the Diagnostic and Statistical Manual of
Mental Disorders the fifth edition or
dsm-5 has a relatively new category
called disruptive impulse-control and
conduct disorders or di C for short
which were previously organized into
different sections this category
includes a number of disorders like
oppositional defiant disorder conduct
disorder antisocial personality disorder
intermittent explosive disorder as well
as other impulse control disorders like
the impulsive desire to start fires or
pyromania and the compulsive desire to
steal things or kleptomania the common
thread that runs through all of these is
that they all involve impulse behaviors
or a lack of self control these
disorders tend to start in childhood or
adolescence and persist into adulthood
oppositional defiant disorder or OD D is
defined by defiant behavior that's both
persistent and willful and can be
thought of in terms of emotional
behavioral and cognitive patterns people
with OD D have emotional dysregulation
which can lead them to feel irritable
and resentful towards others these
emotions can lead to behaviors like
frequent arguments angry outbursts and
refusing to go along with the requests
of authority figures like teachers
people with OD D might even deliberately
annoy their family or friends
purposefully defying anyone who tries to
control their behavior
cognitively these people often fall into
a pattern of vindictiveness and
spitefulness believing that others are
to blame for their own behaviors in
order to meet the criteria for OD D
these emotional behavioral and cognitive
patterns must be ongoing for at least
six months and must interfere with
family school and other social
interactions conduct disorder has a lot
of overlap with oppositional defiant
disorder with one key additional feature
aggressive behavior towards people and
animals for example people with conduct
disorder might violently destroy
property steal things or hurt pets
causing grief and frustration for those
around them these are considered
antisocial behaviors because they
completely break the boundaries of
social norms there are two main types of
conduct disorder childhood onset type
where the abnormal behaviors start
before the age of 10 and adolescent
onset type which starts between ages 10
and 18 typically the earlier the
symptoms the more severe the behavioral
problems alright so next there's
antisocial personality disorder and this
is where people disregard moral values
in societal norms have little empathy
and poor impulse control this
combination makes them willing to hurt
others if it helps them making them
prone to aggressive and unlawful
behavior at times earning the label
sociopath or psychopath in fact people
with this disorder tend to be
over-represented in prison populations
and have higher rates of substance abuse
these people typically fail to show
remorse or guilt and rarely accept
responsibility for any of the harm that
they cause
there's that said they can be
superficially charming and often use
that to manipulate others for their
personal gain to be diagnosed with this
disorder individuals must be over 18
years old and have a history of conduct
disorder interestingly this disorder
fits into two categories and can also be
found in the personality disorder
section of the dsm-5 well there's
certainly a relationship between
oppositional defiant disorder conduct
disorder and antisocial personality
disorder it's important to note that not
all individuals with oppositional
defiant disorder will go on to develop
conduct disorder and not all individuals
with conduct disorder will go on to
develop antisocial personality disorder
all right another disorder is
intermittent explosive disorder or ie D
IEDs characterized by recurrent
explosive outbursts of intense anger and
violence sometimes causing injury to
themselves or others these outbursts are
usually brief and not premeditated can
appear in response to any real or
perceived provocation and are almost
always out of proportion to the
situation to diagnose ie D an individual
has to be over six years old to
distinguish them from temper tantrums
and must have these outbursts twice a
week for at least three months or have
three out person a year that result in
physical injury or property damage
pyromania and kleptomania are also
categorized as d IC disorders
pyromania describes people who
purposefully and repeatedly set fires
but unlike arsonists who set fires to
deliberately damage property or for
political gain
people with pyromania experience fire
setting as a compulsion feeling a strong
impulse to set fires in feeling relief
and often euphoria once they do these
people are often fixated on anything
that has to do with fires for example
they might hang around fire stations or
watch videos of fires on YouTube people
with kleptomania on the other hand feel
a strong impulse to steal things not out
of need but out of the pleasure and
relief of tension that they feel once
they steal something in fact these
people often steal items that are of
little value to them or items that they
could easily afford not surprisingly
both pyromania
kleptomania can easily land individuals
in serious legal trouble treatment for
disruptive impulse-control and conduct
disorders are generally focused on
changing behaviors through therapy
rather than pharmaceutical treatments in
particular cognitive behavioral therapy
has been shown to be successful
social skills training as well as anger
management are also useful in helping to
decrease some of the problematic
behavior is seen in TSE disorders
lastly parent management training which
is teaching parents how to respond can
also be very effective thanks for
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