What to do to work on my impulse control?

See a specialist.: You should see a therapist for cognitive-behavioral therapy. Counseling ; group therapy has been used in people who suffer from pathological gambling. See a psychiatrist for med tx. Naltrexone is a medicine that has been used to decrease the reward and endogenous opiate release in some people who cut or injure themselves. Topamax (topiramate) can help reduce cravings for drugs.