Conduct disorder is a severe behavioral and emotional disorder in children and teens characterized by disruptive and violent behaviors. Causes include genetic, organic, psychosocial factors, and family dynamics, while symptoms encompass aggression, deceitful behavior, destruction of property, and rule violations. Diagnosis involves comprehensive history assessments and treatment may include medication, psychotherapy, and social skills training, alongside nursing management strategies for supervision and behavior monitoring.

2. ICD CLASSIFICATION (F91)

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Conduct Disorder
• Conduct disorder is a serious behavioural and emotional disorder that
can occur in children and teens. A child with this disorder may display
a pattern of disruptive and violent behavior and have problems
following rules.

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What Causes Conduct Disorder?
• Genetic Factors
• Organic factors - brain damage
• Biochemical factors
•Psychosocial Factors
•child abuse
•a dysfunctional family
•parents who abuse drugs or
alcohol
•Poverty
•Parental rejection

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Symptoms of Conduct Disorder
Aggressive Conduct
• intimidating or bullying others
• physically harming people or animals on purpose
• committing rape
• using a weapon

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Symptoms of Conduct Disorder
Deceitful Behavior
•Deceitful behavior may include:
•lying
•breaking and entering
•stealing
•forgery

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Symptoms of Conduct Disorder
•Destructive Behavior
•Destructive conduct may include arson and other
intentional destruction of property

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Symptoms of Conduct Disorder
Violation of Rules
•Violation of rules may include:
•skipping school
•running away from home
•drug and alcohol use
•sexual behavior at a very young age

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Diagnosis
•Complete history
•Educational history ( to determine cognitive
deficit , learning disabilities or problems in
intellectual functioning )
•Neurological examination

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Treatment Modalities
Drugs may include –
• anticonvulsants
• Lithium
• Antipsychotics
Psychotherapy
Guidance and counseling
Social skill training –
•Role playing
•Modelling
•Shaping of behaviour

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Nursing Management
•Allot sufficient staff and provide close supervision to
the child.
•Observe the child for anger cues , encouraging
activities and aggressive behaviour.
•Set limit on manipulative behaviour and identify the
consequences of manipulative behaviour.

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Nursing Management
•Provide immediate feedback for positive behaviour.
•Encourage the child to maintain the activity log book
and make daily entry of activities in his own way .
Later on analyse the activity which provide insight to
the child about activity and responses.