Impulse control disorder

As an impulse control disorder impulse control disorder or a course of conduct is referred to in psychiatry and clinical psychology, in which an experienced as unpleasant tension state is resolved by a particular impulsive behavior exerted. According to the description in the ICD- 10, it is " characterized by repeated acts without rational motivation that can not be controlled and usually harm the interests of the affected patient or of other people ."

The impulsive behavior is often performed penetrated way automatically. While it is consciously experienced, but can be difficult or impossible to prevent willful. Impulse control disorders can thus be construed as Volitionsstörung, or - in neuropsychological perspective - as a disorder of executive functions. The impulsive force exerted behaviors can have a very wide range include: Food, Buy, games, nail-biting, with - the - car - lawn, excessive masturbation, self-harm ( in some cases also of borderline personality disorder).

Is a prerequisite for an assessment impulsive behavior as a mental disorder, it can be regarded as maladaptive, so either not the rational oriented goals of the person concerned or equal than the candidate himself or any other person causes damage (for example, debts, accidents, injuries).

Classification

The classification of mental disorders by the World Health Organization (fifth chapter of ICD -10) classifies the following specific disorders separately in Section Abnormal habits and impulse control disorders:

  • Pathological gambling ( F63.0 )
  • Pathological arson ( F63.1 )
  • Pathological stealing ( F63.2 )
  • Pathological hair plucking ( F63.3 )

Other impulse control disorders are classified as other abnormal habits and impulse control disorders ( F63.8 ) to classify the separately listed in the DSM -IV intermittent explosive disorder, which is characterized by intermittent aggressive outbursts.

Therapy

Treatment approaches work among others with cognitive behavioral therapy. Objective in this case, not only the pulse to be prevented by appropriate conscious direction of attention (signs, release), but more functional alternative behavior (ie something that will help the person better and longer-term use ) to learn.

Psychoanalytic treatment approaches involve impulse control disorders as a symptom that may occur in connection with a variety of mental disorders. These therapies aim to modify the internal psychodynamics so that mental functions and powers as the impulse control and the ability to target-oriented and reality- oriented self- control are the person concerned becomes available or develop new.

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