Conduct D/O Flashcards
Oppositional Defiant D/O
Prevalence _____, more common in _____ younger than ____ y/o (usually presents during preschool years, rarely later)
3%
boys, younger than 13 y/o
ODD is a dx for children and adolescents with difficult and challenging behaviors
NOT generally ________,________ or _____
Minimum ___ out of 8 sx, for more than ______mos
physically violent, dangerous or illegal
4/8 sx, 6 mo
T/F
ODD may precede conduct d/o, and all children w/ ODD progress to a conduct d/o
F not all do
ODD is often comorbid w/ ______
DMDD and ODD are similar but ODD is [more/less] severe in its temper outbursts
ADHD
ODD is less severe
ODD Tx:
No pharmaceutical tx
R/o medical illness, Manage comorbid d/o (ADHD)
Child and Family therapy
CBT, anger mgmt, improve problem solving skills, techniques to delay impulsive responses
School-based programs
Disruptive Mood Dysregulation D/O only given to ___-___ y/o
Sx start at less than____y/o and last more than ___mo
Sx must occur at home and in school
Subset of children w/ extreme mood swings that did not mature into _____ d/o
6-18 y/o
Sx start <10 y/o and last > 12 mo
Bipolar d/o
DMDD tend to develop _____, ______, _______, and _____
If child meets criteria for ODD and DMDD, they are given the dx of _______
anxiety, depression, ODD, ADHD
DMDD
In DMDD Temper outbursts are _____, _____ and _____ w/ circumstances
Child is persistently angry and irritable→ not a “passing thing”
severe, regular and inconsistent
DMDD tx
Mainly supportive, no meds
Individual & family therapy, CBT
Manage comorbid illnesses
Intermittent Explosive D/O generally affects
1.
2.
3.
- young men (7%)
- younger pts
- ↓ education level
Intermittent explosive D/O can be dx in____ y/o and older
It is characterized by ______ aggression/______ outbursts from failure to control aggressive impulses
6+ y/o
verbal aggression/behavioral outbursts
T/F
IED outbursts are out of proportion to the psychological stressor and out of character for pts usual behavior (not pattern of overreacting)
T
IED TX
No FDA approved meds
SSRIs and oxcarbazepine help control sx; 2nd gen antipsychotics (Risperidone) for aggressive sx
CBT
Avoid BZD: ↓ anxiety, and “release” impulse behaviors
Pyromania Onset:
Deliberate fire setting on more than ____ occasion
_____ or ____ arousal before the act
______, ______, _____ when setting fires or when witnessing aftermath
Late teens or early 20s, gender equal
More than 1 occasion
Tension or affective before
Pleasure, gratification, relief when setting fires
T/F: Arsonists w/ monetary/political agenda qualify for a pyromania dx
F
Unknown general prevalence of pyromania, but in inpatient psych setting ____% fulfilled diagnosis
Common comorbid conditions:
6%
mood d/o, substance abuse and impulsive behavior
Pyromania tx
Tx any co-existing d/o
No clear role for meds, educate parents on non-punitive discipline measures
Individual and family therapy
Conduct D/O
____% of boys, _____% of girls meet criteria (_____% of boys and ______% of girls, will develop antisocial PD).
Only children and adolescents
8% of boys, 3% of girls meet criteria (40% of boys and 25% of girls, will develop antisocial PD).
<18 y/o
antisocial personality d/o
Childhood-onset <10 yrs→ better/worse px
Adolescent-onset 10-18 y/o→ better/worse px
childhood: worse
adolescent: better
Conduct D/O
3 of 15 behaviors over _____month period
Four domains of behavior: 1. 2. 3. 4.
12 mo period
- Aggressive towards people/animals
- Destruction of property
- Deceitfulness/theft
- Serious violations of rules
Conduct D/o tx
Meds in general are not indicated for conduct d/o
Mild cases: individual and family therapy
Extreme cases: usually end up involving violations of the law and pts end up in group homes or juvenile detention facilities
Best approach is to educate/help the parents
Parental management training communicate more effectively, appropriate discipline, cull peer groups; intensive CBT
Tx comorbid illnesses (ADHD)
Aggressive sx→ may tx off-label: lithium, haloperidol, 2nd gen anti-psychotic
Conduct d/o
Limited prosocial emotions in severe cases: “fearlessness” Lack of \_\_\_\_\_ or guilt Callous- lack of \_\_\_\_\_\_ Unconcerned about performance Shallow or deficient affect
**These subtypes include pts who are considered the childhood equivalents of adults w/ psychopathy/antisocial personality d/o
remorse
empathy
Conduct d/o has _____ and psychosocial factors
High comorbidity rate w/ _____, ____and ______ d/o, and ______d/o (10%)
Genetic
ADHD, mood and anxiety d/o, and learning d/o
Disruptive, Impulse control and Conduct D/o
Hallmark: impaired ________ and _________
Often referred to as [internalizing/externalizing] d/o (they result in conflict w/ others).
Physical or verbal injury to oneself or others is [common/uncommon].
Severe emotional and occupational impairment for both the pt and loved ones
_______ personality d/o is also considered a conduct d/o
impulse control, self-regulation
externalizing
common
Antisocial
Compulsive shopping is the irresistible urge to____ ________ __________
Tension and gratification occurs ____ and ______
Typically starts _______ and is chronic
No standard treatments but _____ may be helpful as well as ____
buy unnecessary things [so literally most females]
before and during
late teens/early 20s
SSRIs, CBT
Internet addiction is defined as:
Tension, arousal before logging on
_____ or______ when using too long
No consensus on treatment
Self-limitation, safeguards best bet, CBT
excessive computer use leading to distress
Guilt or depression
