Clinical psychology identifies diagnoses characterized by impulsive, immediately pleasurable behaviors that are long-term harmful, such as substance use disorders and conduct disorder.

“So the obvious constellation of this is substance use disorders, right? So it's I'm I'm ingesting a substance. It feels good and I'm doing that at significant cost to myself and other people. We can also think about in childhood what would be called conduct disorder which are people who are children who are engaging in wrath. They're engaging in aggression towards other people that hurts other people, their parents, their teachers, their schools.”