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Impulse-Control Disorders Not Otherwise Specified

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Results reported in isolated case studies of insight-oriented psychotherapy for compulsive buying have been mostly unsuccessful, with some exceptions (Bullock and Koran 2003; McElroy et al. 1994). In one report, two patients with compulsive buying each responded to behavioral therapy (cue exposure plus response prevention) after failing to respond to clomipramine treatment (Bernik et al. 1996). Support groups patterned after Alcoholics Anonymous, such as Debtors Anonymous, are available, as are self-help books, but their effectiveness has not been formally evaluated (Black 2001). Financial counseling may also be helpful.

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