Impulse control is disrupted in many mental illnesses, but these disorders are also a distinct entity in the DS IV classification. Impulse control disorders (ICDs) are part of a larger group of psychiatric disorders referred to as obsessive-compulsive spectrum disorders.okok
Trichotillomania is a very unusual disorder involving impulsive hair pulling. Sufferers of trichotillomania cannot stop themselves from pulling out their hair despite the visible effects of doing so (hair loss). As with other impulse control disorders, trichotillomania is accompanied by feelings of pleasure and relief, and the very act of pulling out is preceded by great excitement.
Self-aggression involves acts of self-mutilation that take an impulsive form and occur under conditions of excessive stress and in response to difficulties in life. The act of self-mutilation is preceded by excessive affective (emotional) arousal and an irresistible need to inflict pain on oneself.
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Uncontrollable outbursts of anger are triggered by an uncontrollable need to discharge. The patient is unable to control his aggression despite being aware of the consequences of his behaviour.
Compulsive shopping, hypersexuality, computer misuse or bulimia can also be included in the OCD.
Aetiology of impulse control disorders:
- frontal damage,
- use of substances that affect the reward system,
- hyperdopaminergic activation.
Impulse control disorders significantly impede the patient's functioning in society and can cause conflicts with the law, so it is important that the patient is diagnosed and treated as soon as possible.
