Patient Education
What are conduct disorders?
Conduct disorders are a group of habitual, socially unacceptable behavioural patterns that lead to a breach of another person's rights or freedom.
What are the types of conduct disorders?
Conduct disorders can be divided into various types:
- Conduct disorders causing minor harm to others like lying, staying out after the dark
- Moderate: Stealing without harming, vandalism
- Severe Forced sex, Physical cruelty, using a weapon, robbing a victim, breaking and entering
My 8-year-old child has started lying to me. What should I do?
Most children experiment with various behaviours in their growing period. It is advisable to respond appropriately to the child i.e. neither ignore nor overreact to the situation. When the child tells a lie, sit, and explain to the child why lying doesn't help rather than being punitive about it.
Children should be rewarded for every good behaviour and punished for bad behaviour. In such situations, depending upon the age of the child, token economy can be tried. Here the punishment should be proportionate to the event and consistent over time.
I have recently found my 10-year-old child stealing a few things from the house. How do I deal with it?
First and foremost, you must understand that there are various reasons for stealing. The child may steal because his/her legitimate demands are not fulfilled. Another reason might be that he/she saw someone else doing it or may even steal to seek attention. The worst scenario would be when the child needs additional funds for drug abuse or sex.
One can deal with such a situation by use of a token economy and a one - to - one discussion with the child. Parents should be persuasively firm and not aggressively firm.
It is also important to find out if your child has a nasty acquaintance that persuades or provokes him/her to do such things. It is important to wean the child off this acquaintance instead of criticising that nasty person by keeping the child busy in other activities. Parents should be vigilant and the parent-child bond has to be maintained strong.
My child came home from school all hurt and bruised. On questioning him, I found out that some bully in school had beaten him up. What should I do?
The first step would be why your child was beaten up:
- Did he instigate the bully?
- Who beat him up?
- How did your child react to the beating up?
Parenting involves preparing the child to accept defeats in life. In most instances, defeats are intellectual, financial, or emotional. Prepare the child to fend for himself at school and inform the school authorities about suspicion of hooliganism.
In order to prevent such an incident from occurring again, tell your child to prepare a strategy where he doesn't encounter the bully and also learn to fend for himself.
I recently received a complaint from school that my child is bullying everyone in the school. However, I find him to be very courteous at home. How do I prevent him from bullying others?
Bullying can be a manifestation of various behaviors for e.g. attention-seeking behavior, depression, or other behavioral disorders. Bullying depends on the family upbringing and environment. If bullying is not properly treated, the child may become a dangerous person where it may ultimately leads to bullying of the parents. It needs to be treated with counseling or psychotherapy. Counsel your child by listening to his/her perspective about why he/she bullies others. Explain to them that bullying is wrong and address any concerns that the child may have. Token economy may be used. A child psychiatrist should definitely be consulted in cases of persistent bullying behaviours.
Do conduct disorders run in families?
Yes, conduct disorders tend to run in families. Conduct disorders can eventually develop into adult personality disorders.
Is a genetic workup required for children with conduct disorders?
A genetic workup may be required if some abnormalities are seen on physical examination.
How would children with conduct disorders behave in adulthood?
Conduct disorders, if ignored, may lead to adult personality disorders. Early-onset conduct disorders may have a worse prognosis. However, children when treated properly usually have no problems in adulthood.