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  • F63
  • Personality Disorders

Habit and Impulse Disorders (F63)

DSM-5-TR: Disruptive, Impulse-Control, and Conduct Disorders / Gambling Disorder

ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.

Key Facts

  • ICD-10 RangeF60-F69
  • Subcodes6 subcodes
  • Australian PrevalenceProblem gambling affects approximately 0.5-1% of Australian adults. Australia has one of the highest per capita gambling losses globally. Trichotillomania affects approximately 1-3%.
  • Global PrevalenceProblem gambling affects approximately 0.5-3% of adults worldwide. Kleptomania prevalence approximately 0.3-0.6%.

Overview

Disorders of behaviour that are not classifiable under other categories. They are characterised by repeated acts that have no clear rational motivation, cannot be controlled by the individual, and generally harm the individual's own interests or those of others.

ICD-10-AM Subcodes

CodeNameDescription
F63.0Pathological gamblingFrequent, repeated episodes of gambling that dominate lifestyle and lead to social, occupational, and financial impairment.
F63.1Pathological fire-setting (pyromania)Multiple acts of fire-setting without apparent motive, with persistent preoccupation with fire.
F63.2Pathological stealing (kleptomania)Repeated failure to resist impulses to steal objects not needed for personal use or monetary gain.
F63.3TrichotillomaniaNoticeable hair loss due to recurrent failure to resist impulses to pull out one's hair.
F63.8Other habit and impulse disordersOther specified habit and impulse disorders including intermittent explosive disorder.
F63.9Habit and impulse disorder, unspecifiedUnspecified habit and impulse disorder.

Classification Boundaries

Includes

  • Pathological gambling
  • Pyromania
  • Kleptomania
  • Trichotillomania
  • Intermittent explosive disorder

Excludes1 (coded elsewhere)

  • Gambling and betting NOS (Z72.6)
  • Stealing in context of conduct disorder (F91)
  • Excessive use of alcohol or drugs (F10-F19)

Australian Clinical Context

Pathological gambling is a significant issue in Australia, which has one of the highest gambling rates globally. State-based gambling help services and the national Gambling Helpline (1800 858 858) provide support. Self-exclusion programs are available. Kleptomania and pyromania are managed through specialist psychological services.

Medicare (MBS) Pathways

Better Access to Mental Health Care
The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.

10 individual + 10 group sessions per calendar year

Provider TypeMBS ItemsSession Type
Clinical Psychologist80000–80025Psychological therapy (higher rebate)
Registered Psychologist80100–80123Focused psychological strategies
Occupational Therapist80125–80145Focused psychological strategies
Social Worker80150–80175Focused psychological strategies
Psychiatrist291, 296–299, 300–308Psychiatric consultation

GP referral items: 2700, 2701, 2715, 2717

Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.

Exclusions:

  • Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
  • Dementia and organic mental disorders (use specialist referral pathway)
  • Tobacco use disorder
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Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.

Clinical Documentation Notes

DSM-5-TR reclassified pathological gambling as "Gambling Disorder" under "Substance-Related and Addictive Disorders" (no longer impulse control). Trichotillomania is classified under OCD-related disorders in DSM-5-TR. Document the specific behaviour, frequency, consequences, and any associated distress.

Related Diagnostic Codes

ICD-10-AM diagnostic codes commonly associated with the Habit and Impulse Disorders (F63).

References

  1. World Health Organization. ICD-10-AM.
  2. American Psychiatric Association. DSM-5-TR. 2022.
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