Conduct Disorder Definition/Description A disruptive behaviour that violates the basic rights of others and/or age-appropriate social norms. Epidemiology • Usually in childhood or adolescents Aetiology • • • • • Parental psychopathology e.g. ASPD, substance use disorder Child rearing practices - E.g. abuse, discipline Low SES Family violence Child factors: - Difficult temperament - ODD - Learning problems - ADHD - Neurobiology Diagnosis A. A repetitive and persistent pattern of behaviour in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of at least three of the following 15 criteria in the past 12 months from any of the categories below, with at least one criterion present in the past 6 months: - Aggression to people and animals: ➔Often bullies, threatens or intimidates others ➔Often initiates physical fights ➔Has used a weapon that can cause serious physical harm to others e.g. a bat ➔Has been physically cruel to people ➔Has been physically cruel to animals ➔Has stolen while confronting a victim ➔Has forced someone into sexual activity - Destruction of property ➔Has deliberately engaged in fire setting with the intention of causing serious damage ➔Has deliberately destroyed others’ property (other than setting fire) - Deceitfulness of theft ➔Has broken into someone else’s house, building or care ➔Often lies to obtain goods or favours or to avoid obligations ➔Has stolen items of nontrivial value without confronting the victim (e.g. shoplifting but without breaking and entering or forgery. - Serious violations of rules ➔Often stays out at night despite parental prohibitions, beginning before age 13. ➔Has tun away from home overnight at least twice whole living with parental or parental surrogate home or once without retuning for a lengthy period B. The disturbance is behaviour causes clinically significant impairment in social, academic or occupational functioning. C. If the individual is age 18 years or old, criteria are not met for antisocial personality disorder. Treatment and Management • • • • CBT Parent management training Social skills program Pharmacotherapy - E.g. psychostimulants in comorbid ADHD, antipsychotic medications or mood stabilisers in severe cases of aggression.