Disruptive, Impulse Control and Conduct Disorder

1. DISRUPTIVE, IMPULSE CONTROL AND
CONDUCT DISORDER
CHAPTER 11:

2. Disruptive
behaviors that interfere with the normal flow of activities and relationships.
(ex. Constantly interrupting others, have angry outbursts, and defy rules.
Impulse-control
the inability to resists urges or temptations (ex. blurting things out without
thinking, stealing on impulse, or engaging in risky behaviors despite potential consequences.
Conduct
behaviors that violate societal norms or the rights of others. For a DICD
diagnosis, these wouldn't be isolated incidents but a pattern of behaviors.
(ex. aggression, lying, damaging property, or neglecting responsibilities.)
Definition of Terms

3. Disruptive, impulse control and conduct disorders
are a group of disorders that are linked by varying
difficulties in controlling aggressive behaviors, self-
control, and impulses. Typically, the resulting
behaviors or actions are considered a threat
primarily to others’ safety and/or to societal norms.

4. Oppositional Defiant Disorder
CHAPTER 11:
By: KYLEEN CABODBOD

5. OPPOSITONAL DEFIANT DISORDER:
TYPES, CAUSES, SYMPTOMS, DIAGNOSIS, AND TREATMENT
• It is mostly diagnosed in childhood. Children with ODD show a pattern of
uncooperative, defiant, and hostile behavior toward peers, parents, teachers,
and other authority figures.
• Is classified as a disruptive behaviour disorder and is defined as a pattern of
negative, disobedient, defiant or hostile behaviour directed towards authority.

6. DIAGNOSING ODD
• Diagnosis for Oppositional Defiant Disorder must meet certain
criteria specified in the Diagnostic and Statistical Manual of
Mental Disorders.
• Must demonstrate at least four of the eight behaviors for at least
six months with at least one individual who is not a sibling to
meet criteria for a diagnosis of ODD

7. SYMPTOMS AND SIGNS OF ODD
• Often loses temper
• Argumentative with adults.
• Refuses to comply with adult’s rules.
• Deliberately annoys other people.
• Often blames others for his/her
misbehaviour/mistakes.
• Is touchy or easily annoyed.
• Often angry or resentful
• May be spiteful or vindictive.

8. WHO HAS ODD?
• Oppositional Defiant Disorder in younger children is
more common among boys.
• Among school aged children and adolescents, ODD
occurs almost equally in boys and girls.
• 1% to as high 6% of children and adolescents have
Oppositional Defiant Disorder to some degree.
• ODD affects all types of families, but it seems to occur
more in lower socioeconomic families.

9. POSSIBLE CAUSES
Lack of supervision
Inconsistent or harsh discipline
Chemical imbalance, i.e. serotonin
Abuse or neglect
Exposure to toxins

10. MEDICATION FOR ODD
• Ritalin: if ODD co-exist with ADHD (Methylphenidate – is a
stimulant that treats attention – deficit/hyperactivity
disorder (ADHD). It works by improving your focus and
reducing impulsive behaviours.
• Strattera (Generic Name: atomoxetine) is an alternative to
the stimulant ADHD medications most commonly used to
treat symptoms of attention deficit hyperactivity disorder
(ADHD) in children ages 6-12, adolescents, and adults.
• Vitamins and Supplements
• Medication alone is not a recommended treatment for
ODD.

11. PROGNOSIS: WHAT BECOMES OF CHILDREN AND
ADOLESCENTS WITH ODD?
• With treatment, some will outgrow their
ODD.
• In older children, 75% will retain ODD
traits.
• The ODD may become something else.
• The child or adolescent may develop a
conduct disorder.
• In very few cases, the child may continue
to have only ODD.

12. Intermittent Explosive Disorder
CHAPTER 11:

13. INTERMITTENT EXPLOSIVE DISORDER:
Intermittent explosive disorder involves repeated, sudden bouts of impulsive,
aggressive, violent behavior or angry verbal outbursts. The reactions are too
extreme for the situation. Road rage, domestic abuse, throwing or breaking
objects, or other temper tantrums may be symptoms of intermittent explosive
disorder.
Before an aggressive bout, you may feel rage, irritability, more tension
and energy, racing thoughts, tingling, shaking, a fast or pounding
heartbeat, and chest tightness.

14. INTERMITTENT EXPLOSIVE DISORDER:
Before an aggressive bout, you may feel rage, irritability, more tension
and energy, racing thoughts, tingling, shaking, a fast or pounding
heartbeat, and chest tightness.
• Verbal aggression like temper tantrums, tirades, arguments or fights; or physical
aggression toward people, animals, or property.
• Within 12 months, three behavioral outbursts resulting in: Damage or destruction
of property, and/or Physical assault that physically injures people or animals.

15. SYMPTOMS AND SIGNS OF IED
• Recurrent aggressive outbursts
• Verbal aggression like temper tantrums,
tirades, arguments or fights
• Physical aggression toward people, animals,
or property.
• Outbursts are impulsive and unplanned
• Outbursts causes impairment

16. DIAGNOSING IED
• Intermittent explosive disorder is not diagnosed unless a person
has displayed at least three episodes of impulsive aggressiveness.
• Within 12 months, three behavioral outbursts resulting in: Damage
or destruction of property, and/or Physical assault that physically
injures people or animals.

17. ONSET OF IED
• IED is said to typically begin during the early teen
years and evidence has suggested that it has the
potential of predisposing individuals to depression,
anxiety, and substance abuse disorders.
• Intermittent explosive disorder can begin in childhood
— after the age of 6 years — or during the teenage
years. It's more common in younger adults than in
older adults.

18. PROGNOSIS: WHAT BECOMES OF CHILDREN AND
ADOLESCENTS WITH IED?
•With proper treatment, the prognosis for both
males and females with IED is generally
positive. Early intervention is key for both.
• However, some studies suggest that females
with IED might face additional challenges, such
as higher rates of co-occurring depression and
anxiety This could potentially impact their
overall prognosis if these conditions remain
untreated.
•With early intervention and treatment,
can learn to manage their anger and
improve their quality of life.
•Left untreated, IED can lead to a
number of negative consequences,
such as academic problems, social
isolation, legal problems, and even
self-harm.

19. Conduct Disorder
CHAPTER 11:
By: KYLEEN CABODBOD

20. CONDUCT DISORDER:
TYPES, CAUSES, SYMPTOMS, DIAGNOSIS, AND TREATMENT
• Is a group of emotional and behavioural problems that
arise during adolescence or childhood.
• People with the condition usually find it difficult to abide
by the rules and behave in a socially acceptable manner.

21. CONDUCT DISORDER:
TYPES, CAUSES, SYMPTOMS, DIAGNOSIS, AND TREATMENT
• Their aggressive, destructive, and dishonest activities
are often mistaken for delinquency rather than a mental
illness.
• While children with a conduct disorder act tough and
appear confident, they are insecure and feel threatened
by other people.

22. Let’s Look at Conduct Disorder In Detail :
• Children – onset: which occurs during the
age of 10.
• Adolescent – onset: which occurs during
the teen years.
• Unspecified – onset: which occurs when the
age at which symptoms appear are unknown.
TYPES
Conduct disorder is categorized into
three different types depending on
the age which symptoms initially
appear.
My
favorite
hobbie

23. CAUSES
• Genetic and environmental factors are
believed to be responsible for the
conduct disorder.
• An impaired frontal lobe of the brain
can result in poor cognitive skills, and
this may be due to genetics or injury.
The lack of cognitive skills can be a
cause of conduct disorder.
My
favorite
food
My
favorite
hobbie
Let’s Look at Conduct Disorder In Detail :
Along with this, environmental factors associated with
conduct disorder are:
• Child abuse
• Growing up in a dysfunctional family
• Living in Poverty
• Growing up with parents who abuse drugs or
alcohol.

24. SYMPTOMS
The symptoms a child with conduct
disorder may exhibit are categorized
into:
Aggressive conduct, such as:
• Being aggressive with other people or
animals
• Bullying or intimidating others
Deceitful behavior, such as:
• Stealing
• Lying
Let’s Look at Conduct Disorder In Detail :

25. DIAGNOSIS
• A conduct disorder diagnosis is conducted by a
mental health professional, who will ask your child
some questions and try to assess their behavioural
patterns .
• The child must exhibit a pattern with at least 3
behaviours common with conduct disorders for a
diagnosis to be confirmed.
• The diagnosis also requires the child to have
one of those behaviors in the last 6 months.
DIAGNOSING CD

26. TREATMENT
• Children with conduct disorder
require long-term treatment as it is
difficult to correct behavioural
patterns.
• Conduct disorder treatment typically
involves giving a child the care they
need to deal with the condition.
Let’s Look at Conduct Disorder In Detail :

27. Antisocial Personality Disorder
CHAPTER 11:
By: KYLEEN CABODBOD

28. Antisocial Personality Disorder
An antisocial personality disorder is a particularly challenging
type of personality disorder characterized by impulsive,
irresponsible, and often criminal behavior.
Someone with antisocial personality disorder will typically
be manipulative, deceitful, and reckless, and will not care
for other people's feelings.

29. SYMPTOMS AND SIGNS OF ODD
 Disregarding the law
 Deception
 Impulsivity.
 Aggression
 Reckless disregard for safety
 Irresponsibility
 Lack of Remorse
 Difficulty maintaining
relationships

30. DIAGNOSING ASPD
• To be diagnosed with ASPD, a person must exhibit at least
three criteria from the DSM for a sustained period of time,
typically from at least age 15.
• ASPD can't be diagnosed before age 18. This is because
personality traits are still developing in adolescents.

31. TREATMENT OF DICD
• Therapy is the usual treatment for individuals and
families.
• Cognitive problem solving training: attempts to
decrease a child’s inappropriate or disruptive behaviours
by teaching the child new skills for approaching situations
that previously provoked negative behaviour.
• Parent training: a therapist helps parents develop skills
for more positive and less frustration outcomes, especially
in regard to temperament.

32. ALTERNATE TREATMENT
Clinics
Boot camps
Ranches
PREVENTION
Good parenting
Early intervention

33. CONCLUSION
For those who receive treatment,
many can become symptoms free
and can lead rewarding and
happy lives.
Early diagnosis and treatment are
very important.

34. THANK
YOU