Different Types of Conduct Disorder Childhood onset occurs when symptoms of a behavior problem show before the age of ten. When indicators of a conduct problem arise during adolescence, this is referred to as adolescent onset. The term "unspecified onset" refers to the age at which a behavioral problem initially appears. This could be any age from early childhood through adulthood.
Conduct disorders are often first recognized by teachers and parents. People who work with children such as teachers and therapists can identify conduct problems in young people even if they do not label them as having a conduct disorder.
There are three types of conduct disorder: impulsive-aggressive, antisocial, and hyperactive-impulsive. Each type has its own set of characteristics that may help doctors make the diagnosis.
Impulsive-aggressive conduct disorder is characterized by four or more episodes of aggressive behavior over a twelve-month period. These episodes must be physically threatening to others or themselves. Impulsivity is defined as acting without thinking; therefore, someone with this type of conduct disorder cannot control their actions around other people or when faced with stressful situations.
Antisocial conduct disorder involves repeated violations of social norms. In other words, someone with this type of conduct disorder does not care what others think about their behavior. Doctors will look at previous attempts to change or correct poor behavior and consider how long these efforts lasted before making the diagnosis of antisocial conduct disorder.
Conduct disorder can appear before the age of ten or throughout puberty. Children with early-onset conduct disorder, on the other hand, are at a higher risk of long-term challenges, as well as having poor peer interactions and academic problems. Conduct disorder that begins in late adolescence or adulthood is called adult-onset conduct disorder.
Children who show a pattern of behavior that falls outside the norms for their age group are likely to be diagnosed with conduct disorder. Young people with this condition may use physical aggression, sexual harassment, lying, and stealing to feel powerful or like stars on a stage. They may also engage in these behaviors because they feel uncomfortable about how much they love others or feel lonely.
With impulsive-aggressive conduct disorder, there is an increase in violence and self-injury, such as hitting others or burning yourself. With antisocial conduct disorder, the person shows no regard for other people's feelings and does not have any moral code that would prevent them from doing anything that comes into their mind. Hyperactive-impulsive conduct disorder involves repeated actions done without thinking about the consequences. For example, a child with this type of conduct disorder might bang his head against a wall over and over again until he causes bleeding.
Adults can be diagnosed with conduct disorder; however, symptoms often begin in infancy or adolescence, and development after the age of 16 is unusual. Adults may have difficulty controlling their anger, do things for pleasure rather than achievement, and disregard the rights of others.
Conduct disorder affects 1 in 10 adolescents and young adults. It is estimated that between 5 and 20 percent of adults have some form of psychopathology that meets diagnostic criteria for a mental illness. However, only a small proportion of those individuals receive any kind of professional help.
Psychotherapy is usually recommended for adults with conduct disorder. Cognitive behavioral therapy (CBT) has been shown to be most effective when treating children and adolescents with conduct problems. This type of therapy focuses on changing how people think about situations, rather than just changing what they do. For example, an adolescent might learn that his or her behavior will not result in punishment, but this does not mean that the individual will stop doing wrong things. Therapy also includes learning how to control one's own emotions and respond instead of act out.
Anti-depressants are also used to treat conduct disorder in adults. However, more research is needed on the long-term effects of these medications before they can be considered first-line treatments for conduct disorder.
There are two forms of conduct disorder: childhood onset and teenage onset. If untreated, childhood conduct disorder has a worse prognosis. Aggression, property damage (deliberately smashing items, lighting fires), and bad peer interactions are hallmarks with childhood conduct disorder.
Teenage conduct disorder is much more likely to lead to death than either depression or schizophrenia because of increased rates of suicide. Also seen in many adolescents is "antisocial behavior," which includes bullying others or breaking the law without remorse.
Conduct disorder affects about 5% of children and adolescents. It often starts before age 14 and is most common among boys. Conduct disorder can't be cured but it can be controlled with treatment.
The first step in treating conduct disorder is to determine the cause. Is the conduct being done deliberately to get attention or make others feel uncomfortable? If not, then the patient does not have a mental illness. If you decide that conduct disorder is an appropriate diagnosis for a patient, there are two main classes of medications used to treat the disorder: antipsychotics and antidepressants.
Antipsychotics are very powerful drugs that are used to control violent behaviors associated with psychosis (abnormal experiences or thoughts) such as hallucinations (hearing voices) and delusions (believing something is true when you know it isn't). These drugs work by changing how certain cells communicate with each other within the brain.