Effective Therapy for Disruptive, Impulse-Control and Conduct Disorders
Effective Therapy for Disruptive, Impulse-Control and Conduct Disorders
This week you will explore disruptive, impulse-control, and conduct disorder. These disorders have in common the fact that they are rooted in a lack of self-control. Many of these disorders may start in childhood or adolescence and may continue into adulthood. Within this group, you will find disorders such as oppositional defiant disorder, antisocial personality disorder, intermittent explosive disorders, pyromania, and kleptomania. Effective therapy for these disorders often includes cognitive behavior therapy, skill building, and skills management. Effective Therapy for Disruptive, Impulse-Control and Conduct Disorders
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This week you will also complete your final exam.
Learning Objectives
Students will:
- Apply concepts related to psychopathology, diagnostic reasoning, and treatment planning in advanced practice psychiatric-mental health nursing care
Learning Resources
Required Readings (click to expand/reduce)
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
- Chapter 19, “Disruptive, Impulse-Control and Conduct Disorders”
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
- Chapter 65, “Oppositional and Conduct Disorders”
Required Media (click to expand/reduce)
Final Exam
This exam will cover the following topics, as they relate to assessment, diagnosis, and treatment across the lifespan:
-
- Neurocognitive disorders
- Neurodevelopmental disorders
- Dissociative disorders
- Somatic symptom-related disorders
- Disruptive, impulse-control, and conduct disorders
- Ethical and legal foundations of PMHNP care
Photo Credit: [Vergeles_Andrey]/[iStock / Getty Images Plus]/Getty Images
Prior to starting the exam, you should review all of your materials. There is a 2.5-hour time limit to complete this 100-question, multiple-choice exam. You may only attempt this exam once.
This exam is a test of your knowledge in preparation for your certification exam. No outside resources—including books, notes, websites, or any other type of resource—are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct when preparing your paper on Effective Therapy for Disruptive, Impulse-Control and Conduct Disorders.
By Day 7
Complete your exam.
Submission and Grading Information
Grading Criteria
: Neurodevelopmental Disorders
I can’t believe I am sitting here talking to this lady. Mom thinks I am nuts just because I will not do what she asks. She doesn’t care about me. She only cares about my little brother and that man that keeps coming around. I don’t care about her. That is why I throw things and won’t do what she asks. I don’t care about anyone. Those kids at school who used to be my friends don’t know anything. I am so much smarter than they are.
—Jacob, age 11
There are many mental disorders that occur early in the life course. The DSM-5 describes neurodevelopmental disorders such as intellectual disability and delay, autism spectrum disorder, language and speech disorders, ADHD and specific learning disorder (e.g., dyslexia, difficulty mastering mathematical reasoning). Diagnosis of these various conditions can rarely be made in a single office visit and often requires a comprehensive approach involving multiple stakeholders, including the child, his or her parents, teachers, other significant figures in the child’s life, and medical and mental health professionals, such as psychologists who can conduct comprehensive neuropsychological testing.
The PMHNP must coordinate and integrate several sources of information to arrive at an accurate diagnosis of these disorders. Early and accurate diagnosis is essential to developing an effective treatment plan, which will have the potential to minimize the impact of these disorders on the child’s developmental trajectory. When one considers appropriate diagnosis from this perspective, the importance of diagnostic accuracy becomes quite apparent.
This week, you begin exploring disorders that occur early in the life course and use this knowledge to create a study guide for a neurodevelopmental disorder.
Learning Objectives
Students will:
- Analyze signs and symptoms of neurodevelopmental disorders
- Analyze the pathophysiology of neurodevelopmental disorders
- Analyze diagnosis and treatment methods for neurodevelopmental disorders
- Summarize legal, ethical, and patient education factors related to neurodevelopmental disorders
Learning Resources for Effective Therapy for Disruptive, Impulse-Control and Conduct Disorders
Required Readings (click to expand/reduce)
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
- Chapter 51, “Autism Spectrum Disorder”
- Chapter 55, “ADHD and Hyperkinetic Disorder”
Zakhari, R. (2020). The psychiatric-mental health nurse practitioner certification review manual. Springer.
- Chapter 13, “Child/Adolescent Neurodevelopmental Disorders”
Required Media (click to expand/reduce)
Medication Review
| Irritability in autism | Attention-deficit/hyperactivity disorder |
| aripiprazole risperidone |
amphetamine IR, XR, and ER dextroamphetamine atomoxetineclonidine hydrocholoride ER Dexmethylphenidate IR and XR guanfacine hydrocholride ER lisdexamfetamine methylphenidate methylphenidate hydrocholoride IR and ER, transdermal |
Assignment: Study Guide Forum
Abnormal brain development or damage at an early age can lead to neurodevelopmental disorders. Within this group of disorders, some are resolvable with appropriate and timely interventions, either pharmacological or nonpharmacological, while other disorders are chronic and need to be managed throughout the lifespan.
For this Assignment, you will develop a study guide for an assigned disorder and share it with your colleagues. In sum, these study guides will be a powerful tool in preparing for your certification exam.
Photo Credit: Getty Images/iStockphoto
To Prepare
- Your Instructor will assign you to a specific neurodevelopmental disorder from the DSM-5.
- Research your assigned disorder using the Walden Library. Then, develop an organizational scheme for the important information about the disorder.
The Assignment
Create a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5 but also supported by at least three other scholarly resources.
Areas of importance you should address, but are not limited to, are:
- Signs and symptoms according to the DSM-5
- Differential diagnoses
- Incidence
- Development and course
- Prognosis
- Considerations related to culture, gender, age
- Pharmacological treatments, including any side effects
- Nonpharmacological treatments
- Diagnostics and labs
- Comorbidities
- Legal and ethical considerations
- Pertinent patient education considerations
By Day 7 of Week 8
Submit your Assignment to the forum as an attachment. Although no responses are required, collegial discussion is welcome. You are encouraged to utilize your peers’ submitted guides on their assigned neurodevelopmental disorders for study. Effective Therapy for Disruptive, Impulse-Control and Conduct Disorders.