Amber Miller Licensed Professional Counselor, Wisconsin

What I treat · Impulse control

Impulse-control work, named honestly.

Impulse-control patterns can come from a few different roots. The work is figuring out which root is yours, and which tools the pattern actually responds to.

Impulse control shows up in a lot of shapes: snapping at someone you love before you have caught up to the fact you were angry, spending money you do not have, eating past full, leaving a job in the middle of a hard week, ending a relationship in a single sentence. Most of these are not character flaws. They are patterns with a job.

The work depends on what is underneath. With ADHD, the work is partly executive-function scaffolding. With anxiety, it is partly nervous-system regulation. With shame, it is partly the older work of why the costs have been bearable. We figure out which mix is yours.

How we work on it

CBT and DBT tools come in heavily for the in-the-moment work. Person-centered work holds the longer arc. Most weeks we talk about what happened since the last session, name the pattern, and work on a smaller-cost option to try between sessions.

Impulse-control work is not white-knuckling. It is figuring out what the impulse is for, and whether there is a less expensive version of that same job.

What this is not

If the impulse-control pattern is substance use or addiction, that is a different specialty and usually needs AODA-credentialed care. I can refer you. If it overlaps with anger that has frightened the people around you, see the anger page.

What to do next

If an impulse-control pattern is what brought you here, the next step is to schedule the consultation or intake session.

Schedule a free 15 minutes consult

Common questions

Things people ask before reaching out.

Do you treat addiction or substance use?

No. That is a different specialty and I will refer you to AODA-credentialed care.

Is BadgerCare in-network?

Yes. BadgerCare, Medicaid, Medicare, and most major Wisconsin commercial plans are in-network. The current list is on the insurance and fees page.

Where I can see you

By telehealth, anywhere in Wisconsin.

Common cities and college towns where I work with clients on this. If yours is not listed, telehealth covers you all the same.

A·M LPC 12237

Reaching out is the hardest part. After that, I take it from there.