The essential feature of Impulse-Control Disorders is the failure to resist an impulse, drive, or temptation to perform an act that is harmful to the person or to others. For most of the disorders in this section, the individual feels an increasing sense of tension or arousal before committing the act and then experiences pleasure, gratification, or relief at the time of committing the act. Following the act there may or may not be regret, self-reproach, or guilt. The following disorders are:
- Intermittent Explosive Disorder
Characterized by discrete episodes of failure to resist aggressive impulses resulting in serious assaults or destruction of property.
The essential feature of Intermittent Explosive Disorder is the occurrence of discrete episodes of failure to resist aggressive impulses that result in serious assaultive acts or destruction of property. The degree of aggressiveness expressed during an episode is grossly out of proportion to any provocation or precipitating psychosocial stressor. The aggressive episodes are not due to the direct physiological effects of a substance or a general medical condition (e.g., head trauma, Alzheimer's disease. The individual may describe the aggressive episodes as "spells" or "attacks" in which the explosive behavior is preceded by a sense of tension or arousal and is followed immediately by a sense of relief. Later the individual may feel upset, remorseful, regretful, or embarrassed about the aggressive behavior.
- Characterized by the recurrent failure to resist impulses to steal objects not needed for personal use or monetary value.
- Characterized by a pattern of fire setting for pleasure, gratification, or relief of tension.
- Pathological Gambling
- Characterized by recurrent and persistent maladaptive gambling behavior.
- Characterized by recurrent pulling out of one's hair for pleasure, gratification, or relief of tension that results in noticeable hair loss.
- Impulse-Control Disorder Not Otherwise Specified
- Included for coding disorders of impulse control that do not meet the criteria for any of the specific Impulse-Control Disorders described above or in other sections of the manual.