Conduct Disorder Support Group
Conduct Disorder is a pattern of repetitive behavior where the rights of others or the social norms are violated. Possible symptoms are over aggressive behavior, bullying, physical aggression, cruel behavior toward people and pets, destructive behavior, lying, truancy, vandalism and stealing. After the age of 18, a conduct disorder may develop into antisocial personality...
(1) Aggression or serious threats of harm to people or animals;
(2) Deliberate property damage or destruction (e.g., fire setting, vandalism);
(3) Repeated violation of household or school rules, laws, or both; and
(4) Persistent lying to avoid consequences or to obtain tangible goods or privileges.1
DSM-IV1 emphasizes that there should be at least three specific conduct disorder behaviors present for at least six months to make the diagnosis. Isolated behaviors (e.g., shoplifting, experimentation with marijuana or alcohol) are common, and specific antisocial acts may occur in up to 80 percent of youth in the United States.6 By contrast, a diagnosis of conduct disorder requires a persistent history of multiple problem behaviors.
Associated features of conduct disorder include an inability to appreciate the importance of others' welfare and little guilt or remorse about harming others. Adolescents with conduct disorder often develop skills in outwardly verbalizing remorse to obtain favor or avoid punishment, but do not experience any apparent guilt. Patients with conduct disorder often view others as threatening or malicious without an objective basis. As a result, these children and adolescents may lash out preemptively, and aggression may appear unprovoked.
Physicians should be able to distinguish between normal adolescent risk-taking and enduring antisocial behavior. In normal experimentation, offenses do not typically involve serious harm to individuals or property and do not persistently recur. Isolated or acting-out episodes with a recent onset, particularly among adolescents without previous adjustment problems, are often transient reactions to external stressors. This pattern of behavior should prompt physicians to inquire about recent parental conflict or separation, geographic moves or school transitions.6 Among children 10 to 14 years of age, several health-related behaviors are red flags for conduct disorder. These include cigarette smoking, sexual activity, and alcohol or drug use.7