Table 1

DSM-IV-TR Diagnostic Criteria for Pyromania

Tension or affective arousal before the act.
Has a fascination with, interest in, curiosity about, or attraction to fire and its situational contexts (e.g., paraphernalia, uses, and consequences).
Pleasure, gratification, or relief when setting fires or when witnessing or participating in their aftermath.
The firesetting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one's living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment (e.g., in dementia, mental retardation, or substance intoxication).
The firesetting is not explained by conduct disorder, a manic episode, or antisocial personality disorder.