Conclusion

Although some authors continue to doubt the diagnostic legitimacy of the impulse control disorders, the modern literature contains increasing numbers of reports of different types of irresistible impulses responding to treatment with medications with thymoleptic, antiepileptic, and, more recently, opioid antagonistic properties as well as to therapies with cognitive-behavioural orientations. The consistency of the 'structure' of the irresistible impulse (a core disturbance of impulsivity and compulsivity) together with reports of it responding to psychopharmacological agents and cognitive-behavioural therapies, regardless of its 'content' (the specific behaviour performed), strongly suggest that it is as a valid psychopathological symptom and that impulse control disorders are legitimate mental disorders that are in fact related.

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