A 35-year-old male presents with recurrent urges to set fires, pleasure/tension release from fire-setting, no monetary or political motivation, and no psychosis. He has set fires on three occasions. The DSM-5 diagnosis is:

• A Antisocial personality disorder
• B Conduct disorder
• C Intermittent explosive disorder
• D Pyromania ✓

Explanation

Pyromania is a DSM-5 impulse-control disorder characterized by deliberate fire-setting on multiple occasions, fascination with fire, tension/affective arousal before the act, pleasure/relief/gratification afterward, and the behavior is not for monetary gain, to conceal criminal activity, or due to delusions/substance intoxication. Intermittent explosive disorder involves aggressive outbursts. Antisocial PD and conduct disorder involve broader antisocial patterns beyond fire-setting.

Reference: Kaplan & Sadock's Synopsis of Psychiatry, 11th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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