DSM-5: Impulse Disorders

The chapter on Disruptive, Impulse-Control and Conduct Disorders is new  to the DSM-5. These are the highlights.

Oppositional Defiant Disorder: There are now 3 types – angry/irritable mood, argumentative/defiant behavior, and vindictiveness. In addition, the exclusion criteria has been removed, and the frequency and severity are more clearly defined.

Conduct Disorder: An additional specifier has been added for those who are also callous and unemotional, denoting a more severe type.

Intermittent Explosive Disorder: criteria of verbal aggression and non-injurious physical aggression have been added to the diagnostic criteria. In addition, there is now a minimum age of six years.


By Dr. Terra Caudill, MD, MS