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Impulsivity
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How does the DSM-5 define impulsivity?
What causes impulsivity?
Positive aspects of impulsivity
What are the negative consequences of impulsivity?
What does impulsivity look like in ADHD?
Can you treat impulsivity?
Reducing Impulsivity in Repeat Violent Offenders
Amphetamine Reduces Impulsivity in Healthy Volunteers
Understanding Impulsivity’s Role in Bulimia
How does anxiety affect impulsivity and hyperactivity in ADHD?

Evidence Based Answers

What causes impulsivity?

Charles Li, MD
November 28, 2023
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Impulsivity is a central symptom of ADHD.
Impulsivity in ADHD involves acting without forethought, often leading to hasty decisions, interruptions in conversation, and impatience in waiting situations.
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Brain structures play a key role in impulsivity.
Damage to areas like the ventral striatum and frontal cortex can increase impulsivity, affecting decision-making and self-control.
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Impulsivity can lead to negative outcomes.
Impulsivity is linked to drug addiction and binge eating, highlighting its multidimensional impact on psychological and physical health.

Background: What is impulsivity?

Impulsivity means acting quickly without thinking much, like doing the first thing that comes to mind. It's often seen as being too eager or impatient.

This behavior is especially common in ADHD, where it shows up as not waiting for one's turn, answering too quickly, interrupting others, acting without thinking about risks, and having sudden outbursts of anger.

Impulsivity and the brain

Our brain has a big part to play in impulsivity. If the part of the brain that looks for rewards is damaged, it can make us less able to control our urge to seek rewards.

Problems in the parts of the brain that help us stop and think before acting can make us more impulsive. The front part of our brain, which is in charge of planning and controlling our immediate urges, is also vital in managing impulsivity.

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Impulsivity and Dopamine

Certain brain chemicals, like dopamine, are involved in impulsivity. Dopamine is a chemical that makes us feel rewarded and is linked to impulsivity.

ADHD, which is often related to impulsivity, involves differences in how dopamine works in the brain. Medicines for ADHD change how dopamine works and can help with impulsivity.

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Impulsivity and Serotonin

Another brain chemical, serotonin, is also linked to impulsivity. Medicines that change serotonin levels, like SSRIs, are thought to help with impulse control. Low levels of serotonin have been associated with a higher risk of impulsive aggression. However, the way serotonin affects impulsivity can vary.

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Why this matters: The downsides of impulsivity

Understanding impulsivity is important because it can lead to serious problems, like drug addiction. Impulsivity and addiction are connected and can influence each other. Both are related to how dopamine works in our brains.

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Impulsivity and binge eating

Impulsivity is also connected to binge eating. Just as with drugs, eating affects the dopamine in our brains, which is closely tied to impulsivity. More impulsive people may be more at risk of having eating disorders.

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Key Takeaways

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Understanding Impulsivity
Impulsivity is a quick, often unplanned reaction to internal or external stimuli, impacting daily decisions and behaviors.
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Impulsivity and Mental Health
Impulsivity can be a symptom of mental health conditions like ADHD, and addressing it can improve overall well-being.
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Seeking Professional Help
If you struggle with impulsivity, especially in ways that disrupt daily life, consider consulting a healthcare professional.