Impulse-Control Disorders

Not Elsewhere Classified

Intermittent Explosive Disorder

• Assault/Property Destruction
• Out of proportion to stress or provocation
• Rule out other dx
• Not due to substance or medical condition
• Not amok
• Why?
• Single episode
• Dissociative features
• Claims amnesia

Kleptomania

• Items stolen not needed/of value
• Tension before theft
• Relief after theft
• Not related to anger/delusions
• Not related to other dx

Pyromania

• Firesetting
• Tension before act
• Fascination with fire
• Relief/pleasure when setting fire
• Not for monetary gain, anger, delusions, etc.
• Not related to other dx

Pathological Gambling

• Five or more of multiple characteristics

Trichotillomania

• Hair pulling resulting in hair loss
• Tension before pulling
• Relief after pulling
• Not due to medical or other mental disorder
• Clinically significant distress or impairment in…
• Popular sites
• What are they?
• Scalp 75%
• Eyelashes 53%
• Eyebrows 42%
• Pubic area 17%
• Beard 10%
• Arms 10%
• Oral behavior present in ½ of patients:
• Chewed, bit 33%
• Trichophagy 10%
• Rubbed around mouth 25%