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Impulse Control Disorders

Difficulty controlling ones impulses occurs in many disorders; especially Substance Related Disorders, Conduct Disorders and Psychotic Disorders. However the classification of Impulse-Control Disorders is reserved for those disorders in which the defining characteristic is the inability to inhibit an impulse which might be harmful to oneself or others.  

Impulse Disorders involve the inability to resist an impulse or psychological drive to act in a way harmful to oneself or others. The urge causes anxiety, tension or arousal; its completion gives relief or gratification; regret or guilt may follow.

There are five distinct Impulse Disorders.

Intermittent Explosive Disorder is evidenced by episodes of acting out aggression and causing bodily harm and/or property destruction.

Kleptomania is evidenced by acting out the impulse to misappropriate objects without the motive of monetary gain.

Pyromania is evidenced by setting fires for hedonistic purposes.

Pathological Gambling is evidenced by habitual, self destructive gambling.

Trichotillomania is evidenced by recurrent hair pulling resulting in significant hair loss with a motivation of self-gratification or tension release.

Compulsive Skin-Picking & Scratching (this is not a DSM diagnosis)

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