Impulsive control & conduct disorders Flashcards
What is Kleptomania
Compulsive shoplifting/ stealing
What medication can help treat Kleptomania
SSRis or Naltrexone
What is Pyromania
Compulsive fire starting
Which gender is more likely to be effected by pyromaniac
Males
When does pyromania present
Late teens or early 20s
What is pyromania often associated with
SUD
Mood disorders
other impulsive disorders
What is intermittent explosive disorder
Inability to control aggression
Which gender is more effected by intermitted explosive disorder
Men
What is oppositional defiant disorder
Characterized by defiant behaviors
-diagnosis for children (by 8 years old)
What gender is more affected by oppositional defiant disorder
Males until puberty… then it evens out
What is the risk associated with oppositional defiant disorder
High risk for other mood/anxiety disorders
May develop to conduct disorder
What are some of the major DSM 5 criteria for oppositional defiant disorder
Lasts at least 6 months with 4+ characteristics or symptoms
Age< 5 Should occur most days
Age > 5 should occur at least 1x a week
Doesn’t occur with another disorder
What is conduct disorder
The big brother to oppositional defiant disorder
Recurrent aggression that violates the rights of other or societal norms
What is the childhood form of antisocial personality disorder or psychopathy
Conduct disorder
Which gender is more affected by conduct disorder
Males (12:1)
What percentage of conduct disorders turn into personality disorders
25-40%
What often co-occurs with conduct disorder
ADHD
Learning disabilities
mood / anxiety disorders
Who is at risk for conduct disorder
Hx of physical / sexual abuse
Parental SUD
Parental separation
potential genetic correlation
What is a major point of the DSM 5 criteria for conduct disorder
Repetitive/persistant behavior that violates the rights of others or social norms
Doesn’t meet the criteria for antisocial personality disorder
What are some specifiers for conduct disorders
Limited prosocial emotions (sociopath / psychopath)
* need to have 2+ over 12 months in multiple settings
Lack of remorse
lack of empathy / guilt
unconcerned about performance
inability to express emotions
What is mild conduct disorder
Just met DSM 5 criteria, minimal additional symptoms, minimal harm to others
What is severe conduct disorder
Met most of the DSM 5 criteria and causes significant harm to others
How do you treat mild conduct disorder
individual. / family therapy
How do you treat more sever conduct disorder
Residential treatment or Juvenile detention
What pharmacologic agents are typically used for conduct disorders
Hadol
respiredone
Lithium
