Chapter 21: Impulse Control

Question 1

Oppositional Defiant Disorder

Answer 1

 Angry and irritable mood
 Defiant and vindictive behavior
 Experience
 Social difficulties
 Conflicts with authority figures
 Academic problems

Difficulty accepting authority, social situations, and academic issues

 Risk Factors
 Genetic component; family history of mental illness
 Numerous neurobiological causes identified
 Environment: family dysfunction can play a role
 Treatment Approaches
 Psychosocial interventions
 Psychobiological interventions

Question 2

Intermittent Explosive Disorder

Answer 2

 Inability to control aggressive impulses
 Adults 18 years or older
 Leads to problems with
 Interpersonal relationships
 Occupational difficulties
 Criminal difficulties

 Comorbidity
 Depressive, anxiety, and substance use disorders
 Antisocial and borderline personality disorders
 Risk Factors
 Neurobiological abnormalities
 Conflict or violence in family of origin
 Treatment Approaches
 Psychosocial
 Pharmacologic
Intermittent Explosive Disorder (Cont.)

ANGER DISPROPORTIONAL TO OFFENSE

EXTREMELY REMORSFUL AFTER EVENT

Question 3

Conduct Disorder

Answer 3

Sociopath but for kids

 Behavior is usually abnormally aggressive
 Rights of others are violated and societal norms
or rules are disregarded; lack of remorse
 Complications
 Academic failure, school suspensions and dropouts,
juvenile delinquency, drug and alcohol abuse, and
juvenile court involvement

 Childhood-onset conduct disorder
 Adolescent-onset conduct disorder
 Two problems
 Pyromania
 Kleptomania
Harm to animals

Only treat the symptomology that presents, not illness itself

Cannot fight with this pt population

Extinguishing is ignoring bad behavior and accentuating behavior you want to see

Extremely structured environments work

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