyromania

An uncontrollable urge to set fires.

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Paranoid Personality Disorder

Pervasive distrust and suspicion of others, interpreting actions as malevolent.

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Schizoid Personality Disorder

Lack of interest in social relationships, limited emotional expression and preference for solitude.

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Antisocial Personality Disorder

Disregard for the rights of others, impulsivity, deceitfulness, aggression.

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Borderline Personality Disorder

Unstable moods, self-image, and relationships; impulsive behavior and fear of abandonment.

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Avoidant Personality Disorder

Extreme sensitivity to rejection and a desire for social relationships, but inhibited by fear of embarrassment or criticism.

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Schizophreniform Disorder

A mental disorder characterized by symptoms similar to schizophrenia, but lasting only 1 to 6 months. It doesn't include flat affect.

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Schizoaffective Disorder

A mental disorder characterized by a combination of mood disorder symptoms (depression or bipolar) and psychotic symptoms (hallucinations or delusions).

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Delusional Disorder

A mental disorder characterized by persistent, non-bizarre delusions that are not due to another mental disorder.

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Substance/Medication-Induced Psychotic Disorder

A mental disorder characterized by hallucinations or delusions caused by the use or withdrawal from substances, such as drugs or alcohol.

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Psychotic Disorder Due to Another Medical Condition

A mental disorder characterized by psychotic symptoms caused by a medical condition, such as a brain tumor or Parkinson's disease.

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Attenuated Psychosis Syndrome

A mental disorder characterized by mild psychotic symptoms that are not severe enough to be diagnosed with schizophrenia but still represent a high risk for developing schizophrenia.

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Shared Psychotic Disorder (Folie a Deux)

A rare disorder where a person develops delusions due to their close relationship with someone who already has delusions.

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Brief Psychotic Disorder

A mental disorder characterized by psychotic symptoms lasting at least one day but less than one month.

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Civil Commitment

The legal process of deciding if someone with a mental illness can be involuntarily committed to a treatment facility.

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Grave Disability

A condition where someone is unable to meet basic needs (like food, shelter, safety) due to their mental illness.

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Assisted Outpatient Treatment (AOT)

A legal option where individuals with severe mental illness agree to receive ongoing treatment in the community.

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Dangerousness

A controversial idea that suggests individuals with mental illness are more likely to be violent.

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Addington v. Texas

A landmark case that made it more difficult to involuntarily commit someone who wasn't a danger to themselves or others.

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Criminalization

The trend of individuals with mental illness being sent to the criminal justice system instead of receiving care.

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Deinstitutionalization

Moving people with mental illness out of psychiatric hospitals, often seen as a failure due to lack of adequate community care.

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Transinstitutionalization

The movement of individuals with mental illness from psychiatric hospitals to other settings like nursing homes, group residences, or jails.

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Insanity Defense

A legal defense claiming that the defendant was mentally incompetent at the time of the crime.

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Guilty but Mentally Ill

A verdict recognizing mental illness while holding the individual accountable for their actions.

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Therapeutic Jurisprudence

Using legal processes to support positive behavioral change.

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Competence to Stand Trial

Ability of a defendant to understand charges and assist in their defense.

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Duty to Warn

Professionals' obligation to alert potential victims of threats divulged in therapy.

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Mental Health as Expert Witness

Mental health professionals providing specialized insights for legal decisions.

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Right to Treatment

Individuals in mental health facilities have the right to receive appropriate care.

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The Right to Refuse Treatment

Patients have the right to choose their treatment options, even if mentally ill.

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Informed Consent

A formal agreement by participants in research, given after they understand all aspects of the study, including potential risks.

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Evidence-Based Practice

Healthcare practices supported by reliable research showing their effectiveness.

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Clinical Efficacy Axis

Focuses on rigorously evaluating scientific evidence to determine if a treatment works.

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Substance Use Disorder

Repeated and problematic substance use that causes significant distress or impairment in daily life.

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Alcohol Use Disorder

Inability to control alcohol consumption, leading to problems in various areas of life.

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Cannabis Use Disorder

Problematic cannabis use that interferes with daily functioning and often requires increasing amounts for the same effects.

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Hallucinogen Use

The use of hallucinogenic drugs, potentially leading to altered perception, mood changes, and severe effects.

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LSD (Lysergic Acid Diethylamide)

A common hallucinogenic drug causing severe effects such as convulsions and hallucinations.

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Study Notes

Anxiety Disorders

  • Anxiety is a negative mood characterized by physical tension and apprehension about the future.
  • Panic attacks are exaggerated fear responses, quickly reaching a peak within a minute. These are often unexpected.
  • Generalized Anxiety Disorder (GAD) is complicated by the worry and fear in daily life scenarios.
  • Agoraphobia is a fear of places or situations where escape might be difficult or help unavailable, causing feelings of being trapped.
  • Specific phobias are focused anxieties directly related to specific objects or situations.
  • Blood-injury-injection phobia is a significant fear of blood, injury, or injections.
  • Situational phobias involve fears of specific situations.
  • Natural environment phobias involve fears of natural environments or weather.
  • Separation anxiety is excessive anxiety related to separation from home or significant others.
  • Social anxiety disorder involves anxiety about making a mistake or being embarrassed in social situations.

Somatic Disorders

  • Somatoform disorder involves unexplained physical symptoms.
  • Illness anxiety disorder (hypochondriasis) is a fear of illness.
  • Somatization disorder occurs when a person feels excessive anxiety about their physical symptoms.
  • Conversion disorder refers to anxiety turning into physical symptoms.
  • Malingering is the intentional faking of symptoms for gain.
  • Factitious disorder involves intentionally faking illness for attention.

Mood Disorders

  • Persistent Depressive Disorder is mild but persistent depression lasting for at least two years.
  • Major depressive episodes involve loss of pleasure and interest in activities for at least two weeks.
  • Manic episodes include high energy, excitement, or euphoria.
  • Hypomania involves manic symptoms but to a lesser extent.
  • Bipolar disorder I: features depressive periods alternating with full manic periods.
  • Bipolar disorder II: features depressive periods alternating with hypomanic periods.
  • Cyclothymic disorder is a mood disorder with frequent fluctuations between periods of mild depressive symptoms and hypomanic symptoms.
  • Dysphoric manic/mixed episodes involve sadness, anxiety, or depression.

Sexual Dysfunction

  • Male hypoactive sexual desire disorder is a lack of interest in sexual activity.
  • Erectile disorder involves recurring inability to achieve or maintain an erection.
  • Female sexual interest/arousal disorder involves inability to achieve or maintain adequate lubrication.
  • Female orgasmic disorder is an inability to reach orgasm.
  • Premature ejaculation is ejaculation before desired.
  • Genito-pelvic pain/penetration disorder is pain or tension during sexual activity.

Control Disorders

  • Intermittent explosive disorder features episodes of explosive anger.
  • Conduct disorder involves aggressive and disobedient behaviors.
  • Oppositional defiant disorder involves uncooperative and hostile behavior.
  • Kleptomania is an irresistible urge to steal.
  • Pyromania is an irresistible urge to start fires.

Personality Disorders

  • Cluster A personality disorders are characterized by unusual and eccentric behaviors.
  • Paranoid personality disorder is characterized by distrust and suspicion.
  • Schizoid personality disorder involves a lack of interest in social relationships.
  • Schizotypal personality disorder is characterized by odd beliefs, eccentric behavior, and discomfort with close relationships.
  • Cluster B personality disorders are characterized by dramatic, emotional, or erratic behaviors.
  • Antisocial personality disorder involves disregard for the rights of others, impulsivity, and deceit.
  • Borderline personality disorder is characterized by unstable moods, self-image, and relationships.
  • Histrionic personality disorder is characterized by a strong need for attention, dramatic behavior, and exaggerated emotional expression.
  • Narcissistic personality disorder involves an inflated sense of self-importance, a need for admiration, and a lack of empathy.
  • Cluster C personality disorders are characterized by anxious or fearful behaviors.
  • Avoidant personality disorder involves sensitivity to rejection.
  • Dependent personality disorder is characterized by an excessive need for care and fears of separation.
  • Obsessive-compulsive personality disorder involves preoccupation with orderliness, perfectionism, and control.

Schizophrenia

  • Positive symptoms involve distortions of normal functions and include delusions (false beliefs), hallucinations (false sensory perceptions), disorganized thinking, and disorganized or abnormal motor behavior.
  • Negative symptoms involve absence or diminution of normal functions and behaviours, like flattening of affect, alogia (poverty of speech), avolition (lack of initiation), and anhedonia (lack of pleasure).
  • Delusional disorders are characterized by having delusions but are without the additional symptoms of schizophrenia.

Psychotic Disorders

  • Schizophreniform disorder has the characteristics of schizophrenia, but the duration is shorter.
  • Schizoaffective disorder involves mood disorder symptoms, along with some symptoms of schizophrenia.
  • Substance-induced psychotic disorder is caused by substance use or withdrawal.
  • Psychotic disorder associated with another medical condition occurs because of another medical issue.
  • Attenuated psychosis syndrome is a condition where a person exhibits risk factors for schizophrenia.
  • Shared psychotic disorder is a condition where one person develops delusions because of another person.
  • Brief psychotic disorder is a condition where psychotic symptoms last for a short time.

Neurocognitive Disorders

  • Delirium is a sudden, fluctuating impairment of awareness and cognition.
  • Alzheimer's disease is a progressive neurodegenerative disorder that causes significant cognitive decline.
  • Vascular dementia is caused by damage to blood vessels in the brain.
  • Head trauma can lead to neurocognitive issues.
  • HIV and related infections can damage the brain and affect cognition

Other Cognitive Issues

  • Aphasia involves language impairments.
  • Pick's disease is a type of frontotemporal dementia.
  • Creutzfeldt-Jakob disease is a rare, fatal brain disorder.
  • Amnestic disorders involve memory loss or difficulty learning new information.

Mental Health Services & Ethical Issues

  • Mental health treatment must consider individual safety versus rights, ethical issues, and societal views.
  • Civil commitment refers to the legal process used to confine individuals against their will.
  • Legal standards for admission, treatment, and criteria for needing treatment must be met.
  • Individuals must meet the legal criteria, including safety and mental health issues.
  • Treatment procedures vary by state, leading to potential variations in the legal process.
  • Courts can restrict government authority in the case of non-dangerous individuals.
  • Criminalization of mental illness can occur in instances inadequate treatment or lack of care and resources.
  • Deinstitutionalization involves releasing individuals from mental hospitals.
  • Debates exist regarding mental health's effect on individuals' acts.
  • Legal definitions vary by state affecting procedures.
  • The insanity defense may be used to reduce culpability for criminal acts.
  • Concepts of Mens rea (guilty mind) and Actus rea (guilty act) are integral in legal processes.
  • The Durham rule and American law institute (ALI) standards are also legal considerations in these situations.
  • The M'Naghten rule is a legal standard where a defendant isn't held accountable for their criminal actions if they were unaware of the wrongfulness.
  • Criminal commitment is a legal process for individuals accused of crimes, deemed mentally unfit to stand trial, to undergo examinations.
  • Therapeutic jurisprudence is a way to use behavioral principles to help those in the judicial system.
  • Competence to stand trial is a legal standard to assess a person's ability to understand legal proceedings.
  • Duty to warn is an obligation for mental health professionals to warn potential victims of threatened harm.
  • Patients' rights in mental health settings have limitations regarding personal choices, care, and communication.

Neurodevelopmental Disorders

  • Attention-deficit/hyperactivity disorder (ADHD) is a condition that includes persistent patterns of inattention and/or hyperactivity- impulsivity.
  • Autism spectrum disorder (ASD) involves persistent difficulties in social interaction patterns, communication, and repetitive behaviors or interests.
  • Intellectual disabilities involve significant limitations in intellectual functioning and adaptive behavior.
  • Specific learning disorder is a condition where learning difficulties are present in specific areas, like reading or mathematics.
  • Tourette syndrome is a neurodevelopmental disorder characterized by both motor and vocal tics.
  • Fluency disorders involve speech difficulties.
  • Language disorder is a communication problem where a person has issues using language appropriately.
  • Social (pragmatic) communication disorder involves difficulties with the social aspects of verbal and nonverbal communication.
  • Substance use disorders involve problematic patterns of substance use resulting in impairment and distress.
  • Substance-induced disorders are immediate health consequences from substance use or withdrawal.
  • Alcohol use disorders involve inability to control alcohol use, resulting in problems in daily life and intoxication or withdrawal symptoms.
  • Caffeine disorders involve distress or impairment related to extreme caffeine use or withdrawal symptoms.
  • Cannabis disorders involve problematic patterns of use that interfere with daily life.
  • Inhalant use disorder is the use of chemicals to achieve euphoric feelings.
  • Opioids, LSD, psilocybin cause severe effects, like hallucinations, convulsions, and mood shifts.
  • Gambling disorder is an addictive behavior with significant negative consequences.
  • Pathological gamblers face severe consequences.
  • Brain scans might show decreased brain activity in impulse-regulating regions.

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