Oppositional Defiant Disorder & Conduct Disorder

Question 1

when is disruptive behaviour considered at a disordered level? (3 criteria)

Answer 1

1. atypical for teh dev age and persists for >6M
2. occurs across situations and results in impaired function
3. causes sig distress for child and family

Question 2

RF for developing abnormal childhood behaviour

Answer 2

• home life: abuse, marital conflict, harsh disciplinary actions, neglect, substance abuse exposure, violent environment, poverty
• school: bullying, peer rejection, deviant peer groups
• psych: learning disabilities or disorders

Question 3

def oppositional defiant disorder

Answer 3

Childhood disruptive behavior that involves problems with self-control of emotions and behaviours

Question 4

dsm oppositional defiant disorder

Answer 4

> 6M

temper, touchy/annoyed, argues, defys, annoys, blames, vindictive

Question 5

T/F: oppositional defiant disorder can be a precursor to conduct disorder

Answer 5

T

Question 6

how to ix disruptive/abnormal childhood behaviour?

Answer 6

1. psych eval of pt, parents, educators, siblings, friends
2. use validated assessment tools
3. assess the environments they are having the behaviours ➔ school ➔ assess for learning diabilities ➔ IQ, hearing, seeing
4. identify potential modifiable risk factors
5. assess for comorbidities: ADHD and OCD

Question 7

how to tx disruptive behaviour disorders (ODD and CD)?

Answer 7

1. parent management training ➔ family therapy
2. school based interventions ➔ education tools
3. individual child therapy ➔ CBT ➔ anger management

only consider pharmacologic tx if psychosocial cannot manage ➔ antipsychotic > mood stablizer

Question 8

def conduct disorder

Answer 8

Pattern of behaviours that demonstrates aggression and violation of the rights of others and evolves over time

Question 9

dsm conduct disorder

Answer 9

pattern of behaviour that violates the rights of others and disregards social norms
- aggression vs ppl and animals
- destruction of property
- deceitfulness and theft
- serious violation of rules

Question 10

T/F: pediatric conduct disorder can convert into adult antisocial personality disorder

Answer 10

true