Impulse control disorder is a set of psychiatric disorders including intermittent explosive disorder, kleptomania, pathological gambling, pyromania (fire-starting), and three body-focused repetitive or compulsive behaviors (trichotillomania, a compulsion to pull one’s hair out; onychophagia, compulsive nail biting; and dermatillomania, compulsive skin picking). The onset of these disorders usually occurs between the ages of 7 and 15. Impulsivity, the key feature of these disorders, can be thought of as seeking a small, short term gain at the expense of a large, long term loss. Those with the disorder repeatedly demonstrate failure to resist their behavioral impetuosity.
Considered to be part of the obsessive-compulsive disorder spectrum, impulse control disorders are often associated with substance use disorders because ‘it has been speculated that these disorders are mediated by alterations of partially overlapping neural circuits.’ Impulse control disorders have two treatment options: psychosocial and pharmacological. Treatment methodology is informed by the presence of comorbid conditions.
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