Disruptive, impulse-control, and conduct disorders
Conduct disorder | A pattern of repetitive behavior in which the rights of others or social norms are violated |
Oppositional defiant disorder | A pattern of negativistic, hostile, and defiant behavior, during which a child often loses her or his temper, often argues with adults, and often actively defies or refuses to comply with adults' requests or rules. |
*Oppositional defiant disorder is a less intense form of conduct disorder. Children who continue with the chronic behavior are at risk of developing conduct disorder. |
Conduct disorder | Patient will present as → a 14-year-old who is referred to your office for unusual animal cruelty and bullying at school. A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated
Aggression to People and Animals
Destruction of Property
Deceitfulness or Theft
Serious Violations of Rules
Treatment: The most effective treatment for an individual with conduct disorder is one that seeks to integrate individual, school, and family settings. Additionally, treatment should also seek to address familial conflicts such as marital discord or maternal depression. |
Oppositional defiant disorder | Patient will present as → a 15-year-old who back talks and resists following instruction from parents or authorities. "Oppositional defiant disorder is a less intense form of conduct disorder. Children who continue with the chronic behavior are at risk of developing conduct disorder. This disorder is most often seen in boys, with problems being worse at school. The behavior can occur at home and with peers." A pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories, and exhibited during interaction with at least one individual who is not a sibling.
Unlike children with conduct disorder (CD), children with oppositional defiant disorder are not aggressive towards people or animals, do not destroy property, and do not show a pattern of theft or deceit. Treatment: Psychotherapy: is aimed at helping the child learn to express and control anger in more appropriate ways.
Pharmacotherapy to control ODD include mood stabilizers, antipsychotics, and stimulants.
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