Disruptive, Impulsive and Conduct Disorders

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

Define oppositional defiant disorder

6 months

How long do the sx of oppositional defiant disorder have to be present to make a dx?

4

How many symptoms must be present to make a dx of oppositional defiant disorder?

no, needs to be just one other individual

Can oppositional defiant disorder be diagnosed if the sx (lasting 6 months) occur when interacting with a sibling?

often loses temper

touch or easily annoyed

angry and resentful

Angry/irritable moods for oppositional defiant disorder

argues with authority figures

defies or refuses to comply with requests from authority figures or with rules

deliberately annoys others

blames others for his/her mistakes or misbehaviors

argumentative/defiant behavior oppositional defiant disorder

twice, 6 months

For oppositional defiant disorder being spiteful or vindictive has occurred ______ in the past _____ months

one setting

Mild oppositional defiant disorder

at least 2 settings

Moderate oppositional defiant disorder

3 or more settings

Severe oppositional defiant disorder

recurrent behavioral outbursts representing a failure to control aggressive impulses

Define intermittent explosive disorder

verbal aggression or physical aggression

behavioral impulses involving damage or destruction of property

What two manifestations can dx intermittent explosive disorder?

twice weekly on average for a period of 3 months

How often does verbal/physical aggression in intermittent explosive disorder have to occur?

3, within a 12 month period

How many behavioral outbursts involving damage or destruction of property have to be present for intermittent explosive disorder? and how long?

out of proportion

The magnitude of aggressiveness expressed during the recurrent outbursts of intermittent explosive disorder is grossly ____ __ ______ to the provocation or to any precipitating psychosocial stressors

premediated, tangible objective

For intermittent explosive disorder the recurrent aggressive outbursts are not ______ and are not committed to achieve some ____ _____

6 years

To dx intermittent explosive disorder chronological age is at least ___ years

yes

Can intermittent explosive disorder be made in addition to a dx of ADHD, conduct disorder, ODD or autism?

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

Define conduct disorder

3 of the 15, in the past 1 months, with at least one criterion present in the past 6 months

Conduct disorders must have how many criteria? for how long?

bullies

initiates physical fights

used a weapon

physically cruel to people

physically cruel to animals

stolen while confronting a victim

forced someone into sexual activity

Aggression to people and animals for conduct disorder

deliberately engaged in fire setting

deliberately destroyed others property

conduct disorder destruction of property

broken into someone else’s house, building or car

lies to obtain goods

stolen items of nontrivial value without confronting a victim

Deceiftulness or theft conduct disorder

stays out at night despite parental prohibitions before age 13

run away from home at least twice or once without returning for a lengthy period

often truant before age 13

Serious violations of rules conduct disorder

antisocial personality disorder

If the individual is above 18 criteria are not met for _____ ____ ______

recurrent failure to resist impulses to steal objects

Kleptomania definition

tension

With Kleptomania there is an increasing sense of _____ immediately before committing the theft

relief

With Kleptomania the pt feels pleasure, gratification or _____ at the time of committing theft

deliberate and purposeful fire setting on more than one occassion

Pyromania definition

tension, arousal

For pyromania there is _____ or affective _____ before the act

4 or more

How many sx need to be present to make a dx of gambling disorder?

12 month period

How long must sx be present to dx gambling disorder?

need to gamble with more and more money

restless or irritable when attempting to cut back

repeated unsuccessful attempts to curtail gambling

preoccupation with gambling

gambling when feeling distressed

gambling to recoup losses

lying to conceal involvement

jeopardize relationships

reliance on others to pay off debt

gambling disorder presentation

episodic gambling disorder

meeting diagnostic criteria at more than one time point w/ sx subsiding b/w periods of gambling disorder for at least several months

persistent gambling disorder

experiencing continuous symptoms to meet diagnostic criteria for multiple years