Disruptive, Impulse-Control, and Conduct Disorders

Disruptive, impulse-control, and conduct disorders

include conditions involving problems in the self-control of emotions and behaviors that are manifested in behaviors that violate the rights of others

behaviors

the criteria for conduct disorder focus largely on poorly controlled _________ that violate the rights of others or that violate major societal norms

emotion

the criteria for intermittent explosive disorder focus largely on poorly controlled ______, outbursts of anger that are disproportionate to the interpersonal or other provocation or to other psychosocial stressors.

evenly distributed

in oppositional defiant disorder, the criteria are more _______between emotions (anger and irritation) and behaviors

impulse control

Pyromania and kleptomania are characterized by poo ______related to specific behaviors (fire setting or stealing) that relieve internal tension

Oppositional Defiant Disorder

a frequent and persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness

4 or more

How many symptoms should be manifested for an individual to be diagnosed with Oppositional Defiant Disorder?

6 months

How long should the symptoms be manifested for an individual to be diagnosed with Oppositional Defiant Disorder?

MOST DAYS

For children younger than 5 years, the behavior should occur on _________ for a period of at least 6 months

once per week

For individuals 5 years or older, the behavior should occur at least __________ for at least 6 months

Angry/Irritable Mood

1. Often loses temper. 2. Is often touchy or easily annoyed. 3. Is often angry and resentful.

Argumentative/Deviant Behavior

4. Often argues with authority figures or, for children and

adolescents, with adults.

5. Often actively defies or refuses to comply with requests

from authority figures or with rules.

6. Often deliberately annoys others.

7. Often blames others for his or her mistakes or

misbehavior

Mild ODD

symptoms are confined to one setting

Moderate ODD

Symptoms are present in at least two setting

Severe

Symptoms are present in 3 or more setting

Intermittent Explosive Disorder

Recurrent behavioral outbursts representing a failure to control aggressive impulses in response to minor provocation or psychosocial stressors.

premeditated

Outbursts in IED are?

6 years

What is the minimum age for diagnosing IED?

Usually less than 30 minutes with little or no warning

How long do IED outbursts typically last?

twice weekly, for 3 months

In IED, verbal aggression or physical aggression that does not produce damage or physical injury should occur how often?

within a 12 month period

In IED, three behavioral outbursts involving damage or physical injury should occur when?

Conduct Disorder

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated

CONDUCT DISORDER

Which diagnosis in childhood is most strongly associated with the development of Antisocial Personality Disorder in adulthood?

3 out of 15 criteria

How many symptoms must be present to diagnose Conduct Disorder?

Childhood-onset type

Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years

Adolescent-onset type

Individuals show no symptom characteristic of conduct disorder prior to age 10 years.

Unspecified onset

Criteria for a diagnosis of conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 years.

With limited prosocial emotions

This specifier is used when a person shows a consistent lack of emotional and social connection, and their conduct problems are more severe, persistent, and dangerous. To qualify for this specifier, the individual must show at least two of the four traits: lack of remorse or guilt, callous, unconcerned about performance, shallow

Lack of Remorse or Guilt

• The person doesn’t feel bad after hurting others or breaking rules.

• If they say “sorry,” it’s only because they were caught or punished, not sincere.

Example: A child injures someone and doesn’t care at all.

in the past 12 months, with at least 1 symptom present in the past 6 months

how long should a person manifest symptoms before being diagnosed with conduct disorder?

Callous

• Shows no concern for other people’s feelings.

• Acts cold, distant, uncaring.

• Only thinks about how actions affect themselves, not others — even if others are hurt badly.

Unconcerned About Performance

• Doesn’t care about school, work, or other important responsibilities.

• Doesn’t try, even when expectations are clear.

• Often blames others for poor performance.

• Example: Failing school and doesn’t care at all, says "my teacher is just unfair."

Shallow or Deficient Affect

• Emotional expressions seem fake, superficial, or manipulative.

• Emotions may flip on or off quickly.

• Might use emotions to get what they want or scare others, not genuine feelings.

• Example: Crying suddenly when caught, then smirking seconds later.

Childhood-onset type

Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years.

Adolescent-onset type

Individuals show no symptom characteristic of conduct disorder prior to age 10 years.

Unspecified onset

Criteria for a diagnosis of conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 years

Pyromania

Deliberate and purposeful fire setting on more than one occasion.

Kleptomania

Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value