Disruptive, Impulse Control, and Conduct Disorders Lecture Powerpoint

Question 1

Disruptive behavior disorders

Answer 1

Set of externalizing negative behaviors that co-occur during childhood often expressed as temper tantrums agression, stealing, or other defiance to authority often co-occurring with mental health conditions

Question 2

3 categories of disruptive behavior disorders

Answer 2

• oppositional defiant disorder
• conduct disorder
• ADHD

Question 3

Oppositional defiant disorder

Answer 3

Consists of pattern of negative, hostile, and defiant behavior especially toward authority figures lasting at least 6 months, behaviors must occur more frequently than typically observed in children of comparable age/development causing significant impairment in social, academic, or occupational functioning

Question 4

Cornerstones of treatment for oppositional defiant disorder (2)

Answer 4

• Individual or family therapy

- parent child interaction therapy

Question 5

Conduct disorder definition

Answer 5

Repetitive and persistent pattern of behaviors that violate the basic rights of others or age appropriate norms or rules of society directed at people, animals, or property

Question 6

Conduct disorder treatment (3)

Answer 6

• Counseling/parental guidance and establish consequences
• structure child’s activities
• pharmacotherapy

Question 7

Antisocial personality disorder

Answer 7

Pervasive pattern of impaired personality (self and interpersonal) functioning with the presence of impaired self functioning (ego-centrism or failure to conform to law) and impaired interpersonal functioning (lack of remorse, failure of intimacy)

Question 8

Treatment of antisocial personality disorder

Answer 8

• often legal system is first to recognize
• psychotherapy
• medical treatment

Question 9

Impulse control disorders definition

Answer 9

Failure to resist impulsive act or behavior that is potentially harmful or dangerous to oneself or others characterized by a sense of tension or arousal prior to he act and experience of pleasure or relief upon committing the act either ego syntonic (behavior acceptable to patient’s personality) or ego dystonic (remorse and guilt)

Question 10

Impulse control disorders etiology

Answer 10

-multifactorial between genetics and environment, alcohol may reduce ability to control impulses but purely drug driven behaviors do not qualify

Question 11

Intermittent explosive disorder

Answer 11

Several discrete episodes of failure to resist aggressive impulses resulting in serious assaultive acts, destruction of property, verbal aggression, out of proportion to psychosocial pressures, diagnosis of exclusion, may or may not see guilt about behavior following event

Question 12

Intermittent explosive disorder treatments (3)

Answer 12

• psychotherapy
• pharmacotherapy
• restraints or use of neuroleptics in acute episodes

Question 13

Kleptomania definition

Answer 13

Failure to resist stealing objects which are not generally needed or without monetary value caused via sense of tension prior to act and pleasure at time of threat followed by regret (ego dystonic***)

Question 14

Treatment options for kleptomania/pyromania (2)

Answer 14

• psychotherapy

- pharmacological agents

Question 15

Pyromania definition

Answer 15

Irresistible impulse to set fire without any motive beyond fire itself with tension arousal before event and gratification or relief upon witnessing aftermath commonly ego syntonic***

Question 16

Other specified impulse control disorders (4)

Answer 16

• pathological spending
• compulsive internet use
• compulsive sexual behavior
• repetitive self mutilation

Question 17

OCD definition

Answer 17

Clinical syndrome with excessive anxiety evoking thoughts and compulsive behaviors generally recognized as unreasonable by the patient (ego dystonic), can cause significant distress and impairment, either uncomplicated when seen alone or complicated when co-occurring with other disorders

Question 18

OCD etiology

Answer 18

• genetic
• environmental (past experience)
• co-occurrence with other mental disease

Question 19

Obsession vs compulsion

Answer 19

Obsession is characterized by unreasonable thoughts and fears, compulsions are when patients compelled to perform repetitive behaviors

Question 20

Hoarding disorder definition

Answer 20

Persistent difficulty discarding or parting with possessions regardless of actual value associated with distress associated with discarding items that ultimately substantially compromises living area use

Question 21

Trichotillomania definition

Answer 21

Condition of repeated urge to pull hair resulting in induced alopecia from preceding tension followed by relief when pulling, unable to stop even after developing thinned area of hair, interferes with function at work/school, brings emotional distress (ego dystonic)

Question 22

Trichobezoars

Answer 22

Complication from trichotillomania and ingestion of pulled hair resulting in potentially forming a bowel obstruction

Question 23

Trichotillomania treatment options

Answer 23

• habit reversal therapy

- serotonergic meds (associated with low seratonin)

Question 24

Excoriation disorder and treatment

Answer 24

Characterized by repeated urge to pick at ones own skin, often to extent that severe damage is caused, diagnosis requires repeated attempts to stop or decrease incidence and it must cause clinically significant distress or impairment, leads to social difficulties, treatment is similar to that of OCD