the Diagnostic and Statistical Manual of Mental Disorders the fifth edition or dsm-5 has a relatively new category called disruptive impulse-control and conduct disorders or di C for short which were previously organized into different sections this category includes a number of disorders like oppositional defiant disorder conduct disorder antisocial personality disorder intermittent explosive disorder as well as other impulse control disorders like the impulsive desire to start fires or pyromania and the compulsive desire to steal things or kleptomania the common thread that runs through all of these is that they all involve impulse behaviors or a lack of self control these disorders tend to start in childhood or adolescence and persist into adulthood oppositional defiant disorder or OD D is defined by defiant behavior that's both persistent and willful and can be thought of in terms of emotional behavioral and cognitive patterns people with OD D have emotional dysregulation which can lead them to feel irritable and resentful towards others these emotions can lead to behaviors like frequent arguments angry outbursts and refusing to go along with the requests of authority figures like teachers people with OD D might even deliberately annoy their family or friends purposefully defying anyone who tries to control their behavior cognitively these people often fall into a pattern of vindictiveness and spitefulness believing that others are to blame for their own behaviors in order to meet the criteria for OD D these emotional behavioral and cognitive patterns must be ongoing for at least six months and must interfere with family school and other social interactions conduct disorder has a lot of overlap with oppositional defiant disorder with one key additional feature aggressive behavior towards people and animals for example people with conduct disorder might violently destroy property steal things or hurt pets causing grief and frustration for those around them these are considered antisocial behaviors because they completely break the boundaries of social norms there are two main types of conduct disorder childhood onset type where the abnormal behaviors start before the age of 10 and adolescent onset type which starts between ages 10 and 18 typically the earlier the symptoms the more severe the behavioral problems alright so next there's antisocial personality disorder and this is where people disregard moral values in societal norms have little empathy and poor impulse control this combination makes them willing to hurt others if it helps them making them prone to aggressive and unlawful behavior at times earning the label sociopath or psychopath in fact people with this disorder tend to be over-represented in prison populations and have higher rates of substance abuse these people typically fail to show remorse or guilt and rarely accept responsibility for any of the harm that they cause that's said they can be superficially charming and often use that to manipulate others for their personal gain to be diagnosed with this disorder individuals must be over 18 years old and have a history of conduct disorder interestingly this disorder fits into two categories and can also be found in the Personality Disorder section of the dsm-5 well there's certainly a relationship between oppositional defiant disorder conduct disorder and antisocial personality disorder it's important to note that not all individuals with oppositional defiant disorder will go on to develop conduct disorder and not all individuals with conduct disorder will go on to develop antisocial personality disorder all right another disorder is intermittent explosive disorder or I Edie IEDs characterized by recurrent explosive outbursts of intense anger and violence sometimes causing injury to themselves or others these outbursts are usually brief and not premeditated can appear in response to any real or perceived provocation and are almost always out of proportion to the situation to diagnose AED an individual has to be over six years old to distinguish them from temper tantrums and must have these outbursts twice a week for at least three months or have three outbursts in a year that result in physical injury or property damage pyromania and kleptomania are also categorized as DSE disorders pyromania describes people who purposefully and repeatedly set fires but unlike arsonists who set fires to deliberately damage property or for political gain people pyromania experience fire setting as a compulsion feeling a strong impulse to set fires in feeling relief and often euphoria once they do these people are often fixated on anything that has to do with fires for example they might hang around fire stations or watch videos of fires on YouTube people with kleptomania on the other hand feel a strong impulse to steal things not out of need but out of the pleasure and relief of tension that they feel once they steal something in fact these people often steal items that are of little value to them or items that they could easily afford not surprisingly both pyromania and kleptomania can easily land individuals in serious legal trouble treatment for disruptive impulse-control and conduct disorders are generally focused on changing behaviors through therapy rather than pharmaceutical treatments in particular cognitive behavioral therapy has been shown to be successful social skills training as well as anger management are also useful in helping to decrease some of the problematic behavior is seen in TSE disorders lastly parent management training which is teaching parents how to respond can also be very effective thanks for watching you can help support us by donating on patreon subscribing to our channel or telling your friends about us on social media you