Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Behave med test 2 > conduct disorders > Flashcards

conduct disorders Flashcards

1
Q

Diagnoses for children and adolescents

Difficult and challenging behaviors

NOT generally physically violent/dangerous or illegal

Angry/irritable, argumentative/defiant, vindictive

A

oppositional defiant disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the 8 symptoms of oppositional defiant disorder

A

1) often loses temper
2) touchy or easily annoyed
3) angry and resentful
4) argues with authority figures
5) actively defies or refuses to comply to requests from authority figures
6) deliberately annoys others
7) blames others for mistakes or misbehaviors
8) spiteful or vindictive 2x in past 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how many of the 8 symptoms is needed to have oppositional defiant disorder

A

4 out of 8 for > or = 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when does oppositional defiant disorder typical present

A

during preschool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

t/f not all children with ODD progress to a conduct disorder

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is oppositional defiant disorder comorbid with

A

ADHD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

treatment for oppositional defiant disorder

A

Rule out medical illness

Child therapy
Family therapy

CBT, anger management,

improve problem solving skills, techniques to delay impulsive responses

School-based programs
Manage co-morbid illnesses (ADHD)

No pharmaceutical treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

characterized by chronic, severe and persistent irritability

Symptoms start before age 10 and last >12 months

Symptoms must occur both at home and in school

A

Disruptive Mood Dysregulation Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Added to the DSM-5 in part to help distinguish between children with chronic irritability/mood swings versus children with classic early onset bipolar disease.

A

Disruptive Mood Dysregulation Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Disruptive Mood Dysregulation Disorder tx

A

Mainly supportive, no medications

Individual and family therapy, CBT

Manage comorbid illnesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Can diagnose in ages 6 and up

Verbal aggression or behavioral outbursts due to a failure to control aggressive impulses

Out of proportion to the psychological stressor

Out of character for the individual’s usual behavior (not a pattern of overreacting)

A

Intermittent Explosive Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Intermittent Explosive Disorder dx criteria

A

verbal agression

actions are not premeditated

three behavioral outbursts inolving:

damage or destruction of property

physical assault to animals or people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

t/f Intermittent Explosive Disorder must Rule out other disorders, antisocial, borderline, mania, psychotic disorder

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diagnosis can only be given between ages 6 and 18
Temper outbursts are severe, regular and inconsistent with circumstances
Child is persistently angry and irritable and it is not a “passing thing”

A

Disruptive Mood Dysregulation Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Most commonly diagnosed in young men, 7% prevalence; younger individuals, lower education level

A

Intermittent Explosive Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Intermittent Explosive Disorder tx

A

No FDA approved medications

SSRIs and oxcarbazepine help control symptoms

2nd generation anti-psychotics such as risperidone have also been used for aggressive symptoms

Avoid benzodiazepines, reduce anxiety and “release” impulse behaviors

Cognitive behavioral therapy

17
Q

Basic rights of others or rules/norms violated

Considered precursor to antisocial personality disorder

Children and adolescents, under age 18

3 of 15 behaviors over 12 month period

Four domains of behavior:
Aggression towards people and animals
Destruction of property
Deceitfulness/theft
Serious violations of rules
A

conduct disorder

18
Q

conduct disorder Childhood-onset before 10 years - prognosis?

A

worse

the longer you are mean more mean you will be

19
Q

conduct disorder Adolescent-onset between 10 and 18 years - prognosis

A

better

20
Q

what is the social aspect of conduct disorder

A

(lack of remorse, callousness, no fear of consequences. )

Limited prosocial emotions in severe cases:

Lack of remorse or guilt

Callous- lack of empathy

Unconcerned about performance

Shallow or deficient affect

21
Q

t/f medications in general are indicated for conduct disorder

A

false they are not you are stuck with a meanie pants

22
Q

t/f conduct disorder has High comorbidity rate with ADHD, mood and anxiety disorders, and learning disorders

A

true

23
Q

conduct disorder tx

A

Mild cases: individual and family therapy

Best approach is to educate/help the parents

Parental management training communicate more effectively, appropriate discipline, cull peer groups; intensive

cognitive/behavioral therapy

Treat comorbid illnesses (ADHD)

Aggressive symptoms may be treated off-label with lithium, haloperidol, 2nd generation anti-psychotics

24
Q

More extreme cases usually end up involving violations of the law and patients end up in group homes or juvenile detention facilities

A

conduct disorder

25
Q

Deliberate fire setting on more than one occasion

Fascination with fire (fire is pretty cool)

Tension or affective arousal before the act
Pleasure, gratification or relief when setting fires…or…when witnessing the aftermath

A

pyromania

26
Q

t/f arsonists with monetary/political agenda qualify as pyro maniacs

A

f but in batman they do!

27
Q

t/f Patients who reach criteria for antisocial PD, conduct disorder, mania are pyromaniacs

A

false
they may set fires but lack the fascination with fire and don’t necessarily experience tension/arousal and relief with the act. Usually fires are set with a motivation of destruction, anger or revenge.

28
Q

onset of pyromania

A

Onset usually late teens or early 20s

29
Q

comorbid conditions of pyromania

A

mood disorder, substance abuse and impulsive behavior

30
Q

gender equal with pyromania?

A

yes

31
Q

pyromania tx

A

Treat any co-existing disorder

No clear role for medications

Educate parents on non-punitive discipline measures

Individual and family therapy

32
Q

Cannot resist impulses to steal objects

Objects are not needed for personal use or monetary gain
Increased sense of tension before committing crime

Pleasure, gratification or relief when committing theft

Not done out of anger or aggression

A

kleptomania

33
Q

kleptomania comorbid conditions

A

Mood and anxiety disorders are frequently comorbid

34
Q

age of onset for kleptomania

A

begins in adolescence or early adulthood and remains chronic

35
Q

kleptomania mainly f or m

A

75 % female (my wife and my daughter stole my heart, they may be kleptos)

36
Q

kleptomania tx

A

No standard treatment exists

Medication has been helpful for some patients including SSRIs and naltrexone (unclear mechanism)

Treat any underlying comorbid disorders

CBT/individual therapy

On an anecdotal basis, being caught and “humiliated” is an effective deterrent for some people

37
Q

Irresistible urge to buy unnecessary things

Tension and gratification, before and during

Typically starts late teens/early 20s and is chronic

No standard treatments, SSRIs may be helpful, CBT

A

Compulsive shopping

38
Q

Excessive computer use leading to distress

Tension, arousal before logging on

Guilt or depression when using too long

No consensus on treatment
Self-limitation, safeguards best bet, CBT

A

Internet addiction

Behave med test 2 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions