Editing Pyromania (section)

==Treatment and prognosis==
The appropriate treatment for pyromania varies with the age of the patient and the seriousness of the condition. For children and adolescents treatment usually is [[cognitive therapy|cognitive behavioral therapy]] sessions in which the patient's situation is diagnosed to find out what may have caused this impulsive behavior. Once the situation is diagnosed, repeated therapy sessions usually help continue to a recovery.{{r|frey}} Other important steps must be taken as well with the interventions and the cause of the impulse behavior. Some other treatments include parenting training, over-correction/satiation/negative practice with corrective consequences, behavior contracting/token reinforcement, special problem-solving skills training, relaxation training, covert sensitization, [[fire safety]] and prevention education, individual and family therapy, and medication.<ref name="psycnet.apa.org"/> The prognosis for recovery in adolescents and children with pyromania depends on the environmental or individual factors in play, but is generally positive. 

Pyromania is generally harder to treat in adults, often due to lack of cooperation by the patient. Treatment usually consists of more medication to prevent stress or emotional outbursts,<!--Oliver?--> in addition to long-term [[psychotherapy]].{{r|frey}} In adults, however, the recovery rate is generally poor, and if an adult does recover, it usually takes a longer period of time.{{r|frey}} For most adults, their diagnosis of pyromania is chronic, and if fire setting behaviour does go into remission, the behaviour is often substituted for another impulsive behaviour, such as gambling. <ref name=":1" />

Researchers have acknowledged the lack of work on treatment for adult pyromaniacs.<ref name=":0" /><ref name=":3">{{Citation |last1=Opdyke |first1=Dan |title=14 - Cognitive-Behavioral Treatment of Impulse Control Disorders |date=1998-01-01 |work=International Handbook of Cognitive and Behavioural Treatments for Psychological Disorders |pages=417–439 |editor-last=Caballo |editor-first=V. E. |url=https://linkinghub.elsevier.com/retrieve/pii/B978008043433950016X |access-date=2025-05-03 |place=Oxford |publisher=Elsevier Science Ltd |doi=10.1016/b978-008043433-9/50016-x |isbn=978-0-08-043433-9 |last2=Rothbaum |first2=Barbara Olasov|url-access=subscription }}</ref> Cognitive-behavioural interventions to reduce the symptoms of pyromania in adults have shown some promise,<ref name=":1" /><ref name=":3" /> especially when focused on improving social skills, relaxation and positive reinforcement of alternative behaviours.<ref name=":3" />

=== Drug Treatments ===
Controlled drug treatments for pyromania are fairly limited.<ref name=":1" /> Treatments using [[selective serotonin reuptake inhibitor]]s (SSRIs) have been proposed.<ref name=":0" /><ref name=":1" /> SSRIs inhibit the reuptake of serotonin in the brain, meaning the amount of serotonin in the brain is increased through prolonging the duration it stays in the brain before being reabsorbed, and because of this function they are a commonly used antidepressant.<ref>{{Cite web |date=2021-02-15 |title=Overview - SSRI antidepressants |url=https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/overview/ |access-date=2025-05-03 |website=nhs.uk |language=en}}</ref> As serotonin dysregulation has been implicated in pyromania,<ref name=":2" /> a number of researchers have proposed that SSRIs be used to regulate serotonin levels, and these pharmacological treatments have shown promise.<ref name=":0" /><ref name=":1" /><ref name=":2" /> Other treatments using anti-epileptic medications such as topiramate and sodium valproate, lithium and atypical antipsychotics have also been proposed.<ref name=":0" /><ref name=":1" /><ref name=":2" />  No drug treatments for pyromania have been approved by the Food and Drug Administration.<ref name=":2" /> When considering if a drug treatment might be appropriate, any potential co-morbidities of the individual with pyromania must also be taken into account.<ref name=":0" />