Disruptive Behaviors: Exam 3 Flashcards
Characterized by persistent patterns of behavior toward people and/or property that involve:
Anger
Hostility
Aggression
Disruptive Disorders
What are the types of disruptive behavior disorders?
Oppositional defiant disorder
Conduct disorder
Intermittent explosive disorder
What are the related disorders to disruptive behavior disorders?
Kleptomania – impulsive, repetitive theft of items not needed by the person
Pyromania – repeated, intentional fire-setting
Characterized by a persistent pattern of angry mood and defiant behavior
Interferes with social, educational or other important areas of functioning
Typically begins by age 8, but not usually later than early adolescence
More prevalent in boys before puberty, rates are more closely equal after puberty
Oppositional Defiant Disorder (ODD)
What is the etiology for ODD?
Biological Influences
Genetics, Biochemical alterations remain under study
Contributing factors may be genes for metabolism of dopamine, serotonin, and norepinephrine
Family Influences
Pattern of Family Dynamics
Strong-willed child and authoritarian parents
Frustrated parent increases attempts to enforce authority
Child reacts with anger and increases self-assertion
Negative behavior is inadvertently rewarded
What is the treatment for ODD?
Based on parent management training models of behavioral interventions
Parents learn to ignore maladaptive behavior rather than give the behavior negative attention
Positive behaviors are rewarded with praise and reinforcers; works wonders
Consistent consequences for the child’s defiant behavior are implemented every time the behavior occurs
Adolescent children benefit from interventions that use enhancement of personal strengths; find something the kid is good at and focus on that
Older children may benefit from individual therapy in addition to behavioral programs
Repeated episodes of impulsive, aggressive, violent behavior; angry verbal outbursts
May physically injure self and/or others
May feel guilty after outbursts; this does not prevent future outbursts
Most common in adolescence and adulthood
Intermittent Explosive Disorder (IED)
What is the etiology for intermittent explosive disorder?
Childhood exposure to trauma, neglect, or maltreatment
Neurotransmitter imbalances
Serotonin
Plasma tryptophan depletion: imbalance in those feel good neurotransmitters
Frontal lobe dysfunction
Comorbid psychiatric disorder (if it goes unchecked)
Substance use/abuse
Attention-deficit/hyperactivity disorder (ADHD)
Oppositional defiant disorder
Conduct disorder
Anxiety disorder
depression
What are behavioral symptoms of IED?
physical aggression
verbal aggression
damage to property or objects of value
road rage
physically attacking people/objects
What are physical symptoms of IED?
palpitations: Palpitations seem to be normal, but vitals everything will be increased.
muscle tension
headaches
tingling
tremors
What are cognitive symptoms of IED?
low frustration tolerance
feelings of loss of control over ones thoughts
racing thoughts
What are psychosocial symptoms of IED?
belief periods of emotional detachment
irritability
feeling of rage
What are the treatment options for IED?
Psychopharmacology
Selective serotonin reuptake inhibitors
Lithium and anticonvulsant mood stabilizers
Cognitive-behavioral therapy
Anger management
Relaxation techniques
Avoidance of alcohol and other substances
The best outcomes involve a combination of these interventions and treatment
*SSRI: depression medication
Lithium: bipolar disorder
Depakote: most common
Teach anger management, relaxation, and discourage them to use alcohol and other substances. Can cause the patient to have a dual diagnosis. *
Behavior in which the basic rights of others are violated
Inability to adhere to major age-appropriate societal norms or rules
Physical aggression is common
Peer relationships are disturbed
Callous and unemotional traits exhibited
Frequently associated with reckless/risky behaviors
Conduct disorder
What is the onset and clinical course for conduct disorder?
Subtypes
Childhood-onset type
Involves symptoms before 10 years of age
Includes physical aggression towards others
Disturbed peer relationships
Adolescent-onset type
No behaviors of conduct disorder until after 10 years of age
Less likely to be aggressive
Have more normal peer relationships
Behavior categories
Mild: some conduct problems that cause relatively minor harm to others (ex. Lying, truancy, shoplifting)
Moderate: conduct problems increase as does the amount of harm (ex. Vandalism, bullying, substance use, sexual promiscuity)
Severe: many conduct problems that cause considerable harm (ex. Forced sex, cruelty to animals, use of weapons, burglary, robbery)
Clients with more severe problem behaviors are more likely to develop antisocial personality disorders as adults
