Impulse Control Disorders

The opposition disorder (ODD) is a repetitive and persistent pattern of negative, defiant or even hostile behavior toward authority figures. The diagnosis is made clinically. The treatment is an individual psychotherapy in conjunction with a therapy of family or caregiver. Sometimes medications must be used to reduce the irritability.

The most common impulse control disorder is attention deficit / hyperactivity disorder (attention deficit disorder and hyperactivity (ADD, ADHD)).

Children with impulse control disorders have a behavior that tends to disturb people in their environment (family members, school staff and playmates). Therefore, this disorder is also known in the US “disruptive behavioral disorder”. The most common impulse control disorder is attention deficit / hyperactivity disorder (attention deficit disorder and hyperactivity (ADD, ADHD)). Oppositional behavior disorder The opposition disorder (ODD) is a repetitive and persistent pattern of negative, defiant or even hostile behavior toward authority figures. The diagnosis is made clinically. The treatment is an individual psychotherapy in conjunction with a therapy of family or caregiver. Sometimes medications must be used to reduce the irritability. The prevalence is variable, as the diagnostic criteria are very subjective. The prevalence of oppositional behavior disorder (ODD) in children and adolescents is almost 15%. Before puberty, boys affected are superior to the girls numerically, after puberty reduces this difference. Although the opposition behavioral disorders as a lightweight version of behavioral disorders are considered, the two disorders have only superficial similarities. The main characters of the oppositional behavior disorder is the interpersonal behavior that is characterized by irritability and defiance. But children with a behavioral disorder is missing seems to be a sense of wrongdoing, so they violate repeated the personal rights of others (eg. As bullying, threat or violence, cruelty to animals), sometimes without any semblance of irritability. The etiology of oppositional behavior disorder is not known. But it is most commonly found in children, the communication of adults loud in their families mainly consists interpersonal conflicts. The diagnosis should not be viewed as a localized disorder, but as an indication for examination and treatment of underlying problems. Symptoms and complaints Typically tend children with ODD to have frequent and easily fits of rage with adults to argue adults to oppose to refuse to obey their rules on purpose to annoy other people blame others for their own mistakes or misbehavior blaming easily provoked and be annoyed to spiteful or vindictive to be affected Many children also lack social Kompetenzen.Diagnose the opposition behavioral disorder is diagnosed in a child if ? 4 of these symptoms are occupied in the previous six months. Thus, the symptoms must be severe and disturbing impulsive. The ODD must be distinguished from the following disorders that cause similar symptoms: Mild to moderate oppositional behaviors: These behaviors occur intermittently for almost all children and adolescents. Untreated attention-deficit / hyperactivity disorder (ADHD): The ODD-like symptoms often disappear when the ADHD is treated adequately. Mood disorders: irritability, which is caused by depression of the oppositional behavior disorder by the presence of anhedonia and neuro-vegetative symptoms (. For example, sleep and appetite deficiency) can be distinguished. These symptoms are however often overlooked in children. Anxiety disorders and obsessive-compulsive disorder: These disorders occur oppositional behaviors when the children have an overwhelming fear or if they are prevented from performing their rituals. Treatment behavioral change Sometimes medications Underlying problems (eg. As dysfunctional family) and comorbidities such. B. ADHD should be identified and addressed. But even without corrective measures or treatment, improve, most children with ODD over time. Initially, the treatment of choice is a change in behavior through a reward system to guide the child’s behavior towards a socially acceptable behavior. Many children can also benefit from group therapy that builds social skills. Sometimes the use of antidepressants is also useful to treat depression and anxiety (treatment). A behavioral disorder disorder (VS) is a recurrent or persistent pattern of behavior that violates the rights of others or age-appropriate social norms and rules. The diagnosis is made clinically. The treatment of comorbid disorders and psychotherapy can help, but many children require a high level of supervision. The prevalence of behavioral disorders (VS) is 10%. They usually begin in late childhood or early adolescence and are more common in boys than in girls. The etiology is a complex interaction of genetic and environmental factors. The parents of adolescents with VS are often involved in drug abuse and exhibit anti-social behavior; often ADHD, mental disorders, schizophrenia or antisocial personality disorder are diagnosed with them. However, behavioral disorders can also occur in children of healthy and socially competent families. Symptoms and complaints children and adolescents with a VS lacks the sensitivity to the feelings and well-being of others and they misinterpret the behavior of others often as a threat. You can show aggression by pushing, threatening, swing weapons and use them to commit atrocities or acute physical force someone to perform sexual acts, all with little or no sense of remorse. In some cases, their aggression and atrocities directed against animals. These children or adolescents may also participate in destruction of property, fraud and theft. They tolerate only a little frustration and are generally ruthlessly violate rules and parental prohibitions (eg. As running away from home, frequent truancy at school). The pathological behaviors differ between the sexes. Boys are more prone to fight, steal and destroy, girls are more likely to lie to run away and the prostitution. Children of both sexes use and abuse of illicit drugs and have difficulty in school. Suicidal thoughts are common, and suicide attempts have werden.Diagnose taken seriously A VS is diagnosed when the child or adolescent in the last 12 months has shown more ? 3 of the above behaviors and at least one of them over the last 6 months. Aggression towards people and animals destruction of property fraud, lying or stealing Serious violations of the parental rules The symptoms and behaviors must be sufficient to dealing with friends, school or work hard to beeinträchtigen.Prognose Normally hear the disturbing behavior in early adulthood, but in about one third of the cases they persist. Many of these cases meet the criteria for antisocial personality disorder (antisocial personality disorder (ASP)). An early start is associated with a poor prognosis. Some children and young people later develop psychological or anxiety, somatic symptoms or related disorders, drug-dependent disorders or early adult forms of psychotic disorders. Children and adolescents with a VS tend to have a higher number of physical and other mental disorders to haben.Behandlung medications to treat comorbid disorders Psychotherapy Sometimes changes quarters in a supervised residence Treatment of accompanying disorders with medication and psychotherapy, can self-respect and self-control and ultimately improve the control of the VS. Medications can include stimulants, mood stabilizers and atypical antipsychotics, especially short-term use of risperidone. Moralizing and detailed warnings are ineffective and should be avoided. An individual psychotherapy, including behavioral therapy and behavior modification can help. Often seriously disturbed children and young people must be relocated in a supervised residence, where their behavior can be controlled accordingly. Sun will also separated from the environment that may have beitgetragen to their deviant behavior.

Health Life Media Team

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