Impulse control transtorno induced by multiple specified psychoactive substances is characterised by persistently repeated behaviours in which there is recurrent failure to resist an impulse, drive, or urge to perform an act that is rewarding to the person, at least in the short-term, despite longer-term harm either to the individual or to others (e.g., fire setting or stealing sem apparent motive, repetitive sexual behaviour, aggressive outbursts) that develop during or soon after intoxicação com or abstinência from multiple specified psychoactive substances. The intensity or duration of the symptoms is substantially in excess of disturbances of impulse control that are characteristic of intoxicação com or abstinência from the multiple specified psychoactive substances. The amount and duration of the multiple specified psychoactive substances uso must be capable of producing disturbances of impulse control. The symptoms are not better explained by a primary mental transtorno (e.g., an Impulse control transtorno, a transtorno due to addictive behaviours), as might be the case if the impulse control disturbances preceded the onset of the uso of multiple specified psychoactive substances, if the symptoms persist for a substantial period of time after cessation of the multiple specified psychoactive substance uso or abstinência, or if there is other evidence of a pre-existing primary mental transtorno com impulse control symptoms (e.g., a history of prior episodes not associated com multiple specified psychoactive substances uso).