Pyromania
ICD-10 F63.1 is a billable code used to indicate a diagnosis of pyromania.
Pyromania is characterized by an uncontrollable urge to start fires, often accompanied by a sense of tension or excitement before the act and a sense of gratification or relief afterward. This impulse control disorder is classified under the broader category of disruptive, impulse-control, and conduct disorders in the ICD-10. Individuals with pyromania may engage in fire-setting behaviors as a maladaptive coping mechanism to deal with underlying emotional distress or psychological issues. The condition is distinct from other fire-related behaviors, such as those motivated by financial gain or revenge, as it is driven by an intrinsic need to set fires. Pyromania is more prevalent in males and often manifests during adolescence or early adulthood. Diagnosis requires a thorough clinical assessment, including a detailed history of fire-setting incidents, psychological evaluation, and ruling out other mental health disorders. Treatment typically involves psychotherapy, behavioral interventions, and, in some cases, medication to manage underlying conditions such as anxiety or depression.
Detailed psychological evaluation, history of fire-setting behavior, and treatment plan.
Assessment of adolescents with a history of fire-setting, treatment planning for impulse control disorders.
Consideration of co-occurring disorders such as anxiety or depression, and the need for a multidisciplinary approach.
Behavioral assessments, therapeutic interventions, and progress notes.
Therapeutic interventions for individuals exhibiting pyromania, family therapy sessions.
Focus on behavioral modification techniques and the importance of family involvement in treatment.
Used during therapy sessions for patients with pyromania.
Document the patient's progress and specific issues addressed during the session.
Psychiatrists should focus on behavioral interventions and coping strategies.
The primary treatment for pyromania typically involves psychotherapy, particularly cognitive-behavioral therapy, which focuses on understanding the triggers for fire-setting behavior and developing coping strategies.
