Impulse Control Disorders

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Disorders in which people repeatedly lose control of behavior in response to irresistable impulses

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Impulse Control Disorders

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Three Essential Features of impulse control disorder

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1. people unable to refrain from acting on impulses that are harmful to themselves or others

2. feel pressured to act, experience tension/anxiety that can only be relieved through acting upon impulse

3. upon carrying out impulse experience pleasure, gratification, or relief

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Four types of impulse control disorders

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1. trichotillomania
2. pyromania
3. kleptomania
4. intermittent explosive disorder

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disorder characterized b a recurrent impulse to pull out one's hair

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trichotillomania

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ppl with trichotillomania pull out hair on _____ and in some cases _____

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scalp, body, face; swallow hair risking rapunzel syndrome

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Ppl with trichotillomania engage in hair pulling only when ____, may conceal _____

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alone, damage by wearing hats or doing hair differently

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Ppl with trichotillomania may also attempt to pull hair from:

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other people, pets, dolls, carpets, sweaters

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Lifetime prevalence of trichotillomania is _____ and is more common among ____

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1-2%; female adolescents

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Causes of trichotillomania

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poorly understood, may associate with teension relief, may be related to OCD

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Treatment of trichotillomania

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Drugs: same as OCD, paxil, prozac, increase serotonin

habit reversal: taught new response

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disorder characterized by a compulsive urge to set fires

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pyromania

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people with pyromania have an intense ____, show ____ with fire, even when not involved

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desire to prepare, set, watch fires

fascination

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People with pyromania are different from ______

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arsonists

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pyromaniacs have poor _____ and comorbid disorders such as_____

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social skills; schizophrena, depression, antisocial personality disorder

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Prevalence of pyromania

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very rare, unknown, more common with males

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Cause of pyromania

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unknown, may be related to low serotonin levels

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Treatment for pyromania

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increase serotonin levels, targeting patient during youth, addressing comorbid conditions

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disorder characterized by a persistent urge to steal

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kleptomania

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people with kleptomania feel

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persistent unwanted and intrusive urges to steal

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People with kleptomania often have other psychological disorders especially

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substance abuse and anxiety, mood, and eating disorders

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Causes of kleptomania

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may be related to OCD and or serotonin deficiency

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Treatment of kleptomania

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drugs that increase serotonin

covert sensitization (think of aversive images during compulsion

thought stopping

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disorder chararcterizeed by bouts of extreme rage accompanied by assaultive or destructive behavior

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intermittent explosive disorder

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people with IED experience

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recurrent bouts of extreme unprovoked rage

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During bouts of IED

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become assaultive, cause harm to people and property, then feel intense regret or remorse

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Before an episode of IED, individual may feel

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impending sense something will happen, tingling, tremor, heart palpitations, echoes

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IED is more common in

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males

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IED can lead to serious

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relationship and occupational difficulties

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90% of people with IED

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have a mood disorder

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Causes of IED may be related to OCD, treatment consists of

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drugs to increase serotonin

helping people become aware of anger and learn to express it differently