1. Conduct Disorders

2. Conduct Disorders Persistent repetitive
socially unacceptable behaviours
which is not ordinary childhood mischief or adolescent rebelliousness

3. Conduct Disorders Why do we need to know about them ?
Commonest psychiatric disorder
in childhood and adolescence
May persist into adult life

4. When do they present to a doctor ……?
When it cannot be tolerated by the family
due to the disorder
due to parental factors

5. Conduct Disorders Preschool children
Aggressive behaviour at home and towards other children
Overactivity

6. Conduct Disorders Older children Disobedience Lying
Aggressive behaviour
Problems at school

7. Truanting
Stealing
Vandalism ( deliberately damaging property ) and Arson ( fire setting )
Disapproved sexual behaviour
Alcohol and drug abuse

8. Other features Early sexual behaviour Gang involvement Low self esteem
Lack of empathy

9. Aetiology Problems within the family Problems within the child
Problems in the environment

10. Aetiology Family unstable, insecure families lack of affection
rejection
broken homes
parental violence & aggression
inconsistent and ineffective discipline

11. Environment
deprived areas
over - crowding
high crime rates
low socio-economic conditions and
poverty

12. Child Lack of a warm parental relationship School Failure
Speech and reading difficulties
Social Isolation
Brain damage
Epilepsy
Exposure to abuse and societal violence

13. prognosis
Some may improve
2/3 rds may persist into adult life

14. Predictors of poor outcome
Early onset ( before 10 yrs )
Low IQ
Poor school achievement
Attention problems and hyperactivity
Family criminality
Low socio economic status
Poor parenting

15. Treatment look for stress factors and reduce them if possible
Special schooling if needed
Behavioural methods - reinforcement
Support to the parents

16. Ensure safety of the child
Medication for comorbid conditions
eg ADHD