Impulse Control Disorders in the International Classification of Diseases 11th Revision (ICD-11) include Pyromania, Kleptomania, Compulsive Sexual Behaviour Disorder, Intermittent Explosive Disorder, and Other Specified Impulse Control Disorders. The specificity of these disorders lies in their repeated failure to resist impulses such as setting fires, stealing, sexual behaviour, and explosive outbursts, which occur in addition to personal, family, social, educational, or occupational problems. On the other hand, disruptive behaviour or dissocial disorders includes oppositional defiant disorder and conduct-dissocial disorder. These disorders range from marked and persistent defiance, disobedience, provocation, or malice (i. e., of disruptive nature) to persistently violating the basic rights of others or breaking the principal of age-appropriate social norms, rules, or laws (i. e., of asocial nature). The behaviours of these disorders are likely to be socially problematic and may sometimes create legal problems.
In clinical practice, if the ICD-11 is used to evaluate these disorders, it is important to carefully review the diagnostic criteria, but the characteristic behaviours may be hidden behind a variety of affective states such as depression, anxiety, boredom, or loneliness. Clinicians should focus on the diagnosis and understand the relationship between the underlying affective states and behaviours in order to better understand the patient.
Author's abstract
Impulse Control Disorders Disruptive Behaviour or Dissocial Disorders
Kohnodai Hospital, National Center for Global Health and Medicine
Psychiatria et Neurologia Japonica
123: 842-848, 2021
<Keywords:ICD-11, impulse control disorders, disruptive behaviour or dissocial disorders>