Disruptive, Impulse-Control, & Conduct Disorders

Question 1

Oppositional Defiant Disorder

Answer 1

Pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidences by at least 4 symptoms from any of the following categories:

Angry/irritable Mood

• often loses temper
• often easily annoyed
• often angry and resentful

Argumentative/defiant Behavior

• often argues with authority figures
• actively defies or refuses to comply with requests or rules
• deliberately annoys others
• blames others for mistakes or behaviors

Vindictiveness
- has been spiteful or vindictive at least twice within past 6 months

Persistence and frequency of behaviors should be used to distinguish “within normal limits”

Interactions must not only be with siblings

Question 2

Intermittent Explosive Disorder

Answer 2

Recurrent behavioral outbursts representing a failure to control aggressive impulses

• verbal aggression
• physical aggression (does not result in damage or injury)
  [occurring twice weekly for period of 3 months]
• 3 behavioral outbursts involving damage and destruction of property and/or physical assault involving physical injury within 12 month period

Magnitude of aggressiveness expressed is out of proportion to provocation or stressors

Not premeditated outbursts

At least 6 years old

Question 3

Conduct Disorder

Answer 3

Repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by presence of at least 3 of following in past 12 months with at least 1 in past 6 months:

Aggression to People or Animals

• bullies, threatens, intimidates others
• initiates physical fights
• has used a weapon that can cause serious physical harm to others
• physically cruel to others or animals
• stolen
• forced someone into sexual activity

Destruction of Property

• deliberate engagement in fire setting with intention of causing damage
• deliberate destruction of others property

Deceitfulness or Theft

• broken into someone else’s house or car
• lies to obtain goods or favors or to avoid obligations
• stolen items of nontrivial value without confronting victim

Serious Violation of Rules

• stays out at night despite curfews
• run away from home overnight at least twice or without returning after lengthy periods of time
• truancy from school

Diagnosis for ages under 18 years old [if over 18, must rule out antisocial personality]

Question 4

Pyro- & Klepto- mania

Answer 4

Deliberate and purposeful fire setting

Recurrent failure to resist impulses to steal objects that are not needed

Experiences of arousal, pleasure, relief; fascination, curiosity, interest