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For many, impulse control disorders are akin to a behavioral addiction. Whether the impulse is to gambling, drugs, sex, overeating, or rage, for example, for some it is pathological. The problem needs to be treated by finding and uninstalling the triggers that lead to the behavior.
When this is a presentation for our patients, we look to better understand what may be contributing to this. If this is something that wants to be addressed, and if so, how and when. Pacing is the key here.