125 Conduct Disorder (CD), Childhood-Onset Type (312.81)
125 Conduct Disorder (CD), Childhood-Onset Type (312.81)
- Classified as an externalizing disorder. More severe than operational defiant disorder.
Children with Conduct Disorder (CD) are usually rejected by their peers and usually have a hard time making friends.
DSM-IV-TR criteria
- Conduct disorder is a more extreme form of ODD and involves more serious incidents of aggression and defiance.
- A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules that are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months.
- Aggressive conduct that threatens physical harm.
- Nonaggressive conduct that causes property damage.
- Deceitfulness or theft.
- Serious violations of rules.
- The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
- If the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder.
- Coding note: Onset of at least one criterion characteristic of Conduct Disorder (CD) prior to age 10 years.
- Aggression to People and Animals:
- Often bullies, threatens, or intimidates others.
- Often initiates physical fights.
- Has used a weapon that can cause serious physical harm to others.
- A bat, brick, broken bottle, knife, gun
- Has been physically cruel to people.
- Has been physically cruel to animals.
- Has stolen wile confronting a victim.
- Mugging, purse snatching, extortion, armed robbery
- Has forced someone into sexual activity.
CD Subtypes
- Child-Onset Type:
- Onset of at least one criteria before age 10.
- Adolescent-Onset Type:
- Absence of any criteria before age 10.
- Unspecified Onset
- Code Severity:
- Mild, Moderate, and Sever.
Associated features
Children with Conduct Disorder (CD) show acts of aggression towards others and animals. Children with conduct disorder (CD) usually show little to no compassion or concern for others or their feelings. Also, concern for the well-being of others is at a minimum. Children also perceive the actions and intentions of others as harmful and threatening than they actually are and respond with what they feel is reasonable and justified aggression. They may lack feelings of guilt or remorse. Since these individuals learn that expressing guilt or remorse may help in avoiding or lessening punishment, it may be difficult to evaluate when their guilt or remorse is genuine. Individuals will also try and place blame on others for the wrong doings that they had committed. Children with conduct disorders (CD) tend to have lower levels of self-esteem. Children diagnosed with conduct disorders (CD) are typically characterized as being easily irritable and often reckless, as well as having many temper tantrums. These children may force sexual activity and theft while confrontion (e.g. mugging).
Individuals may have low se