Disruptive Behavior Disorders (23) Flashcards
(33 cards)
what are the types of Disruptive Behavior Disorders?
1) Oppositional Defiant
2) Intermittent Explosive
3) Conduct Disorder
characteristics of behavior disorders
persistent anger, hostility, aggression towards people and property
other related disorders
kleptomania and pyromania
what is oppositional defiant disorder?
enduring pattern of uncooperative, defiant, disobedient, and hostile behavior
what qualifies for a diagnosis of ODD?
behaviors are more frequent and intense
children with ODD
have difficulty associating their behavior with consequences
are indifferent to concepts of reward and punishment
manifestations of ODD
impairment in problem-solving skills, learning to refrain from inappropriate behavior, attention, flexibility of thinking, decision-making
interventions for children with ODD
ignore maladaptive behaviors, reward positive behaviors
enhance personal strengths and attend individual therapy (for adolescents)
major challenges in dealing with ODD
managing aggression and deceitfulness
frequent interaction with child-serving agencies
what is intermittent explosive disorder?
repeated episodes of impulsive, aggressive, violent behavior and verbal outbursts (lasts 30 mins)
hallmark of IED
intensity of emotional outburst is grossly out of proportion to the stressor
episode occurs without warning
cause of physical harm and property destruction
how do children IED react after an episode?
guilty, embarrassed, or remorseful
comorbidities of IED
ADHD, ODD, conduct disorder, anxiety disorder, depression, substance use disorder
which neurotransmitters are compromised in IED?
serotonin imbalance (heavily linked), plasma tryptophan depletion
which part of the brain is affected in IED?
frontal lobe dysfunction
medications for IED
Fluoxetine, Lithium, Valproic Acid, Phenytoin
interventions for IED
CBT, anger management, alcohol avoidance
avoid self-medication to prevent dual diagnosis
physical symptoms of IED
palpitations, muscle tension, HA, tremors, tingling
what is conduct disorder?
persistent behavior that seriously violates societal norms, rules, laws, and right of others
characteristics of CD?
children will exhibit callous and unemotional behavior (similar to Antisocial Personality Disorder in adults)
two subtypes of CD
childhood-onset and adolescent-onset
what is childhood-onset?
CD
symptoms show before 10 yrs old
physical aggression towards others
disturbed peer relationships
what is adolescent onset?
CD
no evident CD until after 10 yrs old
less likely persistent
more normal peer relationships
mild CD
lying, truancy, minor shoplifting, staying out late w/o permission
