conduct disorder Flashcards
What are the Dx criteria for conduct disorder?
- aggression to plp or animals
- destruction of property
- Deceitfulness or theft
- Serious violation of rules, B4 the age of 13
- 3 in past 12 months and on in last 6 moths
What is the prevalence of CD?
9-10% males
3-4% girls- usually later age of onset due to increase covert offenses, nonaggressive behaviors (spreading malicious rumors rather). More likely to recovery though
What is the core feature of CD?
Lack of empathy or concern for the feelings of others
- lack of consciences
- Failure to learn from experience
What is the new specifier of DSM-5 CD criteria?
Significant Callous unemotional traits with high on aggression and cruelty
What are some characteristics of oppositional defiant disorder?
- often looses temper
- often argues with adults
- often actively defies or refuses to comply with adults requests or rules
- deliberately annoys people
- blames other for his or her mistakes or misbehaviors
- touch or easily annoyed by others
- angry or resentful
- spiteful or vindictive
- present for 6 months or longer and 4 must be present.
Is ODD on a spectrum?
yes
Normal youth acting out–> ODD–> CD–> ASPD
25% if ODD go on to CD and only 25-40% of them go only ASPD
- each along the spectrum are harder to treat
What are some examples of externalizing childhood disorders?
CD, ODD, inattn and Hyperactivity/impulsivity
What are some examples of internalizing childhood disorders?
separation anxiety disorder, OCD, specific phobia, agoraphobia, social phobia
What is the treatment of ODD?
under 12 mostly parents
- Positive parenting programs
- problem-solving communication training
Treatment for CD?
Multisystemic family therapy (MST)
What is the DX criteria for substance use disorders in adolescents?
(1)recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home
2. Recurrent substance use in situation in which it is physically hazard
3. recurrent substance related legal problems
(4)continued substance use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance
Difference in DSM 4 vs 5 for SUD? Substance use disorder?
4 only required 1 symptoms
5 requires 2 to 3 symptoms
What are the consequences of EHOH and drugs?
3 leading causes of death in adolescents involve them- MVA, homicide and suicide
- violent behavior, rape, unprotected sex
What is the diathesis-stress model?
Diathesis- meaning predisposing biology
Stress- meaning stressors from the environment
- combination reaches threshold then you get disorder
What is CRAFFT and its significance?
Car- under the influence driving or riding Relax- use to relax Alone- Dr/ETOH alone Family and Friends- tell you to cut back Forget- Blacked out Trouble- while on DR/EHOH
