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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. It is the most common childhood psychiatric disorder to develop into antisocial personality disorder.
 
Criteria for 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 three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months:
 
Aggression to people and animals
  1. Often bullies, threatens, or intimidates others
  2. Often initiates physical fights
  3. Has used a weapon that can cause serious physical harm to others (e.g., a bat, brick, broken bottle, knife, gun)
  4. Has been physically cruel to people
  5. Has been physically cruel to animals
  6. Has stolen while confronting a victim (e.g., mugging, purse snatching, extortion, armed robbery)
  7. Has forced someone into sexual activity
Destruction Of Property
  1. Has deliberately engaged in fire setting with the intention of causing serious damage
  2. Has deliberately destroyed others’ property (other than by fire setting)
Deceitfulness Or Theft
  1. Has broken into someone else’s house, building, or car
  2. Often lies to obtain goods or favors or to avoid obligations (i.e., “cons” others)
  3. Has stolen items of nontrivial value without confronting a victim (e.g., shoplifting, but without breaking and entering; forgery)
Serious Violations Of Rules
  1. Often stays out at night despite parental prohibitions, beginning before age 13 years
  2. Has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning for a lengthy period)
  3. Is often truant from school, beginning before age 13 years
The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
 
If the individual is age 18 years or older, criteria are not met for antisocial personality disorder.
 
Typically treatment is of 8 years of age & not later than adolescence. Primary treatment Include individual psychotherapy for the child & counseling & direct training of the patient in child management skills.




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