Conduct Disorders

Question 1

naughty behaviors more frequently than kids of equivalent mental age

Answer 1

oppositional defiant disorder

Question 2

are oppositional defiant disorder kids violent?

Answer 2

no generally no violent/ dangerous / illegal activity

Question 3

T/F Oppositional defiant disorder is dx only for kids - adolescents

Answer 3

true

Question 4

what is often a comorbid with ADHD?

Answer 4

oppositional defiant disorder

Question 5

Meds for oppositional defiant disorder

Answer 5

NONE

CBT, anger management, school based programs etc.

Question 6

__severe and persistent irritability

Answer 6

disruptive mood dysregulation disorder

Question 7

DMDD pts often develop_

Answer 7

anxiety, depression, odd, adhd

Question 8

if kid has ODD and DMDD they are given what dx?

Answer 8

DMDD

Question 9

DMDD sx start..

Answer 9

before age 10 last 1+yrs

Question 10

DMDD meds

Answer 10

NONE

CBT, family therapy etc

Question 11

can dx intermittent explosive disorder past age..

Answer 11

6 yo

Question 12

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

Answer 12

intermittent explosive disorder

Question 13

most common pt population with intermittent explosive disorder

Answer 13

young men, lower educational level

Question 14

new research meds for intermittent explosive disorder

Answer 14

SSRI , oxcarbazepine may be helpful

Question 15

what meds avoid in Int. explosive disorder

Answer 15

avoid BZD for reducing anxiety

Question 16

basic rights of others violated

Answer 16

conduct disorder

Question 17

Oppositional Defiant Disorder

Answer 17

difficult and challenging behaviors but NOT generally physically violent/dangerous or illegal

min. 4/8 sx over 6 months

Question 18

DMDD: Disruptive Mood Dysregulator Disorder

Answer 18

Chronic / severe irritability

severe mood swings

ODD plus DMDD then just call it DMDD
TX: support

Question 19

Intermittent Explosive Disorder

Answer 19

verbal aggression or behavioral outbursts due to failure to control aggressive impulses

out of control reaction to the stressor

Question 20

tx intermittent explosive disorder

Answer 20

nomeds fda approved
SSRI and oxcarbazepine can help control sx

AVOID BZD reduce anxiety and release behaviors

Question 21

when can intermittent explosive disorder dx be made?

Answer 21

dx in ages 6 and up

Question 22

when does DMDD usually develop?

Answer 22

sx before age 10 and last 1 yr or more

dx only given ages 6-18

Question 23

conduct disorder deals with what 4 areas of behavior

Answer 23

aggression to ppl and animals
destruction property
deceitfulness/theft
serious violations of rules

Question 24

conduct disorder dx criteria

Answer 24

3/15 behaviors over 1 yr, kkids under 18

if onset is 10-18 yrs prognosis is better

Question 25

severe conduct disorder may have…

Answer 25

lack of remorse or guilt
callous - lack of empathy
unconcerned about performance
shallow or deficient affect

Question 26

severe subtypes of conduct disorder in kids..

Answer 26

equivalent to adults with psychopathy / antisocial personality disorder

Question 27

aggressive conduct disorder tx

Answer 27

lithium, haloperidol, 2nd gen antipsychotics

Question 28

pyromania

Answer 28

fascination with fire

tension / affective arousal before act…pleasure / relief when setting fires

Question 29

fires with monetary policical agenda..

Answer 29

called aronist not pyromaniac

Question 30

kleptomania

Answer 30

cannot resist impulses to steal objects

mostly females

Question 31

kleptomania usually occurs..

Answer 31

onset usually late teens or early 20s

remains chronic problem

Question 32

compulsive shopping

Answer 32

irresistible to buy unnecessary things
starts early 20s
No standard tx SSRI may be helpful

Question 33

internet addiction

Answer 33

excessive computer use leading to distress

depression when using too long, no treatment