Quick review of the essential points— DSM5 diagnosis criteria, assessments, treatments—of these disorders to better prepare for the National Clinical Mental Health Counseling Exam. This can be used like flashcards or as a presentation.
2. 1. Oppositional defiant disorder
2. Intermittent explosive disorder
3. Conduct disorder
4. Pyromania
5. Kleptomania
6. Other specified/unspecified disruptive, impulse control and conduct
disorder
3. Assessments
Achenbach System of Empirically Based Assessment ASEBA
Conner's Revised 3 Rating Scale
Brown Attention-Deficit Scale
Woodcock-Johnson III
Wechsler Intelligence Scale for Children IV (WISC-IV)
Level 1 Cross-Cutting-rated Symptom Measure 6-17
5. Risk factors for ODD, Conduct
Disorder
Having a parent with a mood or
substance abuse disorder
Being abused or neglected
Harsh or inconsistent discipline
Lack of supervision
Poor relationship with one or both
parents
Family instability such as multiple
moves, changing schools frequently
Parents with a history of ADHD,
or conduct problems
Financial problems in the family
Peer rejection
Exposure to violence
Frequent changes in daycare
providers
Parents who have a troubled
marriage or are divorced
Poverty
6. Disruptive Mood
Dysregulation
2-3 times weekly
For 12 or more
months
Ages 6-10, until age 18
Persistently irritable
or angry
Verbal and/or physical
rages
Oppositional Defiant
Difficult behavior for 6
months
Verbal rages
Argumentative
Aggressive
More severe
Intermittent Explosive
3 times yearly
Verbal aggression
Assaults
Outbursts causing
damage
Ages 6-adult
Remorseful
7.
8. Diagnosis
Recurrent behavioral outbursts showing a failure to control aggressive
impulses
Not premeditated
Age 6 or older
1. Verbal aggression
2 times weekly for 3 months
2. Behavioral outbursts causing damage and/or physical assault against
animals or people
3 times within 1 year
11. Diagnosis
Difficult behavior for 6 months
Negativity
Defiance
Disobedience
Hostility directed toward
authority figures
Leads to:
Frequent temper tantrums
Argumentativeness with adults
Refusal to comply with adult requests or
rules
Deliberate annoyance of other people
Blaming others for misbehavior
Being touchy and easily annoyed
Anger and resentment
Spiteful or vindictive behavior
Aggressiveness toward peers
Comorbid
ADHD 50% of time
12. S1. Find Out More
Detailed history of presenting
problem, symptoms
Detailed developmental history
Medical history
Affective functioning
Cognitive functioning
Trauma history
Destructiveness and self
destructiveness
Family and social history
Abuse of substances
Exposure to pornography
Academic performance on tests
Psychological testing
S2. Assess & Refer
Consult with both parents and
other involved adults
Psychological testing
Tests
Achenbach System of Empirically
Based Assessment ASEBA
Conner's Revised 3 Rating Scale
Brown Attention-Deficit Scale
Woodcock-Johnson III
Wechsler Intelligence Scale for
Children IV (WISC-IV)
Level 1 Cross-Cutting-rated
Symptom Measure 6-17
13. S4. Treatment
Long-term, multi-modal
Family therapy
Engagement of teachers and other involved adults
Parent training
Parent-child Interaction Therapy
Supportive therapy
Training in problem solving
CBT
Behavior Modification Therapy
Emotion Regulation & Social Skills Training
16. Diagnosis
Repetitive and persistent pattern
of behavior
1. Requires 3 of the following in the
past 12 months, with at least 1 in
the past 6 months
Aggression to people and
animals
Intimidates others often
Initiates physical fights often
Used a dangerous weapon
Physically cruel to people or
animals
Stolen while confronting a victim
Forced sex on someone
Destruction of property
Arson
Deceitfulness or theft
Broken into someone’s place
Deceives and manipulates others
Serious violations of rules
Run away from home 2 times
Beginning before age 13 years
2. Onset before age 13
18. S1. Find Out More
Detailed history of presenting
problem, symptoms
Detailed developmental history
Medical history
Affective functioning
Cognitive functioning
Trauma history
Destructiveness and self
destructiveness
Family and social history
Abuse of substances
Exposure to pornography
Academic performance on tests
Psychological testing
S2. Assess & Refer
Consult with both parents and
other involved adults
Psychological testing
Tests
Achenbach System of Empirically
Based Assessment ASEBA
Conner's Revised 3 Rating Scale
Brown Attention-Deficit Scale
Woodcock-Johnson III
Wechsler Intelligence Scale for
Children IV (WISC-IV)
Level 1 Cross-Cutting-rated
Symptom Measure 6-17
21. Diagnosis
Recurrent failure to resist impulses to steal objects that are not needed for
personal use or for their monetary value
Increasing sense of tension immediately before committing the theft
Pleasure, gratification or relief at the time of committing the theft
Stealing is not committed to express anger and is not in response to
delusion/hallucination
Not explained better by CD, manic episode, or Antisocial Personality
Disorder
24. Diagnosis
1. Deliberate and purposeful fire setting on
more than one occasion
Tension or affective arousal before the act
Fascination with, interest in, curiosity about
or attraction to fire
2. Motive does not include:
Monetary gain
To conceal a crime
Ideology
Express anger
Response to delusion/hallucination
Impaired judgement
Rule Out
Conduct Disorder
Manic Episode
Antisocial Personality
Disorder