DISRUPTIVE, IMPULSE-CONTROL, AND CONDUCT DISORDERS

Question 1

A pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures.

Answer 1

Oppositional Defiant Disorder

Question 2

Recurrent, impulsive aggressive outbursts grossly out of proportion to stressor.

Answer 2

Intermittent Explosive Disorder (IED)

Question 3

Repetitive pattern violating rights of others and age-appropriate norms.

Answer 3

Conduct Disorder (CD)

Question 4

Deliberate, repeated fire setting driven by tension and fascination with fire.

Answer 4

Pyromania

Question 5

Recurrent urge to steal unneeded items due to inner tension.

Answer 5

Kleptomania

Question 6

SYMPTOMS:
Angry/Irritable Mood: loses temper, easily annoyed, resentful
Argumentative/Defiant: argues, defies rules, annoys, blames
Vindictiveness: spiteful/vindictive ≥2x in 6 months

COURSE/DURATION/ONSET:
≥6 months
Onset typically in preschool years
Must occur with non-siblings

Answer 6

Oppositional Defiant Disorder

Question 7

SYMPTOMS:
Aggression: bullying, cruelty, weapon use
Destruction: fire setting, property damage
Deceit/Theft: breaking in, lying, stealing<br🚫 Rule Violations: truancy, running away, staying out

COURSE/DURATION/ONSET:
≥3 symptoms in past 12 months, ≥1 in past 6 months
Onset: childhood (<10), adolescent (≥10), or unspecified
May continue into adulthood (risk of ASPD)

Answer 7

Conduct Disorder (CD)

Question 8

SYMPTOMS:
Fire setting on multiple occasions
Tension before the act
Pleasure or relief during/after
Fascination with fire and its context

COURSE/DURATION/ONSET:
Recurrent behavior
Not for gain, revenge, or due to hallucination or impaired judgment
Not explained by CD, mania, or ASPD

Answer 8

Pyromania

Question 9

SYMPTOMS:
Stealing items not needed
Tension before theft
Relief or pleasure during/after
Not due to anger, delusion, or gain

COURSE/DURATION/ONSET:
Recurrent, chronic or episodic
Not better explained by CD, mania, or ASPD
May cause guilt or distress afterward

Answer 9

Kleptomania