Impulse disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F63 is a billable code used to indicate a diagnosis of impulse disorders.
Impulse disorders are characterized by the inability to resist a temptation, urge, or impulse that may harm oneself or others. These disorders often manifest as repetitive behaviors that are difficult to control, leading to significant distress or impairment in social, occupational, or other important areas of functioning. Common types of impulse disorders include intermittent explosive disorder, kleptomania, pyromania, and pathological gambling. Individuals with these disorders may engage in behaviors that are socially unacceptable or illegal, often driven by an overwhelming urge rather than premeditated intent. The onset of these disorders can occur in childhood or adolescence and may be influenced by genetic, environmental, and psychological factors. Treatment typically involves psychotherapy, behavioral interventions, and sometimes pharmacotherapy to help manage symptoms and reduce impulsive behaviors. Understanding the nuances of impulse disorders is crucial for accurate diagnosis and effective treatment planning.
Detailed patient history, symptom assessment, and treatment plans.
Patients presenting with compulsive behaviors, such as gambling or stealing.
Consideration of co-occurring mental health disorders and their impact on treatment.
Comprehensive psychological evaluations and therapy notes.
Therapy sessions addressing impulse control issues and behavioral interventions.
Focus on behavioral assessments and patient self-reports.
Used for therapy sessions addressing impulse control issues.
Session notes detailing patient progress and treatment focus.
Psychiatrists may require additional documentation for medication management.
Common types include intermittent explosive disorder, kleptomania, pyromania, and pathological gambling. Each has specific diagnostic criteria and treatment approaches.
