Additionally, treatment should also seek to address familial conflict such as marital discord or maternal depression. The most effective treatment for an individual with conduct disorder is one that seeks to integrate individual, school, and family settings. ![]() ![]() These factors may also vary based on the age of onset, with different variables related to early (e.g., neurodevelopmental basis) and adolescent (e.g., social/peer relationships) onset. Several domains have been implicated in the development of conduct disorder including cognitive variables, neurological factors, personality factors, familial and peer influences, and wider contextual factors. Almost all adolescents who have a substance use disorder have conduct disorder-like traits therefore it is important to exclude a substance-induced cause before diagnosing CD. According to DSM-5 criteria, there are four categories that could be present in the child’s behavior: aggression to people and animals, destruction of property, deceitfulness or theft, and serious violation of rules. DSM-5 Diagnostic CriteriaĬD is diagnosed in the DSM-5 based on a prolonged pattern of antisocial behavior such as serious violation of laws and social norms and rules. Because the child with CD is unable to place themselves in the other person’s shoes, they are unable to understand their consequences. The child diagnosed with CD often presents with a lack of empathy, or the ability to recognize the feelings of others. ![]() These behaviors are often referred to as “antisocial behaviors.” It is often seen as the precursor to antisocial personality disorder, which is not diagnosed until the individual is 18 years old. Defining Conduct DisorderĬonduct disorder (CD) is a psychological disorder diagnosed in childhood or adolescence that presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others, or major age-appropriate norms, are violated. All of the disorders listed under this chapter are marked by behavioral and emotional disturbances specifically related to self-control. In addition, antisocial personality disorder is listed both here and in the chapter on personality disorders. It brings together several disorders that were previously included in other chapters (such as oppositional defiant disorder, conduct disorder, intermittent explosive disorder, pyromania, and kleptomania) into one single category. In 2013, the 5th revision to the DSM (DSM-5) added a chapter on disruptive, impulse-control, and conduct disorders. antisocial: Unwilling or unable to associate normally with other people antagonistic, hostile, or unfriendly toward others opposed to social order or the principles of society hostile toward society.ĭisruptive, Impulse-Control, and Conduct Disorders.impulsive: Acting momentarily, by transient feelings inclined to make rapid decisions without due consideration.Kleptomania involves an impulsive urge to steal purely for the sake of gratification. Pyromania is characterized by impulsive and repetitive urges to deliberately start fires.Intermittent explosive disorder (IED) is a behavioral disorder characterized by explosive outbursts of anger, often to the point of rage, that are disproportionate to the situation at hand.Oppositional defiant disorder (ODD) involves patterns of anger, irritability, argumentative or defiant behavior, and/or vindictiveness unlike CD, children with ODD are not aggressive toward people, animals, or things.Conduct disorder (CD) presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others, or major age-appropriate norms, are violated.The DSM chapter on disruptive, impulse-control, and conduct disorders brings together several disorders (such as oppositional defiant disorder, conduct disorder, intermittent explosive disorder, pyromania, and kleptomania) into one single category.
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