Disruptive, Impulse-Control, and Conduct Disorder

Disruptive, Impulse-Control, & Conduct Disorders These disorders manifest in ways that violate the rights of others or bring individuals into significant conflict with societal norms or authority figuresOnset is typically during childhood and adolescence, rarely during adulthood. Therefore, developmental age must be taken into account when determining abnormality.

oppositional Defiant Disorder A. a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least 4 symptoms from any of the following categories, and exhibited during interaction with at least 1 individual who is not a sibling.Angry/Irritable mood often loses temper is often touchy or easily annoyed is often angry and resentful Argumentative/Defiant behavior often argues with authority figures (or for younger children, adults) often actively defies or refuses to comply with requests or rules often deliberately annoys others often blames others for his or her mistakes Vindictivenesshas been spiteful or vindicate at least twice within the past 6 months B. The disturbance in behavior is associated with distress in the individual or others in his or her immediate social context or negatively impacts key areasC. The behaviors do not occur exclusively during a psychotic, substanc use, depressive, or bipolar disorder. The criteria are not met for disruptive mood dysregulation disorder

Intermittent Explosive Disorder A. recurrent behavioral outbursts representing a failure to control aggressive impulses as manifested by either: verbal aggression or physical aggression occurring 2x weekly on average for 3 months. (The physical damage does not result in damage to property or injury to animals or people) 3 behavioral outbursts involving damage and/or physical assault involving injury occurring within a 12-month period B. aggression is grossly out of proportionC. aggressive outbursts are not premeditated or committed to achieve some objectiveD. either cause distress, impairment in functioning, or financial/legal consequencesE. age is at least 6 yearsF. outbursts are not better explained by another disorder, especially an adjustment disorder

Conduct Disorder A. 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 the presence of at least 3 of the following 15 criteria in the past 12 months, with at least 1 criterion present in the past 6 months: Aggression to people and animals often bullies, threatens, or intimidates others often initiates physical fights has used a weapon that can cause serious physical harm to others has been physically cruel to people has been physically cruel to animals has stolen while confronting a victim has forced someone into sexual activity Destruction of property has deliberately engaged in fire setting with the intent of causing serious damage has deliberately destroyed others' property Deceitfulness or theft has broken into someone else's house, building or car often lies to obtain goods or favors or to avoid obligations has stolen items of nontrivial value without confronting a victim Serious violations of rules often stays out at night despite house rules, beginning before age 13 has run away from home overnight at least 2x or 1x without returning for a lengthy period if often truant from school, beginning before age 13 B. causes significant impairmentC. if the individual is age 18 or older, criteria are not met for antisocial personality disorder

Pyromania A. deliberate and purposeful fire setting more than 1xB. tension or affective arousal before actC. fascination with, interest in, curiosity about, or attraction to fire and it contextsD. pleasure, gratification, or relief when setting fires or when witnessing or participating in their aftermathE. not done for gain or some other tangible purposeF. not better explained by conduct disorder, a manic episode, or anti-social personality disorder Kleptomania A. recurrent failure to resist impulses to steal objects that are not needed for personal use of their monetary valueB. increasing sense of tension immediately before committing the theftC. pleasure, gratification, or relief at the time of committing the theftD. the stealing is not committed to express anger or vengeance E. not better explained by conduct disorder, a manic episode, or anti-social personality disorder Other Specified & Specified disruptive, impulse-control, and conduct disorder These 2 diagnoses are used when the full criteria are not met for any 1 disorder in this category but the symptoms are characteristic of one of these types of disorders and the clinician either specifies the reasoning or not (i.e. time frame requirements are not met)