Impulse Control Issues: Can They Lead to Harm? - Psychiatry

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Continuation of question #175052?


I am the person who asked the previous question 175052.
First of all, thank you for the doctor's response.
I apologize for having another question.
Since this is an issue of impulse control, is it possible that I could actually harm someone, even though I have no desire to do so? I have always been kind and have rarely argued with my peers from childhood to now.
However, hearing you say that I might have impulse control issues makes me very worried that one day I might lose control and hurt someone.
I hope this is just my obsessive thinking and not something that will actually happen.
I am really quite anxious about this...

Mr. Chen, 20~29 year old female. Ask Date: 2021/10/28

Dr. Wang Yaoting reply Psychiatry


Hello: What I previously mentioned about the difficulty in controlling impulses refers to an internal desire that is hard to manage rationally, leading to reckless pursuit of those desires (your situation is an example of wanting to recover previous losses without considering the potential for greater losses).
Violent behavior, on the other hand, is often a sudden emotional outburst lacking rationality, resulting in harm to others without regard for consequences, and the two are fundamentally different.
If you have a kind personality and have never thought of harming others, it is less likely that you would find yourself in such a situation.
I hope this answers your question :)

Reply Date: 2021/10/28

More Info


Impulse control issues can indeed lead to harmful behaviors, but it's important to understand the context and the nuances of these issues. Impulse control refers to the ability to resist or delay an impulse, urge, or temptation to act. When someone struggles with impulse control, they may find it difficult to manage their reactions to certain stimuli, which can sometimes lead to actions that are harmful to themselves or others. However, it is crucial to differentiate between having impulse control issues and the likelihood of actually causing harm.

From your description, it sounds like you are experiencing significant anxiety about the possibility of acting on impulses that you do not genuinely wish to follow through on. This is a common concern among individuals who struggle with impulse control or obsessive thoughts. It’s important to recognize that having thoughts or worries about harming others does not mean you will act on those thoughts. Many people have intrusive thoughts that are distressing and do not reflect their true desires or intentions.

The key factor in impulse control issues is often the ability to recognize and manage impulses. If you have a history of being kind and gentle, and you have not acted on harmful impulses in the past, it is likely that you have the capacity to continue managing your behavior effectively. The fact that you are concerned about your thoughts and are seeking help indicates a level of self-awareness that is crucial in preventing harmful actions.

If you find yourself overwhelmed by these thoughts, it may be beneficial to seek support from a mental health professional. Cognitive-behavioral therapy (CBT) is particularly effective for addressing anxiety and impulse control issues. CBT can help you develop coping strategies, challenge negative thoughts, and reinforce positive behaviors. Additionally, a therapist can provide a safe space for you to explore your feelings and fears without judgment.

It's also important to practice self-care and stress management techniques. Engaging in activities that promote relaxation, such as mindfulness, meditation, or physical exercise, can help reduce anxiety and improve your overall emotional well-being. Surrounding yourself with supportive friends and family can also provide a buffer against feelings of isolation and anxiety.

In summary, while impulse control issues can potentially lead to harmful behaviors, having concerns about these issues does not mean you will act on them. Your history of kindness and your current anxiety about harming others suggest that you are more likely to seek help and manage your impulses effectively. If your anxiety continues to be a source of distress, consider reaching out to a mental health professional who can help you navigate these feelings and develop effective coping strategies. Remember, seeking help is a sign of strength, and you are not alone in this journey.

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