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Vocational: You create upheaval in the workplace, and risk losing your job.

Financial: You require major funding to fuel your addictions. I know a fellow who set his house on fire while in a manic moment, and he spent 10 years in federal prison. The repercussions could have been far more serious.

By Stephen Propst You’re in the checkout aisle at the supermarket when you spontaneously grab a chocolate bar to be rung up, as well. In order to fan the flames of mania or pacify the pain of depression, we are particularly prone to a more costly form of impulsivity.

But those of us who live with bipolar disorder face a more serious sort of impulsivity that moves us from cheap candy in the checkout lane to careless conduct in the fast lane.

In every instance, there was a price to pay, from facing shame and embarrassment to running up a debt to losing my job.Figuring out exactly what provokes impulsivity is like asking what causes bipolar disorder. But, it is suspected that, as with bipolar, brain chemistry is involved.We can go on wild shopping sprees or invest in crazy schemes. In living with bipolar, there have been countless times when I failed to control my compulsions, manage my mouth or abort my actions. Impulsivity has far-reaching, often devastating consequences in at least eight areas: Personal: You experience shame and embarrassment, maybe even public humiliation. Relational: You lose friends and sabotage family dynamics.Social: You suffer the ramifications of others’ reactions to what you said or did.

According to Gerard Moeller, MD, professor of psychiatry and behavioral sciences at UT Medical School, Houston, impulsivity can be defined as “a pre-disposition toward rapid, unplanned reactions to internal or external stimuli without regard to the negative con-sequences of these reactions to the impulsive individual or to others.” In other words, a person acts or speaks without thinking or caring about the fallout.Impulsivity has been identified as having four major dimensions: * Urgency. So, you act rashly, giving in to your desire to avoid the negative feelings associated with resisting what you want. You don’t think about the future carefully, or at all. You have poor follow-through, getting bored fast and giving up easily. You crave excitement and have an intense need for the positive feelings associated with risky actions. There is simply no limit to the chancy choices we can make in the midst of a mood swing.

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