Disruptive, Impulse-Control, and Conduct Disorders

Question 1

Individuals with Disruptive, Impulse-Control, and Conduct disorders have problems with what?

Answer 1

Self-control of emotions and behaviors

Question 2

How are they manifested?

Answer 2

Behaviors that violate rights of others or bring individual into conflict with societal norms or authority

Question 3

7 Disorders in Disruptive, Impulse-Control and Conduct Disorders

Answer 3

Oppositional Defiant Disorder Intermittent Explosive Disorder Conduct Disorder
Antisocial Personality Disorder Pyromania
Kleptomania
Other Specified
Unspecified

Question 4

Major difference btwn ODD and CD?

Answer 4

CD includes violation of others rights, physical harm, serious violation of rules.

Question 5

3 specifiers for CD

Answer 5

• Childhood onset (before 10yr)
• Adolescent Onset
• Unspecified onset

Question 6

Intermittent Explosive Disorder Diagnostic Criteria

Answer 6

A. Recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by either of the following;
1. Verbal aggression (e.g., temper tantrums, tirades, verbal arguments or fights) or physical aggression toward property, animals, or other individuals, occurring twice weekly, on average, for a period of 3 months. The physical aggression does not re sult in damage or destruction of property and does not result in physical injury to animals or other individuals.
2. Three behavioral outbursts involving damage or destruction of property and/or physical assault involving physical injury against animals or other individuals occur ring within a 12-month period.
B. The magnitude of aggressiveness expressed during the recurrent outbursts is grossly out of proportion to the provocation or to any precipitating psychosocial stressors.
C. Not premeditated (i.e., they are impulsive and/or anger-based) and are not committed to achieve some tangible objective (e.g.,
money, power, intimidation).
D. The recurrent aggressive outbursts cause either marked distress in the individual or impairment in occupational or interpersonal functioning, or are associated with financial or legal consequences.
E. 6YR OLD
F. Exclusion

Question 7

ODD Diagnostic Critera

Answer 7

A. A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.
Angry/Irritable Mood
1. Often loses temper.
2. Is often touchy or easily annoyed.
3. Is often angry and resentful.
Argumentative/Defiant Behavior
4. Often argues with authority figures or, for children and adolescents, with adults.
5. Often actively defies or refuses to comply with requests from authority figures or
with rules.
6. Often deliberately annoys others.
7. Often blames others for his or her mistakes or misbehavior.
Vindictiveness
8. Has been spiteful or vindictive at least twice within the past 6 months.
B. The disturbance in behavior is associated with distress in the individual or others immediate social context (e.g., family, peer group, work colleagues), or it impacts negatively on social, educational, occupational, or other important areas of functioning.
C. The behaviors do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood dysregulation disorder.

Question 8

CD specifiers

Answer 8

With limited prosocial emotions (two of the following characteristics persistently over at least 12 months and in multiple relationships and settings):

• Lack of remorse or guilt
• Callous—lack of empathy
• Unconcerned about performance
• Shallow or deficient affect

Question 9

Pyromania Diagnostic Criteria

Answer 9

A. Deliberate and purposeful fire setting on more than one occasion.
B. Tension or affective arousal before the act.
C. Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts (e.g., paraphernalia, uses, consequences).
D. Pleasure, gratification, or relief when setting fires or when witnessing or participating
in their aftermath.
E. The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one’s living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment (e.g., in major neurocognitive disorder, intellectual disability [intellectual developmental disorder], substance intoxication).
F. The fire setting is not better explained by conduct disorder, a manic episode, or anti social personality disorder.

Question 10

Treatment for impulse-control dx

Answer 10

• cbt/bx th
• family therapy
• mindfullness
• parenting skills
• problem solving skills
• anger management
• second step/anti=bullying and violence prevention programs
• mentoring
• medication