DISRUPTIVE, IMPULSE-CONTROL AND CONDUCT DISORDER
DISORDER CLINICAL DESCRIPTION
A pattern of angry/irritable mood,
argumentative/defiant behavior, or
vindictiveness lasting at least 6 months as
1. Oppositional Defiant
evidenced by at least four symptoms from
Disorder
any of the following categories, and
exhibited during interaction with at least one
individual who is not a sibling.
Discrete episodes of losing control of
aggressive impulses;
parang CD pero walang (1) Verbal/Physical Aggression that does
damage, not result in damage or destruction of
property and does not result in physical
2. Intermittent Explosive
injury to animals or other individuals; (2)
Disorder
Behavioral outbursts involving damage or
destruction of property and/or physical
assault involving physical injury against
animals or other individuals occurring
A repetitive and persistent pattern of behavior
in which the basic rights of others or major
age-appropriate societal norms or rules are
3. Conduct Disorder violated, as manifested by the presence of
Aggression to People and Animals;
Destruction of Property; Deceitfulness/
Theft; Serious Violations of Rules
DIAGNOSIS
For children younger than 5 years, the
behavior should occur on most days for a
period of at least 6 months
For individuals 5 years or older, the
behavior should occur at least once per
week for at least 6 months
Verbal/ Physical Aggression: 3 months
Three behavioral outbursts (Typically last
for less than 30 minutes): 12- month
period
Diagnosis should not be given to
individuals younger 6 years and older
than 18 years
>18 years
At least three of the following 15 criteria
in the past 12 months from any of the
categories
below, with at least one criterion present
in the past 6 months
Specify if:
Childhood/Adolescent/Unspecified-onset
type; with limited prosocial emotions;
severity
ONSET TREATMENT
Family intervention to reinforce more
prosocial behaviors and to diminish undesired
behaviors at the same time
Preschool period and in Cognitive- behavioral therapy emphasizes
adolescence teaching parents how to alter their behavior to
discourage the child’s oppositional behavior
ODD may precede the by diminishing attention to it, and encourage
development of conduct appropriate therapy focused on selectively
disorder reinforcing and praising appropriate behavior
and ignoring undesired behavior
Individual psychotherapy in which they role
play and “practice” more adaptive responses
Combined Pharmacology and Psychotherapy
Psychotherapy with patients is difficult
because of their angry outbursts. If the patient
Childhood and adolescence is an adolescent or a young adult, family and
group therapy may be useful. The goal is to
have the patient recognize and verbalize the
thoughts or feeling that precede the explosive
outbursts instead of acting them out
Psychosocial Interventions
Cognitive- Behavioral Therapy approaches
- Kazdin’s Problem- Solving Skills
Training (PSST)in which a 12- week
sequential program helps children
develop problem solving solutions
when faced with conflictual situations
May occur as early as the
- The Incredible Years targets young
preschool years, but usually
children, ages 3 to 8 years, is
emerge during middle
administered over 22 weeks and
childhood through middle
delivers sessions to the child and has a
adolescence
parent training component and a
teacher training.
- Anger Coping Program, an 18-session
intervention for school-aged children in
the grades 4-6 focused on a child’s
increased development of emotion
recognition and regulation, and
 managing anger. It includes distraction,
self-talk, perspective taking, goal
setting, and problem solving

Psychopharmacologic Intervention
No single treatment has been proved
effective; even behavioral techniques has not
Presence of multiple episodes of deliberate and
4. Pyromania Insufficient data been tried
purposeful fire setting with marked tension/affective arousal before and pleasure after
Family therapy
Insight- oriented psychotherapy and
psychoanalysis have been successful, but
depend on patients’ motivations

Those who feel guilt and shame may be

helped by insight- oriented psychotherapy
The disorder often begins in
Recurrent failure to resist impulses to steal items because of their increased motivation to
adolescence, but may begin in
5. Kleptomania even though the items are not needed for personal use or for their monetary value with change their behavior
childhood, adolescence or
marked tension/affective arousal before and pleasure after
adulthood
Behavior therapy, including systematic
desensitization, aversive conditioning, and
combination of aversive conditioning and
altered social contingencies, has been
reported successful even when motivation
was lacking
6. Other Disruptive,
Impulse- Control and Other Specified Disruptive, Impulse- Control and Conduct Disorder; Unspecified Disruptive, Impulse- Control and Conduct Disorder
Conduct Disorders

SEVERITY
Mild: Symptoms are confined to only
one setting; few, minor harm to others
Moderate: At least two settings;
intermediate
Severe: Three or more settings; in
excess, considerable harm to others
SPECIFIER
With limited prosocial emotions: To qualify for this specifier, an individual must have displayed at least two of the following characteristics
persistently over at least 12 months and in multiple relationships and settings.
- Lack of remorse or guilt: Does not feel bad or guilty when he or she does something wrong
- Callous—lack of empathy: Disregards and is unconcerned about the feelings of others.
- Unconcerned about performance: Does not show concern about poor/problematic performance at school, at work, or in other important
activities.
- Shallow or deficient affect: Does not express feelings or show emotions to others, except in ways that seem shallow, insincere, or
superficial (e.g., actions contradict the emotion displayed; can turn emotions “on” or “off’ quickly) or when emotional expressions are
used for gain (e.g., emotions displayed to manipulate or intimidate others).