Disruptive Behavior Disorders Flashcards
Disruptive Behavior
characterized by behavioral patterns that involve:
- anger
- hostility/aggression (towards people and or property)
Oppositional Defiant Disorder (ODD)
- early onset associated w/ more severe symptoms and increased risk conduct disorder
- disruptive behaviors usually begin at home and are more intense than outside of the home
-normal for some oppositional behaviors in adolescents but this is more than peers
ODD: Tx
parent management training
behavioral interventions
ODD: Dx
a pattern of angry/irritable mood, argumentative/defiant behavior for 6 MONTHS with 4 of the following symptoms:
- loss of temper often
- easily annoyed
- anger and resentful often
- argue w/ authority
- refuses to comply w/ request from authority
- deliberate annoyance of others
- blaming others for own mistakes
- spiteful or vindictive in the last 6 months
(don’t need to memorize this just undersatnd)
Intermittent Explosive Disorder
recurrent behavioral outbursts:
- verbal aggression
- three behavioral outbursts that involve damage or destruction of property
behavior outbursts are out of proportion to the event
no premeditation, may feel guilty after outburst but doesn’t stop them from responding this way again
causes distress
age of 6YO or older
actions cannot be explained by another mental health disorder, substance use disorder, or medical issue
Intermittent Explosive Disorder: Tx
Pharmacology:
- fluoxetine: SSRI
- lithium
- anticonvulsant mood stabilizers
CBT
Anger management
Relaxation techniques
avoidance of alcohol and other substances
Conduct Disorder
pattern of behavior where basic rights of others or societal norms are violated
3 of 15 criteria in 12 month period
ex) bullies, threatens, initiation of fighting, use of weapon that could cause harm, physically cruel to others/animals, stolen, forced sexual activity, etc.
Conduct Disorder: Classification
mild
moderate
severe
conduct problems increase in intensity or cause more harm to others as you progress from mild to severe
Conduct Disorder: Etiology
unknown
genetic vulnerability
environmental adversity
factors such as poor coping
Conduct Disorder: Onset
childhood: sx before 10 YO
adolescent: no behaviors of conduct disorder until after 10YO
Conduct Disorder: Risk Factors
low self esteem
poor parenting
peer relationships
academic achievements
Conduct Disorder: Protective Factors
resiliency
family support
positive peer relationships
Conduct Disorder: Tx
parent education
family therapy
social skills training
mediations/therapy
early intervention and prevention is more effective than tx
Conduct Disorder: Nursing Dx
ineffective coping
noncompliance
risk for other-directed violence
Ineffective Coping: Nursing Interventions
- encourage discussion regarding thoughts and feelings
- give positive feedback for appropriate discussions/behaviors
- teach limit setting
- teach and practice problem solving
- role model social skills
