Disruptive, Impulse Control, and Conduct Disorders (Upadhyay) - 10/18/16

Question 1

Most common disruptive, impulse control, and conduct disorders (3)

Answer 1

1. Intermittent explosive disorder
   
   1. Pyromania
   2. Kleptomania
   3. Internet Addiction
   4. Compulsive shopping
2. Oppositional defiant disorder (ODD)
3. Conduct Disorder

Question 2

Intermittent Explosive Disorder

General description

Answer 2

Recurrent behavioral outbursts (out of proportion)

• Failure to control aggressive impulses (2x/week for 3 months)
  
  • Verbal aggression (tantrums, arguments)
  • Physical agression towards others, animals, property

OR

• Behavioral outbursts w/ damage of property and/or physical assault involving physical injuries within 12-mo. period

Question 3

Intermittent Explosive Disorder

Treatment

Answer 3

• SSRI
• Mood stabilizers
• Second generation antipsychotics
• CBT - helps patients identify stressors that trigger outbursts

Question 4

Intermittent Explosive Disorder

Pyromania

Kleptomania

Internet Addiction

Compulsive Shopping

Answer 4

1. Pyromania - deliberate and purposeful fire setting
2. Kleptomania - failure to resist urges to steal
3. Internet Addiction - excessive or poorly controlled computer use that leads to impairment/distress
4. Compulsive shopping - irresistible urge to buy unneed or unwanted items

Question 5

Oppositional Defiant Disorder

Description

Answer 5

Recurrent pattern of angry/irritable mood, argumentative/defiant behavior persisting for at least 6 months

For 5 years and younger, behavoir must occur on most days for a period of 6 months

Older than 5 years, behavior should occur 1x/week for 6 months

Question 6

Oppositional Defiant Disorder

Symptoms

Answer 6

At least 4 symptoms lasting 6 months:

• Angry/Irritable mood (often)
• Argumentative/Defiant behavior (often)
• Argues with authority figures
• Blames others for his/her mistakes
• Vindictiveness

Most commonly comorbid w/ ADHD and conduct disorder

ODD associated w/ inc. risk of suicide risk.

Question 7

Conduct Disorder

Description

4 main categories

Answer 7

Repetitive and persistant behavior pattern in which basic rights of others or major age-appropriate social norms/rules violated

1. Aggressive conduct to people/animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious rule violations (runaway, truancy)

Question 8

Conduct Disorder

Symptoms

Answer 8

3 or more of 15 symptoms have to be present during past 12 months and at least 1 in past 6 months

1. Agression to people and animals
2. Often bullies, threatens, intimidates
3. Often initiates fights
4. Has been physically cruel to people and animals
5. Has used a weapon that can cause serious physical harm to others
6. Has forced someone into sexual activities
7. Has stolen while confronting a victim
8. Has deliberately engaged in fire setting
9. Has deliberately destroyed property of others
10. Has broken into someone’s house or car
11. Often lies to obtain goods or favors or to avoid obligation
12. Has stolen items (shoplifting)
13. Often stays out at night despite prohibitions (beginning before age 13)
14. Has run away from home overnight at least twice
15. Is often truant from school, beginning before age 13 years