Psychopathology chapter 11 - Disruptive, Impulse-Control, and Conduct Disorders

conduct disorder

a childhood and adolescent mental health disorder marked by a persistent pattern of violating rules and the rights of others

childhood-onset conduct disorder

a subtype of conduct disorder where at least one significant symptoms appears before age 10

adolescent-onset conduct disorder

a subtype of conduct disorder where no symptoms appear before age 10, and the problematic behaviors begin during the teen years.

oppositional defiant disorder (ODD)

a childhood behavioral disorder marked by a pattern of angry, irritable old and defiant, argumentative behavior, especially towards authority figures

antisocial personality disorder (ASPD)

a chronic mental health disorder characterized by a long-term pattern of disregard for the rights of others and social norms. its considered the adult continuation of severe conduct problems from childhood.

intermittent explosive disorder

disruptive impulse-control disorder characterized by recurrent, sudden episodes of aggressive outbursts that are disproportionate to the situation.

affect lability

a clinical symptom characterized by rapid, exaggerated, and involuntary shifts in mood or emotional expression, such as sudden crying, laughter, or anger

psychopathy

a personality construct characterized by a pattern of lack of empathy, shallow emotions, and persistent antisocial behavior.

How do you distinguish between ODD, DMDD, Conduct, ASPD, and IED? What are the

defining features of each which set them apart from the others? (e.g., Duration, Type of

behavior? How consistent is the mood throughout the day?)

What are the main contributors to ODD and conduct disorder?

biology, parenting styles, environmental stress

conduct disorder later in life?

can be ASPD

Which specifier for conduct disorder is associated with symptoms persisting into adulthood?

child onset much more likely than adolescent onset

Is being a “sociopath” or “psychopath” the same as being diagnosed with personality

disorder?

no

What are the main treatments for ODD and conduct disorder? Which medication is most often

prescribed for conduct disorder? Why?

Treatment for ODD and Conduct Disorder (CD) is mostly behavioral and family-based, with meds used only when needed (especially in CD).

• meds most used are actually stimulants, often helps functioning

What are the main contributors to IED? What are the main treatments?

IED is best understood as a mix of biological vulnerability + poor emotion regulation + environmental learning. CBT, SSRIs

How might the stress response system be different between ODD/CD and IED?

IED involving acute, explosive reactions to minor stressors, while ODD/CD often involves more chronic, proactive, or defensive behavioral patterns. 

Parent Management Training – what theory is this based on?

Parent Management Training (PMT) is primarily based on behavioral learning theory, specifically operant conditioning and applied behavior analysis (ABA).

Are “Troubled Teen” treatments effective and recommended?

no fck dat