Disruptive, impulse control, and conduct disorders

The Diagnostic and Statistical Manual of Mental
Disorders – 5th edition or DSM 5 has a relatively new category called “Disruptive, Impulse
Control, and Conduct Disorders” or DIC for short, which were previously organized in
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 such as the
compulsive desire to start fires, or pyromania, and the compulsive desire to steal things,
or kleptomania. The common thread that runs through all of
these disorders is that they all involve impulsive behaviors, or a lack of self-control. These disorders tend to begin in childhood
or adolescence, and persist into adulthood. Oppositional defiant disorder, or ODD, is
defined by defiant behavior that is both persistent and willful, and can be thought of in terms
of emotional, behavioral, and cognitive patterns. Individuals with ODD have emotion 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. Individuals with ODD might even deliberately
annoy their family and friends, purposefully defying anyone who tries to control their
behavior. Cognitively, these individuals 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 ODD, these
emotional, behavioral, and cognitive patterns must be ongoing for at least 6 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 behaviour
towards people and animals. For example, individuals 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 begin before the age
of ten and adolescent-onset type, which starts between age ten and age 18. Typically the earlier the symptoms, the more
severe the behavioral problems. Okay, so antisocial personality disorder—these
individuals disregard moral values and 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, individuals with this disorder tend
to be overrepresented in prison populations and have higher rates of substance use. These individuals typically fail to show remorse
or guilt and rarely accept responsibility for any of the harm that they cause others. 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 disorders section of the DSM-5. While there is certainly a relationship between
oppositional defiant disorder, conduct disorder, and antisocial personality disorder, it is
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. Another disorder is intermittent explosive
disorder, or IED. IED is 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 IED, an individual has to be over
six years old to distinguish these from temper tantrums, and must have these outbursts twice
a week for at least three months, or have three outbursts in a year that result in physical
injury or property damage. Pyromania and kleptomania are also categorized
as DIC disorders. Pyromania describes individuals who purposefully
and repeatedly set fires, but unlike arsonists, who set fires to deliberately damage property
or for political gain- individuals with pyromania experience fire setting as a compulsion- feeling
a strong impulse to set fires and feeling relief and often euphoria once they do. These individuals are often fixated with anything
that has to do with fires- for example, they might hang out around fire-stations, or watch
videos of fires on youtube. Individuals with kleptomania 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 individuals often steal items
that are of little value to them, or items that they could easily afford. Not surprisingly, both pyromania and 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 behaviors seen in DIC disorders. Lastly, parent management training- teaching
parents how to respond- can also be very effective. Thanks for watching, you can help support
us by donating on patreon, or subscribing to our channel, or telling your friends about
us on social media.

54 thoughts on “Disruptive, impulse control, and conduct disorders

  1. your right about ied except now they will dignose someone with based on verbal agreasion with no volient outbursts

  2. good summarisation of a disorder that's not understood.

    Many of us go through a large segment of our lives without help as we push others away, making it difficult.

  3. Can you do a Video specifically on BPD? There are still very few professional Videos out there that represent People with Borderline in a respectful manner and give enough Information on causes and Treatment. Since I am likely to have BPD, it really bothers me.

    I've also got a question: Is the intermitten explosive disorder in any way related to BPD? As I have experienced those outbursts in Connection with my mood swings and Anger issues. I haven't had a clear diagnosis yet, but the more I hear about this disorder, the more likely it seems that I have it. Plus, the last doctor I went to told me, although he can't give me a diagnosis yet, it looks a lot like BPD.

  4. Question "authority" always. Question what right they think they have to have any authority over anyone. All the problems today can be traced back to the point at which they (someone) first tried to standardize society. Society can't be successfully standardized, it's impossible. We are all unique individuals, and thus cannot possibly all be squeezed into one standard mold, regardless of how broad-based it may be. We are not iRobot… We are not a hive of insects… True, mob-mentality and herd-mentality are phenomena which exist, and they (you know, they, them, those who occupy the seats of power, whatever you choose to call them) found ways to capitalize on and exploit such phenomena to their advantage, which is how societal slavery became a thing. Religion and government are both means of control by which a handful of individuals, an oligarchy, control and manipulate large groups of other individuals, largely without their knowledge or consent.

  5. So you have a disorder where the person who has it can’t be social, and the professional community name is it the dic disorder? Was the shit head disorder too subtle? There is a slight bit of contempt there.

  6. Love your videos frm india
    But a bit costlier for us in India because they cost almost 15000 rupees for us for a year

  7. Any normal person can loose control at times under intense stress . Its scary . I could have been put in this catergory i guess . ..My spiteful collegue who had been harrassing me for months said one thing to belittle me in front of a room full of people and I just snapped and nearly assulted her physically .
    Luckily I didnt but i was SO CLOSE to doing it . It scares me even now . At the time I was under so much pressure and couldnt take her bullying any more .

  8. Is Intermittent Explosive Disorder having the same acronym as Improvised Explosive Devices just a coincidence? 🙄

  9. idk why I find these disorders so interesting..?,,like..id probably have one of these if i didn't have such good self control (and the ability to bite myself instead of harm others) I could have ied? but I'm only like that when i get really stressed hdshvdsh

  10. Who excactly are you? and what are you basing your presentation on? specifically.
    It seems that all focus is on "the problem" with behaviour, decided by people that somehow come across experiences they contribute to certain people, and thereby fixate on ideas that this person is mentally ill.
    What is often the case is, that people will make preposterous accusations rather than having to actually deal with, or relate to people, that they feel are "out of reach".

    What is also relevant is to note, that mental illness is a dynamic discription made mainly by people that do not experience the illness or symptoms, but people around such patients, that decide what is wrong about them, although not persuing to aid this individual, but rather get away from them.

    What is the benefit of stigma, when no help comes along?

  11. people need an outlet for their anger which is normal

    people need safe supported appropriate environments for expressing their more intense feelings

    kick boxing can be helpful yet having a core energetic therapist present to guide you while you use a punching bag is best

    sun bear taught about an exercise called digging a hole where you go out into nature and dig a small hole in the ground big enough to put your face into as you lay on the ground to then yell and scream all of your angst into

    this is an excellent way to clear built up feelings from your psyche

    you have to have a strong sense of yourself and and a belief in something greater than yourself spiritually that keeps you feeling enough self love as you do this exercise

    also i heard that pyromania has sexual abuse as a cause for this behavior especially sexual abuse tied with religious criticism

  12. My brother was adopted (I mean, we're all adopted in my family) but his mother did tons of drugs while he was in the womb. He's at a very scary level of conduct disorder. Therapists won't help, police won't help when he BROKE OUR CARS AND ATTEMPTED AND TO MURDER HIS OWN FAMILY. Nothing can be done my parents are fearing for their lives and our money and belongings. And especially the lives of our animals. He always abuses my dog!!
    Any advice? I caught my mom crying in silence in the kitchen yesterday, because if she even tries to speak with him he gets immediately violent! I'm seeking help for him, we're all trying our very hardest.

  13. im diagnosed with impulse control disorder. i hurt myself to relief tension. before i got diagnosed, i never ever have heard of something like that. thanks for the good and informational video!

  14. Thanks for the Video clip! Sorry for butting in, I would appreciate your initial thoughts. Have you heard the talk about – Trentvorty Kids Science Theorem (Have a quick look on google cant remember the place now)? It is an awesome one of a kind product for becoming an excellent parent minus the normal expense. Ive heard some unbelievable things about it and my cooworker after many years got great results with it.

  15. I feel dumb sometimes. It happens often when I cook eggs. When I mess up on an egg I start cussing up a storm. Don't even get me started on messing up on two eggs. I freaking explode and start punching the counter. My fist gets swollen and red from all the anger. It's never with any other cooking mistakes. Just eggs. There are other things that can sometimes set me off, but these are all things that aren't really worth getting angry for. I could NEVER work at Waffle House or any other diner. Then an hour later, I feel like the day is normal. I don't show this to people. I don't like to scare them or put anyone in distress, but it does scare family because it just happens. It's like something just ticks and I explode. So I try not to cook eggs any other way, other than scrambled. I'm afraid of that yolk breaking, because, I'm going to explode if I see it breaking, even though I know logically, it is nothing but an egg

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