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Disruptive, Impulse control and conduct disorders.pptx
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- 2. Table of Content 1.Oppositional Defiant Disorder (ODD) 2. Conduct Disorder (CD) 3. Intermittent Explosive Disorder (IED) 4. Disruptive Mood Dysregulation Disorder (DMDD)
- 3. Oppositional Defiant Disorder Oppositional:Resistance expressed in argument Defiant: To resist something Symptom Classification: ▪ angry/irritable mood – often loses temper, annoys easily and often resentful or angry ▪ argumentative/defiant behaviour – argues with authority/adults, defies or refuses to comply with rules, deliberately blames others or is annoying ▪ vindictiveness – spiteful or vindictive in the last 6 months, at least twice Guidance has been provided regarding the frequency and severity that is required for a diagnosis of ODD which may occur in normal developing children. A.k.a “This person is going against the grain and being difficult for no reason” Timeframe: Both children and adults- behaviour last 6 months or longer Helpful intervention: Parent training to assist caregivers in using behavior management techniques is effective to reduce a child's behavioural issues. They can learn skills to reinforce more positive behaviours and discourage the negative behavior that the child is doing.
- 4. Conduct Disorder A personthat persistently violates the rights of others, societal norms, rules, laws, etc. which can be aggressive or non aggressive such as stealing, telling lies, etc. What to look for: This child is a bully to people and animals. They threaten people, intimidate them, initial fights with/without weapons, starts fires, steals, robs, break into peoples homes, destroys property, does not adhere to parental rules, etc. Conduct disorder aggression IS premeditated and done with purpose to obtain something such as money, power or intimidation from others. DSM 5 criteria which must include 2 of the following: ‑ ▪ lack of remorse or guilt ▪ callous, lack of empathy ▪ unconcerned about performance ▪ shallow or deficient affect CD can be further specified into current severity of mild, moderate or severe. Timeframe: Behaviour was ongoing before the age of 13 Associate conduct disorder with antisocial personality disorder because having the symptoms of conduct disorder is needed to be dx with antisocial personality disorder. Conduct disorder evolves into antisocial personality disorder.
- 5. Intermittent Explosive Disorder Intermittent-Occuring at irregular intervals, not continuous or steady The person has recurrent, explosive angry outbursts that are impulsive. They have a difficulty controlling their aggression (temper tantrums, verbal arguments, fighting). Their anger is disproportionate to the situation. What to look for: The verbal or physical aggression is IMPULSIVE, NOT premeditated meaning it was not thought through or planned out. A.k.a- Little things set them off and they go full hulk mode. Time frame: Child has to be at least 6 yrs old and can be diagnosed in adults. Verbal aggression occurs twice a week or more for at least 3 months OR there has been at least 3 incidences where the child has inflicted damage to property or physically harmed an animal/person in the last 12 months.
- 6. Disruptive Mood Dysregulation Disorder Similarto intermittent explosive disorder, however the child is CONSTANTLY irritable or angry most of the day, nearly every day even when the child is not having these angry outbursts. A.k.a the child is constantly in a bad mood and it shows. This new category includes the following criteria: A) severe recurrent verbal and behavioural temper outbursts which are grossly out of proportion B) inconsistent with developmental level C) occurring 3 or more times a week for more than one year The mood in between temper outbursts is persistently negative (irritable or angry/sad) and is observable by others, being present in at least 2 settings. Timeframe: child has to be at least 6 years of age but NOT OLDER than 18 yrs
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