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ICD-10 - Habit and Impulse Disorders

[From World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. Copyright, World Health Organization, Geneva, 1993.] ...

Pathological gambling

  1. Two or more episodes of gambling occur over a period of at least 1 year.
  2. These episodes do not have a profitable outcome for the individual but are continued despite personal distress and interference with personal functioning in daily living.
  3. The individual describes an intense urge to gamble which is difficult to control and reports that he or she is unable to stop gambling by an effort of will.
  4. The individual is preoccupied with thoughts or mental images of the act of gambling or the circumstances surrounding the act.

Pathological fire setting (pyromania)

  1. There are two or more acts of fire setting without apparent motive.
  2. The individual describes an intense urge to set fire to objects, with a feeling of tension before the act and relief afterward.
  3. The individual is preoccupied with thoughts or mental images of fire setting or of the circumstances surrounding the act (e.g., abnormal interest in fire engines or in calling out the fire service).

Pathological stealing (kleptomania)

  1. There are two or more thefts in which the individual steals without any apparent motive of personal gain or gain for another person.
  2. The individual describes an intense urge to steal, with a feeling of tension before the act and relief afterward.

Trichotillomania

  1. Noticeable hair loss is caused by the individual's persistent and recurrent failure to resist impulses to pull out hairs.
  2. The individual describes an intense urge to pull out hairs, with mounting tension before the act and a sense of relief afterward.
  3. There is no preexisting inflammation of the skin, and the hair pulling is not in response to a delusion or hallucination.

Other habit and impulse disorders
This category should be used for other kinds of persistently repeated maladaptive behaviors that are not secondary to a recognized psychiatric syndrome and in which it appears that there is repeated failure to resist impulses to carry out the behavior. There is a prodromal period of tension with a feeling of release at the time of the act.
Habit and impulse disorder, unspecified



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