Conduct Disorders Flashcards
naughty behaviors more frequently than kids of equivalent mental age
oppositional defiant disorder
are oppositional defiant disorder kids violent?
no generally no violent/ dangerous / illegal activity
T/F Oppositional defiant disorder is dx only for kids - adolescents
true
what is often a comorbid with ADHD?
oppositional defiant disorder
Meds for oppositional defiant disorder
NONE
CBT, anger management, school based programs etc.
__severe and persistent irritability
disruptive mood dysregulation disorder
DMDD pts often develop_
anxiety, depression, odd, adhd
if kid has ODD and DMDD they are given what dx?
DMDD
DMDD sx start..
before age 10 last 1+yrs
DMDD meds
NONE
CBT, family therapy etc
can dx intermittent explosive disorder past age..
6 yo
verbal aggression or behavioral outbursts due to a failure to control aggressive impulses
intermittent explosive disorder
most common pt population with intermittent explosive disorder
young men, lower educational level
new research meds for intermittent explosive disorder
SSRI , oxcarbazepine may be helpful
what meds avoid in Int. explosive disorder
avoid BZD for reducing anxiety
basic rights of others violated
conduct disorder
Oppositional Defiant Disorder
difficult and challenging behaviors but NOT generally physically violent/dangerous or illegal
min. 4/8 sx over 6 months
DMDD: Disruptive Mood Dysregulator Disorder
Chronic / severe irritability
severe mood swings
ODD plus DMDD then just call it DMDD
TX: support
Intermittent Explosive Disorder
verbal aggression or behavioral outbursts due to failure to control aggressive impulses
out of control reaction to the stressor
tx intermittent explosive disorder
nomeds fda approved
SSRI and oxcarbazepine can help control sx
AVOID BZD reduce anxiety and release behaviors
when can intermittent explosive disorder dx be made?
dx in ages 6 and up
when does DMDD usually develop?
sx before age 10 and last 1 yr or more
dx only given ages 6-18
conduct disorder deals with what 4 areas of behavior
aggression to ppl and animals
destruction property
deceitfulness/theft
serious violations of rules
conduct disorder dx criteria
3/15 behaviors over 1 yr, kkids under 18
if onset is 10-18 yrs prognosis is better
severe conduct disorder may have…
lack of remorse or guilt
callous - lack of empathy
unconcerned about performance
shallow or deficient affect
severe subtypes of conduct disorder in kids..
equivalent to adults with psychopathy / antisocial personality disorder
aggressive conduct disorder tx
lithium, haloperidol, 2nd gen antipsychotics
pyromania
fascination with fire
tension / affective arousal before act…pleasure / relief when setting fires
fires with monetary policical agenda..
called aronist not pyromaniac
kleptomania
cannot resist impulses to steal objects
mostly females
kleptomania usually occurs..
onset usually late teens or early 20s
remains chronic problem
compulsive shopping
irresistible to buy unnecessary things
starts early 20s
No standard tx SSRI may be helpful
internet addiction
excessive computer use leading to distress
depression when using too long, no treatment
