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pyromania

ICD-10 Codes

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Description

Pyromania is a type of impulse control disorder that is characterized by an uncontrollable urge to set fires, often resulting in severe distress after the act.

Key characteristics of pyromania:

  • Recurring fire-setting behavior: Individuals with pyromania repeatedly fail to resist impulses to deliberately start fires.
  • Compulsive nature: The gratification from setting fires is not for any other motive, but rather a result of the fire itself.
  • Intentional and deliberate actions: Pyromaniacs intentionally set fires, often resulting in severe distress after the act.

Causes and symptoms:

  • Buildup of tension: Individuals with pyromania suffer from a buildup of tension that can only be released by deliberate fire setting.
  • Impulse control disorder: Pyromania is an impulse control disorder characterized by recurrent compulsion to set fires.
  • Severe distress after the act: People with pyromania often experience severe distress and guilt after setting fires.

References:

  • [1] Pyromania is a type of impulse control disorder that is characterized by being unable to resist starting fires. (Source: 1)
  • [2] Pyromania is a serious mental health condition characterized by intentionally and repetitively setting fires—and doing so compulsively. (Source: 2)
  • [3] Pyromania is an impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires, to relieve some tension or for ... (Source: 5)

Additional Characteristics

  • Recurring fire-setting behavior
  • Compulsive nature with gratification from setting fires not for any other motive but rather a result of the fire itself
  • Intentional and deliberate actions resulting in severe distress after the act
  • Buildup of tension that can only be released by deliberate fire setting
  • Impulse control disorder characterized by recurrent compulsion to set fires
  • Severe distress and guilt after setting fires
  • Type of impulse control disorder that is characterized by being unable to resist starting fires
  • A serious mental health condition characterized by intentionally and repetitively setting fires—and doing so compulsively
  • An impulse control disorder in which individuals repeatedly fail to resist impulses to deliberately start fires, to relieve some tension or for another reason

Signs and Symptoms

Understanding Pyromania

Pyromania is a type of impulse control disorder characterized by an uncontrollable urge to start fires. People with pyromania know what they are doing, but they cannot resist the temptation to set fires.

Common Signs and Symptoms:

  • Uncontrollable Urge: A person with pyromania has an irresistible urge to set fires, which can lead to repeated instances of fire-setting.
  • Fascination with Fire: Individuals with pyromania often have a fascination with fire, including interest, curiosity, and attraction to fire and its paraphernalia.
  • Pleasure or Relief: People with pyromania may experience pleasure or relief after setting a fire, which can be a sign of their disorder.
  • Recurring Fire-Setting: Pyromaniacs often set fires repeatedly, which can lead to significant harm to people, property, and the environment.

Additional Signs:

  • Feeling excited or tense just before setting a fire
  • Deriving pleasure from watching fires burn
  • Having an attraction to fire-setting paraphernalia
  • Setting multiple fires in a short period

It's essential to note that pyromania is a serious mental health condition that requires professional attention. If you or someone you know is struggling with pyromania, it's crucial to seek help from a qualified mental health expert.

Sources:

  1. Pyromania is a type of impulse control disorder that is characterized by being unable to resist starting fires. People with pyromania know what they are doing, but they cannot resist the temptation to set fires. [1]
  2. An uncontrollable urge to set fires, fascination and attraction to fires and its paraphernalia, pleasure, a rush or relief after setting a fire, purposely setting more than one fire, feeling excited or tense just before setting a fire, and feeling relief or pleasure afterwards are all symptoms of pyromania. [2][4]
  3. The primary symptom of pyromania is deliberately starting a fire more than once and deriving pleasure out of it. [5]
  4. A person with pyromania disorder is typically shown as someone with poor impulse control and often that set fires to cause death and destruction. [6]
  5. Setting fires on purpose more than once, a feeling of tension or excitement leading up to fire-setting, and a sense of relief or pleasure afterwards are all signs of pyromania. [7]

Additional Symptoms

  • Uncontrollable Urge
  • Fascination with Fire
  • Pleasure or Relief
  • Recurring Fire-Setting
  • Feeling excited or tense just before setting a fire
  • Deriving pleasure from watching fires burn
  • Having an attraction to fire-setting paraphernalia
  • Setting multiple fires in a short period

Diagnostic Tests

Pyromania, an impulse-control disorder characterized by deliberate and purposeful fire setting associated with tension or affective arousal, does not have a dedicated test or questionnaire for diagnosis [3]. Instead, doctors and psychotherapists make the diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) diagnostic criteria [4].

The DSM-5 criteria are used to diagnose pyromania, which involves a structured clinical interview with a board-certified psychiatrist with extensive experience in the diagnosis and treatment of Impulse Control Disorders (ICDs) [8]. Cognitive testing using well-validated translational paradigms from the Cambridge Neuropsychological Test Automated Battery may also be performed as part of the diagnostic process.

It's worth noting that online pyromania tests are unreliable and should be avoided, as they often romanticize the condition and do not provide a reliable diagnosis [7]. Therefore, if you're concerned about pyromania or suspect someone else might have it, consult a qualified mental health professional for an accurate assessment.

Additional Diagnostic Tests

  • Structured Clinical Interview
  • Cognitive Testing using well-validated translational paradigms from the Cambridge Neuropsychological Test Automated Battery

Treatment

Medication Options for Pyromania

While there is no specific medication prescribed for pyromania, doctors may recommend medicines to help manage the condition. However, it's essential to note that clinical research on medications for treating pyromania has not been conducted.

  • Some experts suggest that a combination of therapy and medication may be effective in combating the disruptive symptoms of pyromania [7].
  • Medications are typically used in conjunction with other treatments, such as cognitive behavioral therapy, to manage the condition [6].

Current Understanding

Pyromania is a rare disorder characterized by the intentional and repeated setting of fires. People with pyromania are deeply fascinated by fire and experience relief, excitement, or gratification from setting fires.

  • The standard method of treatment for pyromania is cognitive behavioral therapy, which teaches individuals to acknowledge the feelings of tension that can lead to setting fires and find a safer way to cope [6].
  • While medication may be used to manage symptoms, it's not a cure for pyromania. The condition cannot be cured, but it can be treated and managed through therapy and, if needed, medication [8].

References

[1] Pyromaniacs have a fascination and obsession with fire. Pyromaniacs feel relief, excitement, or gratification from setting fires, and some experts believe pyromania may be a form of emotional expression.[7]

[2] A combination of therapy and medication may be effective in combating the disruptive symptoms of pyromania.[7][3]

[6] The standard method of treatment for pyromania is cognitive behavioral therapy, which teaches a person to acknowledge the feelings of tension that can lead to setting least fires and finding a safer way to cope.

[8] No. Like most mental health conditions, pyromania cannot be cured. Pyromania is treated and managed through therapy and, if needed, medication.

Recommended Medications

  • Some experts suggest that a combination of therapy and medication may be effective in combating the disruptive symptoms of pyromania.
  • Medications are typically used in conjunction with other treatments, such as cognitive behavioral therapy, to manage the condition.
  • While medication may be used to manage symptoms, it's not a cure for pyromania.

💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.

Differential Diagnosis

Understanding Differential Diagnosis in Pyromania

Pyromania, a psychiatric condition characterized by intentionally and repetitively setting fires, can be challenging to diagnose due to its rarity and similarity with other mental health conditions. A differential diagnosis is a process of ruling out other possible causes or conditions that may present similar symptoms.

Possible Causes of Fire Setting Behavior:

  • Conduct Disorder: A condition in children and adolescents where they exhibit persistent behavior that violates social norms, including fire setting.
  • Antisocial Personality Disorder: A personality disorder characterized by a lack of empathy, impulsivity, and disregard for others' rights, which may manifest as fire setting behavior.
  • Delusion: A false belief or perception that can lead to impulsive behaviors, including fire setting.
  • Developmental Experimentation in Childhood (Playing with Fire): Children's curiosity and experimentation with fire can sometimes escalate into pyromania.

Other Conditions Associated with Pyromania:

  • Mood Disorders: Individuals with mood disorders, such as depression or anxiety, may be more prone to impulsive behaviors like fire setting.
  • Personality Disorders: Certain personality disorders, including borderline and narcissistic personality disorder, can increase the risk of pyromania.
  • PTSD (Post-Traumatic Stress Disorder): Individuals with PTSD may experience flashbacks or dissociation, leading to impulsive behaviors like fire setting.
  • ADHD (Attention Deficit Hyperactivity Disorder): ADHD can contribute to impulsivity and poor decision-making, increasing the risk of pyromania.

Key Takeaways:

  • Pyromania is a rare psychiatric condition that requires a comprehensive differential diagnosis to rule out other possible causes.
  • Conduct disorder, antisocial personality disorder, delusion, developmental experimentation in childhood, mood disorders, personality disorders, PTSD, and ADHD are potential conditions associated with pyromania.

References:

  1. [8] Oct 31, 2014 — Differential Diagnosis · Antisocial personality disorder · Conduct disorder · Delusion · Developmental experimentation in childhood (playing with ...
  2. [9] Apr 7, 2024 — Co-occurring mental health conditions like mood disorders, personality disorders, PTSD, and ADHD may contribute.
  3. [5] Aug 16, 2022 — Clinical pyromania is rare and is often a symptom of another mental health condition. People with this disorder may show an intense fascination ...
  4. [7] Jan 2, 2024 — Pyromania is a serious mental health condition characterized by intentionally and repetitively setting fires—and doing so compulsively.
  5. [6] Jul 19, 2023 — What Type of Disorder Is Pyromania? Pyromania is part of a group of disorders called disruptive, impulse-control, and conduct disorders. These ...

Additional Differential Diagnoses

Additional Information

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