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Disruptive, Impulse Control and Conduct Disorder
- 1. DISRUPTIVE, IMPULSE CONTROLAND CONDUCT DISORDER CHAPTER 11:
- 2. Disruptive behaviors that interferewith the normal flow of activities and relationships. (ex. Constantly interrupting others, have angry outbursts, and defy rules. Impulse-control the inability to resists urges or temptations (ex. blurting things out without thinking, stealing on impulse, or engaging in risky behaviors despite potential consequences. Conduct behaviors that violate societal norms or the rights of others. For a DICD diagnosis, these wouldn't be isolated incidents but a pattern of behaviors. (ex. aggression, lying, damaging property, or neglecting responsibilities.) Definition of Terms
- 3. Disruptive, impulse controland conduct disorders are a group of disorders that are linked by varying difficulties in controlling aggressive behaviors, self- control, and impulses. Typically, the resulting behaviors or actions are considered a threat primarily to others’ safety and/or to societal norms.
- 4. Oppositional Defiant Disorder CHAPTER11: By: KYLEEN CABODBOD
- 5. OPPOSITONAL DEFIANT DISORDER: TYPES,CAUSES, SYMPTOMS, DIAGNOSIS, AND TREATMENT • It is mostly diagnosed in childhood. Children with ODD show a pattern of uncooperative, defiant, and hostile behavior toward peers, parents, teachers, and other authority figures. • Is classified as a disruptive behaviour disorder and is defined as a pattern of negative, disobedient, defiant or hostile behaviour directed towards authority.
- 6. DIAGNOSING ODD • Diagnosisfor Oppositional Defiant Disorder must meet certain criteria specified in the Diagnostic and Statistical Manual of Mental Disorders. • Must demonstrate at least four of the eight behaviors for at least six months with at least one individual who is not a sibling to meet criteria for a diagnosis of ODD
- 7. SYMPTOMS AND SIGNSOF ODD • Often loses temper • Argumentative with adults. • Refuses to comply with adult’s rules. • Deliberately annoys other people. • Often blames others for his/her misbehaviour/mistakes. • Is touchy or easily annoyed. • Often angry or resentful • May be spiteful or vindictive.
- 8. WHO HAS ODD? •Oppositional Defiant Disorder in younger children is more common among boys. • Among school aged children and adolescents, ODD occurs almost equally in boys and girls. • 1% to as high 6% of children and adolescents have Oppositional Defiant Disorder to some degree. • ODD affects all types of families, but it seems to occur more in lower socioeconomic families.
- 9. POSSIBLE CAUSES Lack ofsupervision Inconsistent or harsh discipline Chemical imbalance, i.e. serotonin Abuse or neglect Exposure to toxins
- 10. MEDICATION FOR ODD •Ritalin: if ODD co-exist with ADHD (Methylphenidate – is a stimulant that treats attention – deficit/hyperactivity disorder (ADHD). It works by improving your focus and reducing impulsive behaviours. • Strattera (Generic Name: atomoxetine) is an alternative to the stimulant ADHD medications most commonly used to treat symptoms of attention deficit hyperactivity disorder (ADHD) in children ages 6-12, adolescents, and adults. • Vitamins and Supplements • Medication alone is not a recommended treatment for ODD.
- 11. PROGNOSIS: WHAT BECOMESOF CHILDREN AND ADOLESCENTS WITH ODD? • With treatment, some will outgrow their ODD. • In older children, 75% will retain ODD traits. • The ODD may become something else. • The child or adolescent may develop a conduct disorder. • In very few cases, the child may continue to have only ODD.
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- 13. INTERMITTENT EXPLOSIVE DISORDER: Intermittentexplosive disorder involves repeated, sudden bouts of impulsive, aggressive, violent behavior or angry verbal outbursts. The reactions are too extreme for the situation. Road rage, domestic abuse, throwing or breaking objects, or other temper tantrums may be symptoms of intermittent explosive disorder. Before an aggressive bout, you may feel rage, irritability, more tension and energy, racing thoughts, tingling, shaking, a fast or pounding heartbeat, and chest tightness.
- 14. INTERMITTENT EXPLOSIVE DISORDER: Beforean aggressive bout, you may feel rage, irritability, more tension and energy, racing thoughts, tingling, shaking, a fast or pounding heartbeat, and chest tightness. • Verbal aggression like temper tantrums, tirades, arguments or fights; or physical aggression toward people, animals, or property. • Within 12 months, three behavioral outbursts resulting in: Damage or destruction of property, and/or Physical assault that physically injures people or animals.
- 15. SYMPTOMS AND SIGNSOF IED • Recurrent aggressive outbursts • Verbal aggression like temper tantrums, tirades, arguments or fights • Physical aggression toward people, animals, or property. • Outbursts are impulsive and unplanned • Outbursts causes impairment
- 16. DIAGNOSING IED • Intermittentexplosive disorder is not diagnosed unless a person has displayed at least three episodes of impulsive aggressiveness. • Within 12 months, three behavioral outbursts resulting in: Damage or destruction of property, and/or Physical assault that physically injures people or animals.
- 17. ONSET OF IED •IED is said to typically begin during the early teen years and evidence has suggested that it has the potential of predisposing individuals to depression, anxiety, and substance abuse disorders. • Intermittent explosive disorder can begin in childhood — after the age of 6 years — or during the teenage years. It's more common in younger adults than in older adults.
- 18. PROGNOSIS: WHAT BECOMESOF CHILDREN AND ADOLESCENTS WITH IED? •With proper treatment, the prognosis for both males and females with IED is generally positive. Early intervention is key for both. • However, some studies suggest that females with IED might face additional challenges, such as higher rates of co-occurring depression and anxiety This could potentially impact their overall prognosis if these conditions remain untreated. •With early intervention and treatment, can learn to manage their anger and improve their quality of life. •Left untreated, IED can lead to a number of negative consequences, such as academic problems, social isolation, legal problems, and even self-harm.
- 19. Conduct Disorder CHAPTER 11: By:KYLEEN CABODBOD
- 20. CONDUCT DISORDER: TYPES, CAUSES,SYMPTOMS, DIAGNOSIS, AND TREATMENT • Is a group of emotional and behavioural problems that arise during adolescence or childhood. • People with the condition usually find it difficult to abide by the rules and behave in a socially acceptable manner.
- 21. CONDUCT DISORDER: TYPES, CAUSES,SYMPTOMS, DIAGNOSIS, AND TREATMENT • Their aggressive, destructive, and dishonest activities are often mistaken for delinquency rather than a mental illness. • While children with a conduct disorder act tough and appear confident, they are insecure and feel threatened by other people.
- 22. Let’s Look atConduct Disorder In Detail : • Children – onset: which occurs during the age of 10. • Adolescent – onset: which occurs during the teen years. • Unspecified – onset: which occurs when the age at which symptoms appear are unknown. TYPES Conduct disorder is categorized into three different types depending on the age which symptoms initially appear. My favorite hobbie
- 23. CAUSES • Genetic andenvironmental factors are believed to be responsible for the conduct disorder. • An impaired frontal lobe of the brain can result in poor cognitive skills, and this may be due to genetics or injury. The lack of cognitive skills can be a cause of conduct disorder. My favorite food My favorite hobbie Let’s Look at Conduct Disorder In Detail : Along with this, environmental factors associated with conduct disorder are: • Child abuse • Growing up in a dysfunctional family • Living in Poverty • Growing up with parents who abuse drugs or alcohol.
- 24. SYMPTOMS The symptoms achild with conduct disorder may exhibit are categorized into: Aggressive conduct, such as: • Being aggressive with other people or animals • Bullying or intimidating others Deceitful behavior, such as: • Stealing • Lying Let’s Look at Conduct Disorder In Detail :
- 25. DIAGNOSIS • A conductdisorder diagnosis is conducted by a mental health professional, who will ask your child some questions and try to assess their behavioural patterns . • The child must exhibit a pattern with at least 3 behaviours common with conduct disorders for a diagnosis to be confirmed. • The diagnosis also requires the child to have one of those behaviors in the last 6 months. DIAGNOSING CD
- 26. TREATMENT • Children withconduct disorder require long-term treatment as it is difficult to correct behavioural patterns. • Conduct disorder treatment typically involves giving a child the care they need to deal with the condition. Let’s Look at Conduct Disorder In Detail :
- 27. Antisocial Personality Disorder CHAPTER11: By: KYLEEN CABODBOD
- 28. Antisocial Personality Disorder Anantisocial personality disorder is a particularly challenging type of personality disorder characterized by impulsive, irresponsible, and often criminal behavior. Someone with antisocial personality disorder will typically be manipulative, deceitful, and reckless, and will not care for other people's feelings.
- 29. SYMPTOMS AND SIGNSOF ODD Disregarding the law Deception Impulsivity. Aggression Reckless disregard for safety Irresponsibility Lack of Remorse Difficulty maintaining relationships
- 30. DIAGNOSING ASPD • Tobe diagnosed with ASPD, a person must exhibit at least three criteria from the DSM for a sustained period of time, typically from at least age 15. • ASPD can't be diagnosed before age 18. This is because personality traits are still developing in adolescents.
- 31. TREATMENT OF DICD •Therapy is the usual treatment for individuals and families. • Cognitive problem solving training: attempts to decrease a child’s inappropriate or disruptive behaviours by teaching the child new skills for approaching situations that previously provoked negative behaviour. • Parent training: a therapist helps parents develop skills for more positive and less frustration outcomes, especially in regard to temperament.
- 32. ALTERNATE TREATMENT Clinics Boot camps Ranches PREVENTION Goodparenting Early intervention
- 33. CONCLUSION For those whoreceive treatment, many can become symptoms free and can lead rewarding and happy lives. Early diagnosis and treatment are very important.
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