Impulse control disorders
Impulsivity may also be a manifestation of other psychiatric disorders, especially manic episodes, obsessive-compulsive disorder, borderline personality disorder, and antisocial personality disorder. There is a high comorbidity between impulse control disorders and these other disorders as well as affective disorders and substance abuse disorders.
Although impulse control disorders can occur at any time during childhood and adulthood, symptoms most commonly present during adolescence with a male predominance.
Impulse control disorders can be associated with other medical conditions. A case-control study on members of the US Armed Forces demonstrated an association of impulse control disorders with previous treatment with dopamine agonists, mental health disorders, and fibromyalgia. Likewise, a longitudinal study on patients with Parkinson disease showed a strong association between the prevalence of impulse control disorders and the use of dopamine agonists.
F63.0 – Pathological gambling
F63.1 – Pyromania
F63.2 – Kleptomania
F63.9 – Impulse disorder, unspecified
Z72.6 – Gambling and betting
66347000 – Impulse control disorder
Differential Diagnosis & Pitfalls
- Psychotic disorders – Patients may display impulsivity or hallucinations that make them perform certain actions. See, eg, and .
- – Impulsivity may be a manifestation of mania.
- Disruptive mood dysregulation disorder – Patients may be irritable or easily angered.
- – Patients may be impulsive.
- – Some patients may have impulsive aggressive outbursts.
- Conduct disorder, oppositional defiant disorder – Both characterized by aggression and rule-breaking.
- , , and
- Degenerative neurocognitive disorders – Patients with may exhibit some stealing behaviors or impaired inhibition.
- – May manifest with impulsive behaviors; associated with dopaminergic medications.
- Intellectual developmental disorder
- Substance use disorders
- Substance use or intoxication
- Medication side effect – Particularly dopamine agonists.