Disruptive, Impulse Control, and Conduct Disorders Lecture Powerpoint Flashcards
Disruptive behavior disorders
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
3 categories of disruptive behavior disorders
- oppositional defiant disorder
- conduct disorder
- ADHD
Oppositional defiant disorder
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
Cornerstones of treatment for oppositional defiant disorder (2)
- Individual or family therapy
- parent child interaction therapy
Conduct disorder definition
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
Conduct disorder treatment (3)
- Counseling/parental guidance and establish consequences
- structure child’s activities
- pharmacotherapy
Antisocial personality disorder
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)
Treatment of antisocial personality disorder
- often legal system is first to recognize
- psychotherapy
- medical treatment
Impulse control disorders definition
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)
Impulse control disorders etiology
-multifactorial between genetics and environment, alcohol may reduce ability to control impulses but purely drug driven behaviors do not qualify
Intermittent explosive disorder
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
Intermittent explosive disorder treatments (3)
- psychotherapy
- pharmacotherapy
- restraints or use of neuroleptics in acute episodes
Kleptomania definition
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***)
Treatment options for kleptomania/pyromania (2)
- psychotherapy
- pharmacological agents
Pyromania definition
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***
Other specified impulse control disorders (4)
- pathological spending
- compulsive internet use
- compulsive sexual behavior
- repetitive self mutilation
OCD definition
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
OCD etiology
- genetic
- environmental (past experience)
- co-occurrence with other mental disease
Obsession vs compulsion
Obsession is characterized by unreasonable thoughts and fears, compulsions are when patients compelled to perform repetitive behaviors
Hoarding disorder definition
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
Trichotillomania definition
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)
Trichobezoars
Complication from trichotillomania and ingestion of pulled hair resulting in potentially forming a bowel obstruction
Trichotillomania treatment options
- habit reversal therapy
- serotonergic meds (associated with low seratonin)
Excoriation disorder and treatment
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