Disruptive, Impulse Contol, And Conduct Disorders

Question 1

Core criteria (A) of oppositional defiant disorder? (9)

Answer 1

• 6 months. at least 4 exhibited during interaction with non-sibling:
• angry irritable mood
  1. Often loses temper
  2. Touchy / easily annoyed
  3. Angry and resentful
• argumentative/ defiant behaviour
  4. Argues with authority
  5. Actively defy/refuse to comply with requests/rules
  6. Deliberately annoys others
  7. Blame others for their mistakes/misbehaviour
• vindictiveness
  8 spiteful / vindictive within past 6 months

Question 2

Name 3 specifiers oppositional defiant disorder

Answer 2

• Mild: symptoms in 1 setting
• moderate: 2 settings
• severe: 3 or more

Question 3

Core criteria of intermittent explosive disorder? (3)

Answer 3

• Age at least 6
• Recurrent behavioural outbursts, failure to control aggressive impulses. at least 1:
  → verbal / physical aggression without damage / harm 2/week for 3 months
  → damage / harm 3 times within 12 months

Question 4

Name 15 criteria for conduct disorder

Answer 4

At least 3 in last 12 months with 1 in last 6 months:

TRAP

• theft/ deceitfulness (3)
  → broken into someone else’s house/building/car
  → lies to obtain goods/favours/avoid obligations (cons)
  → stolen items of nontrivial value without confronting victim eg forgery, shoplift without break + enter
• Rules : serious violations (3)
  → stays out at night despite parental prohibitions , starting < 13 years
  → has run away from home overnight at leAst twice, or once without returning for long time
  → truant from school, beginning <13 years
• aggression to people + animals (7)
  → bully, threaten, intimidate
  → initiate physical fights
  → used weapon that can cause serious harm to others
  → has been physically cruel to people
  → physically cruel to animals
  → stolen while confronting victim
  → forced someone into sexual activity
• Property destruction (2)
  → set fire with intention of causing serious damage
  → destroyed others’ property

Question 5

Name 7 specifiers for conduct disorder

Answer 5

• Childhood-onset type: 1 symptom < 10 age
• adolescent-onset type: 10-18
• unspecified onset
• with limited prosocial emotions: At least 2 of following in last year in multiple relationships+ settings.
  → lack remorse/guilt
  → callous - lack empty
  → unconcerned about performance
  → shallow /deficient affect
• mild: few conduct problems, minor harm to others
• moderate
• severe

Question 6

Name 8 disruptive, impulse - control, and conduct disorders

Answer 6

• Conduct disorder (3 in 12 mo)
• intermittent explosive disorder (no harm 2 /week for 3 mo or harm 3 in 12 mo, age 6 or older)
• Oppositional defiant disorder (6 mo)
• antisocial personality disorder
• pyromania (fire)
• kleptomania
• other specified disruptive, impulse-control and conduct disorder, reason
• unspecified disruptive, impulse control and conduct disorder