Disruptive, Impulse-Control and Conduct Disorders

Question 1

What are the common features of this Disorder

Answer 1

Problems with the self-control of emotions and behaviors, and specifically self-control problems that violate the rights of others and/or bring the individual into conflict with societal norms or authority figures

Question 2

Oppositional Defiant Disorder

Do they result in a violation of the rights of others?

Answer 2

Angry/irritable mood, argumentative/defiant behavior, vindictiveness

No.

Question 3

Conduct Disorder
Diagnostic Critera
Subtypes
Age

Answer 3

Serious violation of rights/societal norms and at least 3 symptoms in or across these four categories:

Aggressiveness conduct: bullies, uses weapons, cruelty to people/animals, rape, stolen with confrontation

Deliberate property destruction: by fire or other means

Deceit or theft: break-ins, lies, stolen without confronting

Serious Violation of rules: breaking curfew, running away, truancy

18 or older, and if not met, then diagnosed as ASPD (Antisocial personality disorder)

Subtype 1: Childhood-onset (less than 10)-usually boys, aggressive, and have a history of ODD and are at higher risk of ASPD

Subtype 2: Adolescent type: older than 10 years, serious violation of the rules

Question 4

What are the causes of ODD and Conduct Disorder

Treatment and Outcomes

Answer 4

Multifactorial: child’s constitutional impairment, suboptimal parenting techniques

Anger management and communication skills, parental training, variable outcome

Question 5

Intermittent Explosive Disorder

Differentials?

Answer 5

Recurrent outbursts representing a failure to control aggressive impulses as manifested by either verbal aggression or non-damaging physical aggression or damaging physical aggression occurring infrequently

Aggression is: grossly disproportionate to stressor. impulsive and/or anger-based and no explained by other causes/disorders

precipitated by frustrations, self-reproach afterwards, social, occupational, and legal consequences

1. Conduct Disorder and ASPD are characterized by habitual, pervasive, and instrumental antisocial behavior and NOT impulsive behavior

IED usually aren’t aggressive and don’t violate rights in-between explosive episodes

Question 6

Adjustment D.O. with Disturbance of Conduct

Disruptive Mood Dysregulation Disorder (DMDD)

Answer 6

Disturbed conduct begins after a causal psychosocial stressor which can’t be explained by another disorder

DMDD has severe temper outbursts disproportional to stressor but with irritable baseline mood