Disruptive, Impulse control and Conduct Disorders; Neurodevelopmental disorders

Question 1

Characterized by problems paying attention, excessive activity, or difficulty controlling behavior which is not appropriate for a person’s age

Hyperactivity, impulsivity, or inattentiveness manifesting prior to age 12 years
> 6 symptoms of inattention, hyperactivity-impulsivity, developmentally inappropriate and duration of symptoms > 6 months
Symptoms must occur in more than one setting (example school and home)

Answer 1

Attention-deficit/hyperactivity disorder

Question 2

Stimulants (methylphenidate, mixed amphetamine salts)

Answer 2

tx for ADHD

Question 3

A child has normal cognitive development, poor relationships and does not spontaneously seek activities with others

Answer 3

Asperger disorder

Question 4

Disruption of social interaction and language at age 3 or earlier

Answer 4

Autistic disorder

Question 5

Second generation antipsychotics (risperidone, aripiprazole) for aggression/hyperactivity, mood lability; can also use haloperidol, carbamazepine

SSRIs for stereotyped/repetitive behavior

Answer 5

tx for autism spectrum disorder

Question 6

A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated (Aggression to people or animals, destruction of property, deceitfulness or theft, serious violation of rules)

It is often seen as the precursor to antisocial personality disorder, which is per definition not diagnosed until the individual is 18 years old

Answer 6

Conduct disorder

Question 7

integrate individual, school, and family settings. Adress family conflicts

Answer 7

tx for conduct disorder

Question 8

A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months

not aggressive towards people or animals, do not destroy property, and do not show a pattern of theft or deceit.

Answer 8

oppositional defiant disorder