Disruptive, Impulse Control and Conduct Disorders

**DISRUPTIVE, IMPULSE CONTROL AND CONDUCT DISORDERS** **OPPOSITIONAL DEFIANT DISORDER** A. A pattern of **angry/irritable mood** (loses temper, touchy or easily annoyed, angry and resentful), **argumentative/defiant behavior (**Argues with authority, defies or refuses to comply from a...

**DISRUPTIVE, IMPULSE CONTROL AND CONDUCT DISORDERS** **OPPOSITIONAL DEFIANT DISORDER** A. A pattern of **angry/irritable mood** (loses temper, touchy or easily annoyed, angry and resentful), **argumentative/defiant behavior (**Argues with authority, defies or refuses to comply from authority figures, deliberately annoys others, blames others) or **vindictiveness (**spiteful or vindictive at least twice within the past 6 months.) **4 symptoms** lasting at **least 6 months. NOT A SIBLING** B. The disturbance in behavior is associated with distress C. The behaviors do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood dysregulation disorder. Note:\ A. **Recurrent behavioral outbursts** representing a failure to control **aggressive impulses.** a. Verbal Aggression, or physical aggression toward property, animals, or other individuals (2x a week period of 3 months) but does not result in damage or destruction of property or physical injury b. 3 behavioral damage, destruction, or physical injury within a 12 month. B. The magnitude of aggressiveness expressed during the recurrent outbursts i**s grossly out of proportion** to the provocation. **SERIOUS AGGRESSION** C. The recurrent **aggressive outbursts are not premeditated** (they are impulsive and/or anger-based) **and are not committed to achieve some tangible objective D.**Age is atleast 6yrs old, F. Not part of adjustment Note: Outbursts typically last for less than 30 minutes and commonly occur in response to a minor provocation by a close intimate or associate. Individuals with intermittent explosive disorder often have less severe episodes. **CONDUCT DISORDER** A. 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 3 of following criteria in the past 12 months; at least 1 criterion present in the past 6 months duration - **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 (e.g., a bat, brick, broken bottle, knife, gun), Has been physically cruel to people, Has been physically cruel to animals, Has stolen while confronting a victim (e.g., mugging, purse snatching, extortion armed robbery), Has forced someone into sexual activity.) - **Destruction of Property** (Has deliberately engaged in fire setting with the intention of causing serious damage, has deliberately destroyed others' property (other than by fire setting) - **Deceitful ness or Theft** (Has broken into someone else's house, building, or car, Often lies to obtain goods or favors or to avoid obligations (i.e., "cons" others), Has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering: forgery). - **Serious Violations of Rules** (Often stays out at night despite parental prohibitions, beginning before age 13 years, Has run away from home overnight at least twice while living in the parental or parental surrogate home, or once without returning for a lengthy period. Is often truant from school, beginning before age 13 years) B. Functional impairment C. If the individual is age 1**8 years or older**, criteria are not met for antisocial personality disorder Specify whether: **Childhood-onset type**: Individuals show at least one symptom characteristic of conduct disorder prior to age 10 years. **Adolescent-onset typ**e: Individuals show no symptom characteristic of conduct disorder prior to age 10 years. **Unspecified onset:** Criteria for a diagnosis of conduct disorder are met, but there is not enough information available to determine whether the onset of the first symptom was before or after age 10 years. Specify if: With Limited Prosocial Emotions: **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). Specify: Mild, Moderate, Severe **PYROMANIA** A. **Deliberate and purposeful fire setting on more than one occasion** B. **Tension or affective arousal before the act** C. **Fascination** with, **interest** in, **curiosity** about, or attraction to fire and its situational contexts D. **Pleasure, gratification, or relief when setting fires or when witnessing or participating in their aftermath**. E. The fire setting is not done for monetary gain, as an expression of sociopolitical ideology, to conceal criminal activity, to express anger or vengeance, to improve one's living circumstances, in response to a delusion or hallucination, or as a result of impaired judgment (e.g., in major neurocognitive disorder, intellectual disability \[intellectual developmental disorder\], substance intoxication) F. The fire setting is not better explained by conduct disorder, a manic episode, or antisocial personality disorder. **KLEPTOMANIA** A. **Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value.** B. **Increasing sense of tension immediately before** committing the theft. C. **Pleasure, gratification, or relief at the time** of committing the theft. D. The stealing is not committed to express anger or vengeance and is not in response to a delusion or a hallucination. E. The stealing is not better explained by conduct disorder, a manic episode, or antisocial personality disorder.