CONDUCT DISORDER

Submitted by
Submitted to Nusrat ahmed
Madam C. Maity Roll no-30
Govt. College of Nursing b.Sc nursing 3rd year
Burdwan Govt college of nursing
burdwan
Conduct disorders are characterized by a
persistent and significant pattern of conduct in
which the basic rights of others are violated or
rules of society are not followed. The onset
occurs much before 18 years of age usually
even before puberty. The disorder is much
more(about 5 to 10 times) common in boys.
 3) Et iolog y

Genetic factors Physiological factor Biological factors Psychological factors

4 ) Gen et ic Fact ors

M on o zy g ot i D izy g ot ic No n -t w in s Person alit y

c t w in s t w in s sib lin g s d isord ers of
f am ily
m em b ers
 Ph y siolog ical f act ors

D am ag e o f Ch ild w it h
f ro n t al lo b e ep ilep sy
 Bioch em ical f act ors

Elevat ed Elevat ed
p lasm a lev els t est o st ero n e
 Psych olog ical f act ors
Paren t al reject io n

In co n sist en t m an ag em en t w it h h arsh d iscip lin e

Freq u en t sh if t in g o f p aren t al f ig u res

Larg e f am ily size

A b sen ce o f f at h er

Paren t s w it h an t i-so cial p erso n alit y d iso rd er

A lco h o l d ep en d en ce o f f at h er

Paren t al p erm issiven ess

M arit al co n f lict & d ivo rce in p aren t s

A sso ciat io n s w it h d elin q u en t su b g ro u p s

In ap p ro p riat e co m m u n icat io n b et w een f am ily m em b ers

T
Y

3
P
E
Unspecified onset

2
S

Adolescent Onset
1

Childhood Onset
 CLINICAL FEATURES

Aggressive Conduct

Deceitful Behaviour

Destructive Behaviour

Violation of Rules
 Aggressive Conduct
Intimidating of bullying others

Physically harming people or animals

Committing rape

Using a weapon
 Deceitful Behaviour
Lying

Breaking

Stealing of robbery

Forgery
Destructive Behaviour

Destruction of property
Violat ion of ru les
Skipping from School

Running away from home

Sexual behaviour at very young age

 Other sign & symptoms

Mild

Moderate

Severe
Diagnosis
Complete team approach

Educational assessment

Neurological examination
 Risk Factors

Being Male
Living in an urban
environment
Living in poverty

Family history

Having other psychiatric

disorders
Having a dysfunctional home
environment

Being abused or neglected

 Treatment Modalities
Psychological therapy

Family therapy

Drug therapy
 Psychotherapy

Psychotherapy is a type of counselling aimed at helping

the child learn to express & control anger in more
appropriate ways. A type of therapy called cognitive,
behavioural therapy aims to reshape the child’s
thinking(cognition) to improve problem solving skills,
anger management, moral reasoning skill & impulse
control.
 Family Therapy

A specialized therapy technique called Parent

Management Technique(PMT) teaches parents way to
positively alter their child’s behaviour in the home. It
gives parental instruction to teach how to deal with the
child’s demands.
D ru g t h erap y
Anti convulsions(for presence of epilepsy)

Stimulant medications(for hyper-activity)

Lithium, carbamazepine(for impulse control disorder and episodic aggressive behaviour)

Antipsychotics(for psychotics symptoms)

 Nursing management
Assessment

History taking

Mental status Examination

Lab-findings
Nursing Diagnosis
1) Risk f or self d irect ed or ot h er 3) Risk for manipulated
d irect ed violen ce rela t ed t o behaviour related to over
ch a ra ct erist ics of restriction, disciplined
t em p era m en t , p eer reject ed , a s neglecting of family and peer
evid en ce b y a g g ressive groups as evidence by history
b eh a viou r. taking.
2) Im p a ired socia l in t era ct ion .
rela t ed t o n eg a t ive p a ren t a l
role m od els, im p a ired p eer
rela t ion sh ip lea d in g t o
in a p p rop ria t e socia l
b eh a viou rs a s evid en ce b y
p oor com m u n ica t ion sk ill a n d
w it h d ra w a l b eh a viou r.
Nursing Diagnosis
3) Un sa t isf a ct ory p a ren t -ch ild
1) In a p p rop ria t e exa g g era t ion of rela t ion sh ip rela t ed t o la ck of
em ot ion s, over exp ression of p osit ive f eed b a ck a n d
em ot ion s rela t ed t o violen ce a s d ysf u n ct ion f a m ily syst em a s
evid en ce b y d em on st ra t ion of evid en ce b y d ecrea sed
a n g er. com m u n ica t ion a m on g p a ren t
ch ild .

2) D ef en sive cop in g rela t ed t o

low self est eem a n d
d ysf u n ct ion a l f a m ily syst em
a s evid en ce b y d en ia l of
ob viou s p rob lem s.
Conclusion

Conduct disorder is an untreatable condition. It is estimated that 2-16% of children in

U.S. Have conduct disorder. It is more common in boys than in girls. It most offenly
occurs in late children or the early teen years. Well it can be prevented by providing a
nursing, supportive and consistent home environment discipline. It will also help us to
reduce symptoms & prevent the episodes of disturbing behavior.