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What Are Impulse Control Disorders?

Impulse control disorders (ICDs) are a group of psychiatric conditions characterized by the inability to resist impulses, urges, or behaviors that may be harmful to oneself or others. These disorders involve a failure to regulate one's emotions and impulses, leading to repetitive and often disruptive behaviors.

What Are The Symptoms Of Impulse Control Disorders?

Common themes of impulses include pathological lying, stealing (kleptomania), fire setting (pyromania), hair pulling (trichotillomania), skin picking, and sexual compulsions.

 

Lack of impulse control is seen across many different disorders.For instance, difficulties with controlling anger and exploding in rage is a hallmark of intermittent explosive disorder. While deliberately breaking laws, engaging in criminal activity, and intentionally violating the rights of others, and failure to adhere to societal rules and expectations is seen in conduct disorder. Our providers are trained to treat impulse control disorders by utilizing evidence-based treatments including medications and behavioral therapy.

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How Are Impulse Control Disorders Diagnose?

Impulse control disorders are diagnosed by licensed mental health professionals. At Mind Glow Solutions, our psychiatric providers believe that these disorders cannot be fully understood through diagnostic criteria alone. Rather, they must be approached from a biopsychosocial and cultural perspective. To accurately diagnose impulse control disorders, our providers conduct a comprehensive psychiatric evaluation that includes collecting your psychiatric and medical history, social and personal history, as well as gaining a true understanding of your lived experience.

What Are The Treatments For Impulse Control Disorder

Psychotherapy

 

Cognitive-Behavioral Therapy (CBT): CBT is often used to treat impulse control disorders. It helps individuals identify and challenge dysfunctional thoughts and beliefs that contribute to impulsive behaviors. Additionally, CBT teaches coping skills and behavioral strategies to manage impulses and improve self-control.

 

Dialectical Behavior Therapy (DBT): DBT is a type of therapy that focuses on mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. It can be particularly helpful for individuals with impulse control disorders who struggle with emotional dysregulation and interpersonal conflicts.

 

Psychodynamic Therapy: Psychodynamic therapy explores unconscious thoughts, feelings, and conflicts that may underlie impulsive behaviors. By gaining insight into the root causes of impulsivity, individuals can develop healthier coping mechanisms and improve self-awareness.

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Medication

Selective Serotonin Reuptake Inhibitors (SSRIs) & Selective Norepinephrine Serotonin Inhibitors (SNRIs) : SSRIs & SNRIs are commonly used to treat impulse control disorders such as compulsive gambling, kleptomania, and binge-eating disorder. They can help reduce impulsivity and alleviate associated symptoms of anxiety and depression.

 

Mood Stabilizers: Mood stabilizers such as lithium or anticonvulsants (depakote, lamotrigine, oxcarbazepine) may be prescribed for impulse control disorders that co-occur with mood disturbances, such as bipolar disorder.

 

Antipsychotics: Antipsychotic medications may be used to manage symptoms of impulse control disorders in some cases, particularly when there are psychotic features, agitation, and aggression.

Complementary | Integrative | Holistic | Non-Pharmacological Interventions

Lifestyle Modifications: Engaging in regular physical activity, maintaining a balanced diet, getting adequate sleep, and avoiding substances like caffeine and alcohol can support overall well-being and may complement treatment for impulse control disorders.

 

Stress Management Techniques: Learning relaxation techniques such as deep breathing, progressive muscle relaxation, guided imagery, yoga, meditation, therapeutic massages, and acupuncture can help individuals manage stress and improve overall mental health.

 

Self-Care Strategies: Establishing a consistent daily routine, developing time management skills, setting boundaries such as learning when to say NO, practicing self-compassion, being kind to oneself, journaling, fostering, relationships with supportive family and friends, spending time in nature, and engaging in hobbies will help support overall mental and behavioral health.

 

Coping Skills: Recognizing situations, emotions, or thoughts that trigger impulsive behaviors can help individuals develop strategies to cope more effectively and decrease reliance on impulsive actions and behaviors.

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