Disruptive, Impulse Control, & Conduct Disorders

Question 1

Oppositional defiant disorder

Answer 1

A: A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least six months evidenced by four symptoms from any of the following categories (not just toward siblings):

1. Angry/irritable mood:
   - often loses temper
   -Is touchy or easily annoyed
   - Often angry and resentful
2. Argumentative/defiant behavior:
   - Often argues with authority figures/adults
   - Often actively defies or refuses to comply with request
   - Often deliberately annoys others
   - Often blames others for their mistakes
3. Vindictiveness
   - Has been spiteful or vindictive at least twice within the past six months

B: The disturbance is associated with the stress and the individuals or others, or impairment 

Question 2

Oppositional defiant disorder categories

Answer 2

Angry/irritable mood
argumentative/defiant behavior vindictiveness

Question 3

Oppositional defiant disorder specifiers

Answer 3

Mild: symptoms in one setting (e.g home)
Mod: at least two settings
Severe: 3 or more settings

Question 4

Intermittent explosive disorder

Answer 4

A: recurrent behavioral outburst representing a failure to control aggressive impulses manifested by either of the following:
1. Verbal or physical aggression occurring twice weekly for a period of three months [doesn’t destroy property or result in physical injury)

2. Three behavioral outburst involving damage or destruction of property and/or physical assault involving physical injury against animals or other individuals within a 12 month period

B: The magnitude of aggressiveness expressed during the outburst is grossly out of proportion

C: The outbursts are not premeditated and are not committed to achieve some tangible objective

D: distress/impairment

E: at least 6 (developmentally)

Question 5

Conduct disorder

Answer 5

A: A repetitive pattern of behavior in which the basic rights of others or societal norms or violated manifested by the presence of at least three of the following criteria in the past 12 months with at least one present for six months

(Aggression to people/animals) 
1. Often bullies or intimidates others
2. Often initiates physical fights
3. Has used a weapon that can cause serious physical harm to others
4. Has been physically cruel to people
5. Has been physically cruel to animals
6. Has stolen while confronting a victim
7. Has forced someone into sexual activity

(Destruction of property)
8. Engaged in fire setting with intention of causing damage
9. Has destroyed others property

(Deceitfulness/ theft)
10. Has broken into someone else’s house/car
11. Often lies to obtain goods/favors/avoid obligations (cons)
12. Has stolen items of nontrivial value

(Serious violation of rules)
13. Often stays out at night despite parental prohibitions (b4 13yr)
14. Has run away from home overnight at least twice
15. Is often truant from school 

Question 6

Conduct disorder symptom categories

Answer 6

1. Aggression to people/animals
2. Destruction of property
3. Deceitfulness or theft
   4 Serious violation of rules

Question 7

Conduct disorder specifiers

Answer 7

Childhood onset (before 10)
Adolescent onset
Unspecified onset

With limited prosocial emotions ( 2+ symptoms for 12+ months)

Lack of remorse/guilt

Lack of empathy

Unconcerned about performance

Shallow/deficient affects

Question 8

Pyromania

Answer 8

A: A deliberate fire setting on more than one occasion
B: Tension/affective arousal before the act
C: Fascination with/interest and fire
D: pleasure/gratification/relief when setting fires or when witnessing the aftermath
E-f: not better explained 

Question 9

Kleptomania

Answer 9

A: recurrent failure to resist impulses to steal objects that are not needed for personal use or for the monetary value
B: Tension immediately before committing the theft
C: Pleasure/gratification/relief at the time of committing
D: Not committed to express anger/vengeance