Disruptive, Impulse-Control & Conduct Disorders

Question 1

Oppositional Defiant Disorder Diagnostic Criteria

Answer 1

1. 6 months of behaviors: angry/ irritable mood, argumentative/defiant behavior/ vindictiveness
2. Behaviors do NOT result in violation of rights of others-annoyance

Question 2

Conduct Disorder Diagnostic Criteria

Answer 2

1. Repeated, serious violation of rights/societal norms
2. More than 3 symptoms
   * Aggressive conduct
   * Deliberate property destruction
   * Deceit or theft
   * Serious violation of rules

Those are just categories: many symptoms per category

Question 3

Subtypes of Conduct Disorder

Answer 3

1. Childhood-Onset Type: before age 10-characterized by aggressive conduct (bullies, uses weapons, rape…)
2. Adolescent-Onset Type: 10 or older-characteried by serious violation of rules (breaking curfew, running away…)

Question 4

What is the treatment for Oppositional Defiant Disorder/Compulsive Disorder?

Answer 4

• Psychotherapy: train parents behavior management techniques
• In severe cases: residential program

Question 5

Antisocial Personality Disorder Diagnostic Criteria?

Answer 5

1. Must be > 18 yrs old
2. Symptoms must have started before age 15

Question 6

Intermittent Explosive Disorder Diagnostic Criteria

Answer 6

1. Recurrent outbursts
2. Aggression is grossly disproportionate to stressors

Question 7

Treatment of Kleptomania/Pyromania

Answer 7

1. Behavior Therapy: aversion therapy, exposure & response prevention
2. Support Groups: buddy system
3. Medication: SSRIs

Question 8

Oppositional Defiant Disorder vs Disruptive Mood Dysregulation Disorder

Answer 8

ODD has episodes
DMDD is persistent and has mood involvment

DMDD supercedes ODD

Question 9

Conduct Disorder vs Antisocial Personality Disorder

Answer 9

ASPD has no lack of remorse
* Age for ASPD has to have symptoms prior to 15 and diagnosed afte 18 years of age