Disruptive, Impulse Control, and Conduct Dx Flashcards

Disruptive, Impulse Control, and Conduct Dx-- definition

conditions involving problems in the self control of emotions and behaviors
these problems are manifested in behaviors that violate the rights of others (e.g. aggression, destruction of property) and bring the individual into significant conflict with others

Disruptive, Impulse Control, and Conduct Dx-- list

Oppositional Defiant Disorder

A. 4 symptoms lasting 6+ months and shown with someone who is not a sibling
1. angry/irritable mood
2. argumentative/defiant bx
3. vindictiveness
B. bx is associated with distress in the individual or others in their immediate social context, or it impacts negatively on social, educational, occupational, or other important areas of functioning
C. not occur exclusively during course of psychotic, substance use, depressive, or bipolar disorder. criteria NOT met for DMDD
specify severity:
- mild= symptoms present in only 1 setting
- moderate= symptoms present in 2 settings
- severe= symptoms present in 3+ settings

angry/irritable mood

one of three categories of symptoms for ODD
1. often loses temper
2. often touchy or easily annoyed
3. often angry and resentful

argumentative/defiant bx

one of three categories of symptoms for ODD
1. often argues with authority figures or with adults
2. often defies or refuses to comply with requests from authority figures or rules
3. often deliberately annoys others
4. often blames others for mistakes/ bx

vindictiveness

one of three categories of symptoms for ODD
1. has been spiteful or vindictiveness at least 2x within past 6 months

Intermittent Explosive Dx

A. bx outbursts representing a failure to control aggressive impulses as manifested by either of the following:
1. verbal aggression or physical aggression toward property, animals, or others, happening 2x weekly for a period of 3 mos
2. three bx outbursts involving damage or destruction of property and/or physical assaults involving injury against animals or others within a 12 mos period
B. aggressiveness expressed is out of proportion to the stressor
C. outbursts not premeditated and not done to achieve some tangible objective
D. cause distress or impairment
E. chronological age is at least 6 y.o.
F. not better explained by another mental dx or medical condition

Conduct Disorder

A. pattern of bx wherein the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of 3+ symptoms in the following 4 categories (present for past 12 months):
- 1. aggression to people and animals
- 2. destruction of property
- 3. deceitfulness or theft
- 4. serious violations of rules
B. causes impairment is social, academic, or occupational functioning
C. if the individual is 18 or older, criteria are not met for antisocial personality dx not met
specify whether:
- childhood onset type= 1 symptom prior to age 10
- adolescent onset type= no symptoms prior to age 10
- unspecified type= unknown if symptoms present before age 10
specify if
- with limited prosocial emotions= with multiple sources, presence of one of following for 12 months
  - lack of remorse or guilt
  - callous- lack of empathy
  - unconcerned about performance
  - shallow or deficient affect
specify current severity
- mild= few of conduct problems in excess of those needed to diagnose
- moderate= # of conduct problems and effect on others btwn mild and severe
- severe= many conduct problems in excess of those needed to make diagnosis

Aggression to People and Animals

Destruction of Property

one category of symptoms in conduct dx
1. has deliberately engaged in fire setting with the intention of causing serious damage
2. has deliberately destroyed others' property (other than fire setting)

Deceitfulness or theft

one category of symptoms in conduct dx
1. has broken into someone else's house, building, or car
2. often lies to obtain goods or favors or to avoid obligations
3. has stolen items of nontrivial value without confronting a victim

Serious Violations of Rules

one category of symptoms in conduct dx
1. often stays out at night despite parental prohibitions, beginning before age 13
2. has run away from home overnight at least 2x while living with parent or once without returning for a lengthy period of time
3. is often truant from school, beginning before age 13 y.o

Pyromania

A. Deliberate and purposeful fire setting on more than one occasion
B. Tension or affective arousal before the act
C. Fascination with, interest in, curiosity about, or attraction to fire and its situational contexts
D. Pleasure, gratification, or relief when setting fires or when witnessing/ participating in their aftermath
E. fire setting not done for monetary gain, to conceal criminal activity, to express anger, or to improve living situation
F. the fire setting is not better explained by conduct dx, manic episode, or antisocial personality dx

Kleptomania

A. Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value
B. increasing sense of tension immediately before committing the theft
C. pleasure, gratification, or relief at the time of committing the theft
D. stealing is not committed to express anger or vengeance and is not in response to delusion or hallucination
E. the stealing is not better explained by conduct dx, manic episode, or antisocial personality dx