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23 Haziran 2022
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24 Haziran 2022
Dürtü Kontrol Bozukluğu
Dürtü kontrol bozuklukları, saldırgan veya antisosyal dürtüleri kontrol etmede güçlüklerle kendini gösteren bir psikiyatrik bozukluk sınıfıdır
Çoğu durumda kişi dürtüsel davranışı gerçekleştirmeden önce gerginlik yaşar ve bunu eylem sırasında alınan haz ve rahatlama hissi takip eder. Fiziksel şiddet ve hırsızlık gibi tehlikeli davranışları içerebildikleri için, dürtü kontrol bozukluklarının, genellikle hem bozukluğu olan birey hem de çevresindeki diğer kişbireyler üzerinde zararlı etkileri vardır.
Dürtü kontrol bozuklukları, aralıklı patlama bozukluğunu (saldırgan veya şiddetli dürtülere karşı koyamama ile karakterize edilen); kleptomani (kullanım için gerekli olmayan şeyleri çalma dürtüsü); ve piromani (yangın çıkarmak için kontrol edilemeyen bir dürtü) olmak üzere üç alt alanda incelenir.
Dürtü kontrol bozukluklarının biyolojik ve çevresel faktörlerin biraraya gelmesi sonucunda geliştiği düşünülmektedir
Sıklıkla diğer psikiyatrik bozukluklarla (özellikle depresyon, anksiyete ve madde kötüye kullanımı) ile birlikte ortaya çıkarlar.
Dürtü control bozukluklarının görülme oranı nadirdir ve her biri nüfusun yaklaşık yüzde 1 ila 3'ünü etkiler.
Pek çok psikolojik bozukluk gibi, dürtü kontrol bozukluklarını kalıcı olarak iyileştirmek her zaman mümkün değildir ancak belli bir oranda tedavi mümkündür. Tedavi açısından bilişsel davranışçı terapinin birçok dürtü kontrol bozukluğu için etkili olduğu bulunmuştur. Ek olarak, gevşeme teknikleri ve kaçınma terapisinin de faydalı olduğu bulunmuştur.
Dürtüsel davranıştan kaynaklanan kişilerarası çatışma durumlarında, aile terapisi veya çift terapisi ek destek sağlayabilir. Etkili tedavi, hem antidepresanlar gibi psikofarmakolojik yöntemlere hem de psikoterapiye dayanabilir.
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