Defiant, Impulse-Control and Conduct Disorder Flashcards
What disorders are included in Impulse-control disorders?
intermittent explosive d/o conduct d/o oppositional defiant d/o antisocial PD pyromania kleptomania
What is the typical age of onset for impulse control disorders
childhood and adolescence
What constitutes impulse control disorders?
problems in self control of emotions or behaviors (violates rights of others)
impulse control disorders are more prevalent among?
males
What is oppositional defiant d/o?
angry mood, defiant or vindictive behavior w/ at least 1 interaction w/person who is not sibling
4+ Sx for 6 months +
Angry/Irritable Mood I. Loses temper II. Easily annoyed III. Angry/resentful Argumentative/defiant behavior I. Argues w/authority or adults II. Defies rules III. Deliberately annoys others IV. Blames others for mistakes/misbehavior Vindictiveness I. Spiteful/vindictive twice in 6 months
What is intermittent explosive disorder?
behavioral outbursts w/failure to control aggressive impulses with either (1) or (2)
- non-violent verbal/physical aggresion 2x/week for 3 months
- 3 behavioral outbursts w/in 1 year that results in damage or injury
B. Outbursts out of proportion to stressors
C. not premediated or in order to gain something
D. *MUST BE 6 YEARS OR OLDER
What is conduct disorder?
Behavior that violates rights of others for 1 year w/ at least 1 Sx within past 6 months
Aggression to people or animals
- Bullies/threatens others
- Starts physical fights
- Used harmful weapon
- Physical cruel to people or animals
- Stolen while confronting person
- Raped
- Destruction of property
- Set fire or destroyed property
Deceitfulness or theft
i. Broken into house
ii. Lies to obtain goods or avoid obligations
iii. Stolen items
Serious violatiosn of rules
i. Stays out at night despite parental prohibitions prior to age 13
ii. Run away from home twice
iii. Truant from school prior to 13 years
*IF 18 YEARS OR OLDER = NO ANTISOCIAL PERSONALITY DISORDER
antisocial personality disorder ?
A. Disregard for the rights of others with Sx present prior to 15 years old
B. MUST BE 18 YEARS OLD
C. Evidence of conduct disorder prior to 15 years old
Sx: Reckless Aggressive No remorse Can't conform to social norms Impulsive Deceiftul
What impulse control disorders have an age requirement?
antisocial= 18 years (with conduct d/o prior to 15 yrs)
intermittent explosive d/o = 6 years or older
if an individual is 18 years or older and has conduct disorder, _______must be ruled out?
antisocial personality disorder
What impulse control d/o requires that you are 18 years or older?
antisocial PD
What impulse control d/o requires that you are 6 years or older?
intermittent explosive disorder
what is kleptomania?
A. failure to resists impulse to steal objects of no worth/need
B. Increasing sense of tension immediately before committing the theft.
C. Pleasure, gratification, or relief at the time of committing the theft.
D. The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination.
E. The stealing is not better accounted for by Conduct Disorder, a Manic Episode, or Antisocial Personality Disorder.
What is pyromania?
A. deliberate fire setting more than once
B. tension or arousal before act
C. fascination/interest in fire
D. pleasure or relief when setting fires or witnessing/participating
E. not done for money, sociopolitical, conceal crime, express anger, improve circumstance, in response to delusion or as a result of impairment
F. not due to conduct d/o, manic episode or antisocial PD
What impulse control disorder is characterized by: angry, defiant or vindictive behavior?
oppositional defiant
