1. Done by : Yasser Ibrahim Mohammed Bin-Rabbaa
Conduct Disorder
Done by :
Yasser Ibrahim
Mohammed Bin-Rabbaa

2. Conduct Disorder
Conduct disorder is a psychological disorder occurring in childhood and adolescence, and is characterized by a longstanding pattern of violations
These behaviors are often referred to as antisocial behaviors.
Conduct disorder is a mental illness that usually strikes children between the ages of 9 and 17. It is more common in boys
Conduct disorder is diagnosed only when the behaviors occur repeatedly and the child's life is negatively impacted by them.

3. Cause of Conduct Disorder
Many factors may contribute to a child developing conduct disorder, including brain damage, child abuse or neglect, genetic vulnerability, school failure, and traumatic life experiences.

4. Dx & DSM
Criteria
A persistent Pattern of behavior --violation of the basic rights of others or social norms & rules, with at least 3 acts within the following categories during the past year :
Aggression (people & animals)
Destruction of property
Deceitfulness or theft
Serious violation of rules
Epidemiology
Prevalence:1-10%; 4-12x more common in boys
Up to 40% will develop antisocial personality disorder in adulthood (after 18 )
↑ incidence comorbid ADHD (up to 25-30%) and learning disorder (most common)
↑ incidence comorbid mood disorders, substance abuse and criminal behavior in adulthood

5. Criteria for Conduct Disorder based on DSM-5
A repetitive and persistent pattern of behavioral violations, as manifested by the presence of at least three of the following criteria in the past 12 months from any of the categories below .

6. Criteria for Conduct Disorder (Continued)
Aggression against people or animals
Engages in frequent bullying or threatening
Often starts fights
Has used a weapon that could cause serious injury (gun, knife, club, broken glass)
Has shown physical cruelty to people
Has shown physical cruelty to animals
Has engaged in theft with confrontation (armed robbery, extortion, mugging, purse snatching)
Has forced sex upon someone

7. Criteria for Conduct Disorder (Continued)
Property destruction
Has deliberately set fires to cause serious damage
Has deliberately destroyed the property of others (except for fire setting)
Lying or theft
Has broken into building, car or house belonging to someone else
Frequently lies or breaks promises for gain or to avoid obligations (conning)
Has stolen valuables without confrontation (burglary, forgery, shoplifting)

8. Criteria for Conduct Disorder (Continued)
Serious rule violation
Beginning before age 13, frequently stays out at night against parents’ wishes
Has run away from parents overnight twice or more (once if for an extended period)
Beginning before age 13, engages in frequent truancy

9. Criteria for Conduct Disorder (Continued)
The disturbance in behavior causes clinically significant impairment in social, academic,or occupational functioning.

10. Onset and Course Conduct disorder has two subtypes:
Childhood onset and adolescent onset
Childhood onset behaviors include:
Aggression
Property destruction (deliberately breaking things, setting fires)
Poor relationships with peers
At least one problem with conduct before age 10.
In about 40% of cases, childhood onset conduct disorder develops into adult antisocial personality disorder.
Adolescent onset behaviors include
Gang culture or to meet basic survival needs (stealing food) are often less psychologically disturbed than those with early childhood histories of behavior disorders.
No problems with conduct before the age 10.

11. Characteristics of Conduct Disorders
Some of the typical behaviors of a child with CD may include:
Refusal to obey parents or other authority figures
Truancy
Tendency to use drugs, including tobacco and alcohol, at a very early age
Lack of empathy for others
Spiteful and vengeful behavior
Being aggressive to animals
Being aggressive to people, including bullying and physical or sexual abuse
Tendency to hang out in gangs
Keenness to start physical fights
Using weapons in physical fights
Lying

12. Treatment for Conduct Disorder
Treatment depends on the individual but may include:
Behavior therapy
Cognitive behavioral therapy (CBT)
Anger management
Stress management
Social skills training
Special education program
Parent management training
Functional family therapy
Multisystemic therapy
Integrated approach by family, teachers
Management of any co-existing problems
Medication (in case of co-existing depression or ADHD).

13. THANK YOU