Pathological Impulsivity: Is a Drug the Reason?

Douglas S. Paauw, MD


March 20, 2017

Case Presentation

A 30-year-old woman with a history of severe depression comes to the clinic with her family because of concerns about recent frequent gambling. The patient also mentions that she has severe credit card debt because of recent frequent online and outlet mall shopping binges. Before this year, she had not previously gambled. She has had two hospitalizations for depression in the past 3 years.

Current medications include fluoxetine, bupropion, aripiprazole, zolpidem, and levonorgestrel intrauterine device (IUD).


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.