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Conduct Disorder
A repetitive, persistent pattern of behavior in children/adolescents where the basic rights of others or major societal norms/rules are violated.
Etiology: Temperamental, genetic, environmental; childhood and adolescent onset, becoming Antisocial Personality Disorder if it persists past age 18.
Symptoms: Impaired social, academic, and occupational functioning; lack of empathy; low self-esteem; irritability; aggression; repetitive rule-breaking and rights violations.
Medications: SSRIs.
Interventions/Treatment Goals: Firm and structured activities, reinforcement of positive behaviors, coping skills training.
Intermittent Explosive Disorder (IED)
Recurrent, sudden episodes of impulsive, aggressive outbursts grossly disproportionate to the provoking situation.
Etiology: Genetic and environmental; diagnosable at age 6 or older.
Symptoms: Failure to control verbal/physical aggression and impulses, outbursts out of proportion to the trigger.
Medications: Antidepressants, mood stabilizers, anti-anxiety medications, anticonvulsants.
Interventions/Treatment Goals: Firm and structured environment, coping skills, social skills training, behavior modification.
Oppositional Defiant Disorder (ODD)
A recurring pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months.
Etiology: Temperamental, environmental, genetic; 16% of cases evident before age 8.
Symptoms: Angry, irritable, argumentative, defiant, vindictive behavior pattern.
Medications: Mood stabilizers, antidepressants, anti-anxiety medications.
Interventions/Treatment Goals: Coping skills, behavior modification.
Obsessive-Compulsive Disorder (OCD)
A disorder marked by recurrent, intrusive obsessions and/or compulsions that are time-consuming and cause significant distress.
Etiology: Often stress-related; temperamental, environmental, genetic.
Symptoms: Recurrent, persistent, unwanted thoughts/urges/images (obsessions) causing marked anxiety; repetitive attempts to neutralize them through thoughts or actions (compulsions).
Medications: Not specified in source material.
Interventions/Treatment Goals: Leisure education, family activities.
Hoarding Disorder
Persistent difficulty discarding possessions regardless of their actual value, leading to clutter that impairs functioning.
Etiology: Environmental, genetic, temperamental.
Symptoms: Distress at the thought of discarding items, accumulation of possessions, significant impairment in functioning.
Medications: Not specified in source material.
Interventions/Treatment Goals: Behavior modification, leisure education.
Body Dysmorphic Disorder
Preoccupation with perceived flaws in physical appearance that are not observable or appear minor to others.
Etiology: Environmental, genetic.
Symptoms: Repetitive behaviors such as mirror checking, excessive grooming, skin picking, reassurance seeking.
Medications: Not specified in source material.
Interventions/Treatment Goals: Behavior modification, art and music therapy, self-esteem and confidence building.
Reactive Attachment Disorder (RAD)
A pattern of inhibited, emotionally withdrawn behavior toward caregivers resulting from a history of extreme insufficient care.
Etiology: Environmental.
Symptoms: Minimal social/emotional responsiveness, unexplained irritability/sadness/fearfulness.
Medications: Not specified in source material.
Interventions/Treatment Goals: Leisure education, behavior modification, art and music therapy.
Posttraumatic Stress Disorder (PTSD)
A disorder that develops after exposure to actual or threatened death, serious injury, or sexual violence.
Etiology: Environmental, genetic, temperamental; diagnosable at age 6 and older.
Symptoms: Recurrent distressing memories/dreams, dissociative reactions, avoidance of trauma-related stimuli, mood/behavior changes.
Medications: Not specified in source material.
Interventions/Treatment Goals: Biofeedback, prolonged exposure therapy, leisure education, coping skills training.
Adjustment Disorder
Emotional or behavioral symptoms developing in response to an identifiable stressor within 3 months, causing distress disproportionate to the stressor.
Etiology: Environmental.
Symptoms: Impairment in social, occupational, or other functioning; distress out of proportion to the stressor.
Medications: Not specified in source material.
Interventions/Treatment Goals: Coping skills, social skills, leisure education.
Major Depressive Disorder (MDD)
A mood disorder involving a single or recurrent episode of at least 5 depressive symptoms present for a minimum 2-week period.
Etiology: Environmental, genetic, temperamental.
Symptoms: Depressed mood or loss of interest/pleasure; weight/appetite change, insomnia or hypersomnia.
Medications: Not specified in source material.
Interventions/Treatment Goals: Self-esteem and confidence building, support system training.
Persistent Depressive Disorder (Dysthymia)
Chronic depressed mood present most of the day, more days than not, for at least 2 years.
Etiology: Environmental, genetic, temperamental.
Symptoms: Chronic symptoms similar to MDD but may present with irritability in children/adolescents.
Medications: Not specified in source material.
Interventions/Treatment Goals: Coping skills, leisure education.
Panic Disorder
Recurrent, unexpected panic attacks followed by persistent worry about future attacks.
Etiology: Environmental, genetic.
Symptoms: Panic attacks peaking within minutes, avoidance behaviors.
Medications: Not specified in source material.
Interventions/Treatment Goals: Coping skills, leisure education.
Social Anxiety Disorder (Social Phobia)
Persistent fear of social or performance situations that disrupts everyday functioning.
Etiology: Environmental, genetic, temperamental.
Symptoms: Marked fear/anxiety in social interactions, avoidance of these situations.
Medications: Not specified in source material.
Interventions/Treatment Goals: Coping skills, social interaction practice.
Generalized Anxiety Disorder (GAD)
Excessive, difficult-to-control anxiety or worry occurring more days than not for at least 6 months.
Etiology: Environmental, genetic, temperamental.
Symptoms: Restlessness, easy fatigue, difficulty concentrating, irritability.
Medications: Not specified in source material.
Interventions/Treatment Goals: Small group activities, leisure education.
Dissociative Identity Disorder
Disruption of identity involving two or more distinct personality states.
Etiology: Environmental.
Symptoms: Alterations in affect, memory, cognition, recurrent gaps in recall.
Medications: Not specified in source material.
Interventions/Treatment Goals: Behavior modification, creative arts.
Bipolar I Disorder
A mood disorder requiring at least one manic episode.
Etiology: Environmental, genetic.
Symptoms: Manic episode characterized by elevated mood, increased energy, decreased need for sleep.
Medications: Not specified in source material.
Interventions/Treatment Goals: Social skills, support systems.
Bipolar II Disorder
A mood disorder requiring at least one hypomanic episode and one major depressive episode.
Etiology: Genetic.
Symptoms: Hypomanic episode with no marked impairment plus major depressive episode.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Delusional Disorder
The presence of one or more delusions lasting one month or longer.
Etiology: Temperamental.
Symptoms: Delusions persisting over a month; overall functioning remains normal.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Schizophrenia
A psychotic disorder involving at least 2 core symptoms for a significant portion of a 1-month period.
Etiology: Environmental, genetic.
Symptoms: Delusions, hallucinations, disorganized speech, marked decline in functioning.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Schizoaffective Disorder
An uninterrupted period of illness featuring a major mood episode concurrent with schizophrenia symptoms.
Etiology: Genetic.
Symptoms: Major mood episode occurring alongside at least 2 schizophrenia symptoms.
Medications: Not specified in source material.
Interventions/Treatment Goals: Self-expression activities.
Schizotypal Personality Disorder
A pervasive pattern of social/interpersonal deficits with cognitive or perceptual distortions.
Etiology: Genetic.
Symptoms: Discomfort with close relationships, cognitive/perceptual distortions.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Antisocial Personality Disorder
A pervasive pattern of disregard for and violation of the rights of others.
Etiology: Genetic; begins in childhood/early adolescence.
Symptoms: Deceit, manipulation, impulsivity, lack of empathy.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Histrionic Personality Disorder
A pervasive pattern of excessive emotionality and attention-seeking behavior.
Etiology: Begins in early adulthood.
Symptoms: Discomfort when not the center of attention; dramatic behavior.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Borderline Personality Disorder
A pervasive pattern of instability in relationships, self-image, and emotions.
Etiology: Genetic; begins in early adulthood.
Symptoms: Frantic efforts to avoid abandonment, identity disturbance.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Narcissistic Personality Disorder
A pervasive pattern of grandiosity, need for admiration, and lack of empathy.
Etiology: Begins in early adulthood.
Symptoms: Exaggerated sense of achievement, belief in own uniqueness.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Avoidant Personality Disorder
A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
Etiology: Begins in early adulthood.
Symptoms: Preoccupation with criticism/rejection, extreme shyness.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Anorexia Nervosa
Restriction of food intake leading to significantly low body weight, driven by intense fear of weight gain.
Etiology: Genetic; environmental/cultural factors.
Symptoms: Intense fear of gaining weight, behaviors that interfere with weight gain.
Medications: Antidepressants.
Interventions/Treatment Goals: Psychotherapy, CBT, nutrition education.
Bulimia Nervosa
Recurrent binge eating followed by compensatory behaviors to prevent weight gain.
Etiology: Adolescence or young adulthood; genetic, environmental.
Symptoms: Binge eating with loss of control; compensatory behaviors.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Rumination Disorder
Repeated regurgitation of food over at least 1 month, without an underlying medical cause.
Etiology: Environmental (lack of stimulation, neglect).
Symptoms: Food may be re-chewed, re-swallowed, or spit out.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Pica
Persistent eating of non-nutritive, nonfood substances for at least 1 month.
Etiology: Environmental; developmental delay increases risk.
Symptoms: Eating substances not culturally supported as food.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Enuresis
Repeated voluntary or involuntary voiding of urine into bed or clothes, at least twice weekly for 3 consecutive months.
Etiology: Genetic and environmental; psychosocial stress.
Symptoms: Can be nocturnal, diurnal, or both.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Encopresis
Repeated voluntary or involuntary passage of feces into inappropriate places, at least twice monthly for 3 months.
Etiology: Genetic and environmental; psychosocial stress.
Symptoms: Passage of feces into clothing, floor, or other inappropriate locations.
Medications: Not specified in source material.
Interventions/Treatment Goals: Not specified in source material.
Substance Use and Addiction (Overview)
A recurrent pattern of substance use across 10 recognized drug classes leading to significant consequences.
Etiology: Genetic and environmental.
Symptoms: Varies by substance class; includes impairment across various activities.
Medications: Varies by substance.
Interventions/Treatment Goals: Varies by substance.
Alcohol-Related Disorder
A pattern of alcohol use causing impairment and characteristic physical/cognitive symptoms.
Symptoms: Impaired attention or memory, slurred speech, unsteady gait.
Caffeine-Related Disorder
A pattern of caffeine use producing characteristic stimulant-related symptoms.
Symptoms: Restlessness, nervousness, insomnia, headache.
Cannabis-Related Disorder
A pattern of cannabis use producing characteristic symptoms.
Symptoms: Increased appetite, anxiety, sleep difficulty.
Hallucinogen-Related Disorder
A pattern of hallucinogen use producing behavioral and neurological symptoms.
Symptoms: Impulsiveness, unpredictability, impaired judgment.
Inhalant-Related Disorder
A pattern of inhalant use producing behavioral and physical symptoms.
Symptoms: Impaired judgment, aggression, lethargy.
Opioid-Related Disorder
A pattern of opioid use producing characteristic sedative and cognitive symptoms.
Symptoms: Drowsiness, slurred speech, impaired attention.
Sedative, Hypnotic, or Anxiolytic-Related Disorder
A pattern of CNS depressant use producing characteristic symptoms.
Symptoms: Slurred speech, impaired judgment, insomnia.
Stimulant-Related Disorder
A pattern of stimulant use producing characteristic physical and psychological symptoms.
Symptoms: Pupillary dilation, fatigue, sleep disturbances.
Tobacco-Related Disorder
Daily tobacco use for at least several weeks accompanied by characteristic withdrawal-related symptoms.
Symptoms: Irritability, anxiety, insomnia.
Abuse and Neglect
Maltreatment of a child or dependent by a family member or nonrelative, encompassing neglect and active abuse.