Conduct Disorder in Children: Signs, Causes & Support

Authored by: The DrSensory Editorial Team

Reviewed by: 🛡️ DrSensory Clinical Review Board

Last updated: June 2025

All medical content on this page has been reviewed and approved by licensed Doctors on the DrSensory Clinical Review Board. Our reviewers follow strict editorial standards and ensure alignment with current APTA guidelines, evidence-based practice, and orthopedic rehabilitation protocols.

What Is Conduct Disorder?

Understanding a Complex Childhood Behavior Disorder

Overview of Conduct Disorder in Children

Conduct Disorder (CD) is a serious behavioral and emotional disorder seen in children and adolescents. It involves a repetitive and persistent pattern of violating the rights of others and age-appropriate social norms or rules. Unlike occasional misbehavior, CD is marked by chronic aggression, deceitfulness, and rule-breaking that disrupts school, family, and social life.

Prevalence: 

CD affects approximately 2–10% of children and teens and is more common in boys. Early diagnosis and support are critical in improving long-term outcomes.

Common Signs & Symptoms of Conduct Disorder

Children with Conduct Disorder may show patterns of:

Aggressive Behavior

  • Physical fights or bullying
  • Cruelty to people or animals
  • Use of weapons

Destructive Behavior

  • Deliberate property destruction
  • Vandalism or arson

Deceitful or Manipulative Behavior

  • Lying frequently
  • Stealing without remorse
  • Breaking into homes or cars

Serious Rule Violations

  • Skipping school
  • Running away from home
  • Defying parental or school rules

Note: These behaviors are consistent and persistent—not isolated events. Diagnosis typically requires symptoms to be present for 6 months or longer.

Causes and Risk Factors

Conduct Disorder is influenced by a mix of biological, psychological, and environmental factors:

Biological Factors

  • Brain differences in areas linked to impulse control and emotion regulation
  • Genetic predisposition to behavioral disorders

Psychological Factors

  • Co-occurring conditions like ADHD, ODD, anxiety, or learning disabilities

Environmental Factors

  • Exposure to violence or neglect
  • Inconsistent or harsh parenting
  • Family instability or substance abuse
  • Peer influence or community violence

Conduct Disorder vs. Normal Misbehavior

Typical Misbehavior Conduct Disorder
Occasional lying or defiance Chronic dishonesty and rule-breaking
Fights among siblings Repeated aggression toward peers or animals
Respects rules after discipline Disregards consequences and boundaries

Early intervention can make the difference between lifelong behavioral issues and a more positive developmental trajectory.

Diagnosis of Conduct Disorder

Diagnosis must be made by a qualified mental health professional using DSM-5 criteria. While DrSensory does not offer diagnostic services, we encourage families to consult with:

  • Child psychologists or psychiatrists
  • Developmental pediatricians
  • Licensed clinical social workers

In some cases, a referral from your child’s primary care provider may be required.

Supportive Therapies for Children with Conduct Disorder

While therapy for Conduct Disorder often involves mental health treatment, children with CD may also benefit from therapies focused on emotional regulation, communication, and sensory integration—especially when developmental or neurological challenges are present.

At DrSensory, you can search our Therapist Database to find experienced pediatric occupational therapists (OTs), physical therapists (PTs), and speech-language pathologists (SLPs) who offer valuable supportive services.

1. Occupational Therapy (OT)

OTs help children develop emotional regulation, impulse control, and executive functioning—key skills for reducing aggression and improving daily behavior.

2. Speech-Language Therapy (SLP)

Children with CD may struggle to express themselves or interpret social cues. SLPs focus on improving communication skills and pragmatic language to foster healthier peer interactions.

3. Physical Therapy (PT)

PTs assist children with coordination, motor planning, and confidence-building activities, which can be helpful for those whose behavioral issues are compounded by physical limitations or frustration.

4. Parent Coaching & Collaboration

Many therapists offer home strategy support to help families create structured, predictable routines and reduce behavioral triggers at home.

💡 The DrSensory Approach

At DrSensory, we don’t treat Conduct Disorder directly—but we connect families with trusted, licensed professionalswho play a vital role in a child’s developmental journey.

  • 🔍 Therapist Directory by Specialty & Location
  • 👶 Pediatric-Focused Care: OTs, PTs & SLPs
  • 📚 Resources That Empower Parents & Educators
  • 🧠 Supportive, Sensory-Aware Approach to Behavior

Our goal is to help parents navigate a complex diagnosis by giving them access to tools, providers, and educational support.

Frequently Asked Questions (FAQ)

What age does Conduct Disorder typically appear?

Conduct Disorder can appear as early as age 5, but it is more commonly diagnosed in late childhood or adolescence. Early-onset CD tends to have a more persistent course.

Is Conduct Disorder the same as Oppositional Defiant Disorder (ODD)?

No. ODD involves defiance and irritability, while CD includes more serious violations of social norms and the rights of others. However, ODD can progress to CD in some cases if not treated.

Can a child grow out of Conduct Disorder?

With early intervention and consistent support, some children improve significantly. Without treatment, however, CD can continue into adulthood and lead to more serious behavioral or legal problems.

What kind of professionals treat Conduct Disorder?

Treatment typically involves child psychologists, psychiatrists, or licensed therapists. Pediatric OTs, SLPs, and PTs can support children with co-occurring developmental or sensory challenges that influence behavior.

How can I find a supportive therapist near me?

Visit the DrSensory Therapist Database to search for qualified pediatric occupational, speech, and physical therapists in your area.

This page provides general educational content and is not a substitute for professional medical advice. Always consult a licensed provider for diagnosis and treatment.

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