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Impulse Control Disorders

  1. Characterized by:-
    1. Failure to resist an impulse or drive to perform some action that is harmful to themselves or others. They may or may not consciously resist or plan the act.
    2. Before committing the act, they feel increase in tension or arousal
    3. While committing the act they feel pleasure, gratification or release.
  2. Types
    1. Kleptomania: Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value.
    2. Pyromania: Deliberate and purposeful fire setting on more than one occasion.
    3. Trichotillomania: Recurrent pulling out of ones hair resulting in noticeable hair loss. Pharmacotherapy includes fluoxetine.
    4. Pathological Gambling: Persistent and recurrent maladaptive behavior indicated by for e.g. preoccupation with gambling, need to gamble with increasing amount of money, chasing ones losses etc.
Pharmacotherapy includes fluoxetine.
Intermittent explosive disorder: Several discrete episodes of failure to resist aggressive impulse that result in serious assaultive acts of destruction or property.

Neurasthenia: or - Chronic fatigue Syndrome

It is of two type.
  1. In one type, the main feature is a complaint of increased fatigue after mental effort, often associated with some decrease in occupational performance or coping efficiency in daily task.
    The mental fatigability is typically decreased as an unpleasant intrusion of distracting association or recollection, difficulty in concentrating and generally in efficient thinking.
  2. In the other type, the emphasis is no feelings of bodily or physical weakness and exhaustion after only minimal effort, accompanied by a feeling of muscular aches and pains and inability to relax.
  3. In both types, a variety of other unpleasant physical feelings, such as dizziness, tension headaches, and a sense of general instability, are common. Worry about decreasing mental and bodily well being.

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