Addiction Addictive Behaviors Pyromania Causes and Treatment By Amy Morin, LCSW Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast. Learn about our editorial process Updated on June 28, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Daniel B. Block, MD Medically reviewed by Daniel B. Block, MD LinkedIn Twitter Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Print Rolfo Brenner / EyeEm / Getty Images Table of Contents View All Table of Contents Symptoms Pyromania vs. Arson Causes Pyromania in Children Treatment Pyromania is a serious mental health condition characterized by intentionally and repetitively setting fires—and doing so compulsively. People with pyromania feel unable to stop the behavior. Setting a fire releases inner tension or anxiety and gives the person a rush of pleasure or relief. Symptoms The latest edition of the Diagnostic and Statistical Manual (DSM-5) files pyromania in the disruptive, impulse-control, and conduct disorders section. The essential feature of pyromania is the presence of multiple episodes of deliberate and purposeful fire setting. In addition, individuals with pyromania experience tension and affective arousal before setting a fire. Other symptoms may include: A fascination with fire, which may include interest, curiosity, and attraction to fire and fire-setting paraphernaliaWatching fires in the neighborhood, setting off false alarms, or gaining pleasure from institutions, equipment, and personnel with fireSpending time at a local fire department, setting fires to be affiliated with the fire department, or becoming a firefighterExperiencing pleasure, gratification, or relief when starting a fire, witnessing the effects, and participating in the aftermath People with pyromania do not set fires for monetary gain. They also aren’t trying to conceal criminal activity, gain vengeance, or improve their living situation. The symptoms also cannot be in response to delusions or hallucinations. The fire setting also cannot stem from impaired judgment, such as an intellectual disability. The diagnosis also won’t be made if the behavior is better explained by another mental illness, such as conduct disorder or antisocial personality disorder or if it occurs during a manic episode. People with pyromania may make considerable advance preparation for setting fires. They may be indifferent to whether anyone is physically or financially harmed or they may gain pleasure from the destruction they cause. Pyromania vs. Arson A person with pyromania might hoard matches and lighters, burn holes in fabric, rugs, or furniture and set fire to pieces of paper or other flammable materials. They are motivated because of the emotions they experience when they set fires. But, they don’t have a desire to harm anyone and they aren’t looking for monetary gains from the fires they set. Someone committing arson, on the other hand, may burn down someone’s house to get revenge or to try to collect insurance money. Arson is a crime, whereas pyromania is a psychiatric diagnosis. Someone who commits arson does not necessarily have an underlying psychiatric condition; plus, setting fires is only one aspect of the diagnosis for pyromania. Causes There isn't a single known cause of pyromania. Research suggests there might be a genetic link and it may be similar to a behavioral addiction. It’s not known exactly how many people have pyromania. Researchers estimate it only affects a very small portion of the population, however. The prevalence of pyromania is unknown. However, reports show that between 3% and 6% of psychiatric inpatients have met the full criteria for pyromania. When researchers examined individuals in the criminal system who had exhibited repeat fire-setting behaviors, they found only 3.3% of that population met the full criteria for pyromania. People who have certain other mental illnesses may be at a higher risk than the general population. People with a gambling disorder, bipolar disorder, substance use disorder, and antisocial personality disorder may be more likely to have pyromania. The condition appears in both males and females—though it’s significantly more common in males. It’s more common in people who have learning disabilities or lack social skills. Most people with pyromania started setting fires during adolescence or early adulthood. Pyromania has been associated with people who have been sexually or physically abused, or suffer parental neglect or abandonment. People who have a history of crime also tend to display more fire-setting tendencies. For example, more than 19% of those diagnosed with pyromania has been charged with vandalism at least once, and around 18% have been found guilty of non-violent sexual offenses. Pyromania in Children Fire setting is a major problem in young people. But, few of those young people meet the criteria for pyromania. There isn’t a typical age of onset for pyromania. It may be identified during childhood but it’s not clear if pyromania lasts into adulthood. Fire-setting behaviors often come and go in people with pyromania. So a child who exhibits symptoms of pyromania may seem to get better over time before engaging in fire setting again. Pyromania may be identified during childhood. Family, friends, or teachers may be among the first people to recognize a child seems obsessed with fire. Fire setting in adolescents is often associated with conduct disorder, ADHD, or an adjustment disorder. Treatment Immediate treatment of suspected pyromania is key to avoid the risk of injury, property damage, jail time or even death. The sole method of treatment for pyromania is cognitive behavioral therapy, which teaches a person to acknowledge the feelings of tension that can lead to setting fires and finding a safer way to release that tension. Family members who are concerned about an individual who seems obsessed with fire might benefit from family counseling. Family therapy can help loved ones understand the disorder while also teaching them how to keep the family safe. At this point, there haven’t been any controlled trials of medication for pyromania, though proposed medical treatments include the use of SSRIs, antiepileptic medications, atypical antipsychotics, lithium, and anti-androgens. Therefore, cognitive behavioral therapy is considered the only viable treatment option at this time. A Word From Verywell Pyromania isn’t a joking matter, nor is it something to treat lightly. People who potentially have pyromania should seek help immediately to keep themselves, as well everyone in their lives and in their community, safe from harm or damage. 11 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Schreiber L, Odlaug BL, Grant JE. Impulse control disorders: updated review of clinical characteristics and pharmacological management. Front Psychiatry. 2011;2:1. doi:10.3389/fpsyt.2011.00001 Regier DA, Kuhl EA, Kupfer DJ. The DSM-5: Classification and criteria changes. World Psychiatry. 2013;12(2):92-98. doi:10.1002/wps.20050 Merrick J, Howell Bowling C, Omar HA. Firesetting in childhood and adolescence. Front Public Health. 2013;1:40. doi:10.3389/fpubh.2013.00040 Burton P, McNiel D, Binder R. Firesetting, arson, pyromania, and the forensic mental health expert. J Am Acad Psychiatry Law. 2012;40:355– 65. Potenza MN. Clinical neuropsychiatric considerations regarding nonsubstance or behavioral addictions. Dialogues Clin Neurosci. 2017;19(3):281-291. Howell Bowling C, Merrick J, Omar HA. Self-reported juvenile firesetting: results from two national survey datasets. Front Public Health. 2013;1:60. doi:10.3389/fpubh.2013.00060 Blanco C, Alegría AA, Petry NM, et al. Prevalence and correlates of fire-setting in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). J Clin Psychiatry. 2010;71(9):1218-1225. doi:10.4088/JCP.08m04812gry Disorders.org. Pyromania. Ogundele MO. Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World J Clin Pediatr. 2018;7(1):9-26. doi:10.5409/wjcp.v7.i1.9 Howell bowling C, Merrick J, Omar HA. Self-reported juvenile firesetting: results from two national survey datasets. Front Public Health. 2013;1:60. doi:10.3389/fpubh.2013.00060 Dell'osso B, Altamura AC, Allen A, Marazziti D, Hollander E. Epidemiologic and clinical updates on impulse control disorders: a critical review. Eur Arch Psychiatry Clin Neurosci. 2006;256(8):464-475. doi:10.1007/s00406-006-0668-0 Additional Reading Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Publishing; 2013. Black DW, Coryell W, Crowe R, Shaw M, Mccormick B, Allen J. The relationship of DSM-IV pathological gambling to compulsive buying and other possible spectrum disorders: Results from the Iowa PG family study. Psychiatry Research. 2015;226(1):273-276. Burton PR, McNiel D, Binder R. Firesetting, arson, pyromania, and the forensic mental health expert. The Journal of the American Academy of Psychiatry and the Law. 2012;40(3):355-365. Gannon TA, Pina A. Firesetting: Psychopathology, theory and treatment. Aggression and Violent Behavior. 2010;15(3):224-238. By Amy Morin, LCSW Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a licensed clinical social worker, psychotherapist, and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Get Treatment for Addiction Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.