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Conduct disorder

Perturbatio conductus · Porucha chování

What it is

A persistent pattern in children and teenagers of violating others' rights and major rules — aggression, cruelty, theft, destruction; the early-onset form often continues into antisocial adulthood.

Symptoms & signs

  • Aggression, bullying, fights
  • cruelty to people or animals
  • destroying property, fire-setting
  • lying and theft
  • truancy, running away

🚩 Get help if…

  • call 112 / 911 now Child threatens or uses a weapon, or seriously hurts someone
  • call 112 / 911 now Talk of suicide or self-harm
  • see a doctor soon Fire-setting or cruelty to animals
  • see a doctor soon Running away from home or drug and alcohol use

Where it strikes

Medical treatment

  • Parent-training programmes (Incredible Years, Triple P) for younger children trials support
  • Multisystemic therapy for adolescents — a large UK trial found no advantage over usual services mixed evidence
  • treat co-existing ADHD — stimulants also reduce aggression
  • Risperidone for severe aggression — weight gain and metabolic effects mixed evidence
  • school-based programmes

Natural & lifestyle

  • Consistent, warm discipline
  • structured activities and sport
  • less exposure to violence

Emerging & experimental

  • Therapies aimed at callous-unemotional traits
  • early home-visiting programmes

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Omega-3 fatty acids — one trial reduced behaviour problems early / small studies
  • 'Scared straight' and boot camps — raise later offending not confirmed in trials
  • Few-foods elimination diet — studied in ADHD, not conduct disorder mixed evidence

ICD codes