People with personality disorders tend to exhibit problems with impulse control that can manifest as either over-controlled or under-controlled impuls. Sorting out why your child has trouble with impulse control can take a little detective work. Keeping track of his symptoms and behavior is a good first step. Impulse-control disorder (ICD) is a class of psychiatric disorders characterized by impulsivity . core features that represent impulse-control disorders which includes preceding tension, difficult to resist urges and relief or pleasure after action.
controlling impulses: Difficulty
Often, explosive episodes result in destruction of property, domestic violence, and physical assault, which, in turn, have legal ramifications.
The degree of aggressiveness during each episode is grossly out of proportion to any stresses. Pyromania is the repetitive, deliberate, and purposeful setting of fires. In addition, pyromaniacs are fascinated and attracted to fire and related accessories e. Fire-setting is not performed for any other reasons, such as for financial gain, to express anger, to conceal a criminal act, or to express sociopolitical views.
Kleptomania is an inability to resist impulses to repetitively steal objects that are not necessary for personal use or monetary value.
Children and adolescents with kleptomania experience a growing sense of tension just before stealing , followed by pleasure, relief, or gratification during or just after stealing. Career thieves, those who steal out of need or to support substance abuse, and those who steal because they have no regard for society's laws, are not considered to have kleptomania. Individuals with kleptomania do not want to steal and feel guilty about it. Trichotillomania is characterized by recurrent pulling out of one's hair to produce noticeable hair loss.
Children and adolescents with trichotillomania experience a growing sense of tension or stress just before pulling hair out or when trying to resist hair pulling. They experience pleasure, relief, or gratification when pulling out the hair. Compulsive gambling disorder, also called pathological gambling, is recurrent and persistent gambling behavior characterized by five or more of the following:.
Parents of children and adolescents who exhibit problems with impulse control should see a physician as soon as possible. Usually, a referral to a psychologist, psychiatrist, or therapist will be given. Impulse control disorders are diagnosed by psychological and psychiatric evaluations, interviews with family members, teachers, and caregivers, and observation and interviews with the child or adolescent. Impulse control disorders often have characteristics in common with other psychological disorders and often occur in conjunction with other conditions, such as ADHD or conduct disorder.
Therefore, diagnosis of impulse control disorders may be difficult, and they are usually diagnosed after exclusion of other disorders. For example, intermittent explosive disorder is diagnosed if the aggressive episodes cannot be better explained by another psychological disorder, such as antisocial personality disorder ; a manic episode; ADHD; or by substance abuse or medical conditions such as head trauma.
Pyromania is diagnosed when fire-setting is not better explained by conduct disorder, antisocial personality disorder, mental impairment, delusions or hallucinations, or intoxication. Kleptomania is diagnosed when repetitive stealing is not better explained by anger or vengeance, peer pressure , delusions or hallucinations, conduct disorder, a manic episode, or antisocial personality disorder. Trichotillomania is diagnosed when pulling out of hair is not better explained by another mental disorder or a dermatological or medical condition, and when this practice causes clinically significant social or occupational dysfunction or impairment.
Compulsive gambling disorder is diagnosed when the behavior cannot be better explained by a manic episode, conduct disorder, or peer pressure. Impulse control disorders are treated with medication, psychotherapy, and behavior modification.
If these disorders are occurring in conjunction with another condition, such as ADHD, medication and therapy for that condition often helps alleviate the impulse control disorder.
Depression is often an underlying factor in some impulse control disorders, particularly compulsive gambling disorder and trichotillomania.
Therefore, treatment with antidepressants may be helpful. Long-term counseling and psychotherapy is usually necessary as well. Therapy methods to help with impulse control generally involve behavior modification, anger and stress management, and psychoanalysis.
Therapy can occur in residential or day treatment facilities, or on an outpatient basis. Support groups, such as Gamblers Anonymous, may also help. Prognosis depends on the severity of the disorder and the commitment of the individual to seek therapy.
Impulse control disorders can affect social, academic, and occupational functioning, as well as result in legal problems. Long-term participation in individual counseling and group therapy can improve prognosis. Children and adolescents with impulse control disorders may have difficulties in school and at home. In some cases, impulse control disorders can result in expulsion from school. Parents should investigate alternative school settings that may be able to provide counseling and group therapy integrated with academics.
Family therapy may help alleviate stressful family situations and help other family members understand the impulse control disorder. Antisocial personality disorder —A disorder characterized by a behavior pattern that disregards for the rights of others. There has yet to be a specific reason identified as to what causes impulse control disorders to develop. Most professionals believe that it is the combination of multiple factors, including genetic, physical, and environmental risk factors.
There seems to be a genetic link tied to the onset of impulse control disorders. Studies have shown that children and teens who have family members that suffer from mental health disorders have a higher susceptibility of developing impulse control disorders than others.
It has been said that there is a possibility that when certain brain structures that are linked to the functioning of emotions, memories and planning become imbalanced, impulse control behaviors can develop. Professionals in the field believe that children who have grown up in families or in homes where explosive behaviors, violence, verbal abuse, and physical abuse were common are more likely to develop impulse control disorders.
Some children and adolescents may unconsciously find that participating in such behaviors provides them with some sense of an escape from the chaos around them. Signs and Symptoms Signs and symptoms of impulse control disorder The signs and symptoms of impulse control disorders will vary based on the age of the children or adolescents suffering from them, the actual type of impulse control that they are struggling with, the environment in which they are living, and whether they are male or female.
The following are some examples of different behavioral, physical, cognitive, and psychosocial symptoms that may be present in a child or adolescent suffering from an impulse control disorder:. Effects Effects of impulse control disorder The effects of impulse control disorders can be extremely detrimental to the lives of children and adolescents who do not receive treatment. Some examples of the types of effects that can result from impulse control disorders can include:.
Co-Occurring Disorders Impulse control disorder and co-occurring disorders There a number of disorders that can occur alongside impulse control disorders. There are also disorders whose symptoms mirror those seen in people suffering from impulse control disorders. Some of the most common mental disorders that can occur with, or that directly mirror, impulse control disorders include:. Understanding Impulse Control Disorder.
Causes and Risk Factors. Causes and risk factors for impulse control disorder There has yet to be a specific reason identified as to what causes impulse control disorders to develop.
History of drug abuse Young age Being male Exposure to violence Family history of mood disorders Family history of substance abuse. Signs and symptoms of impulse control disorder The signs and symptoms of impulse control disorders will vary based on the age of the children or adolescents suffering from them, the actual type of impulse control that they are struggling with, the environment in which they are living, and whether they are male or female.
Impulse control disorder
Impulse control disorders include: intermittent explosive disorder, kleptomania cause significant distress, and potentially result in problems at work or school. While other disorders may involve difficulty controlling impulses, that is not their primary feature. For example, while people with attention-deficit/hyperactivity. Plus, there might be some who not only have bipolar disorder and the difficulties that come with control one's impulses, but they also might.