A. A pattern of
negativistic, hostile, and defiant behavior
lasting at least 6 months, during which four (or
more) of the following are present:
argues with adults.
actively defies or refuses to comply with
requests or rules.
deliberately annoys people.
blames others for his or her mistakes or
touchy or easily annoyed by others.
angry and resentful.
spiteful or vindictive.
Consider a criterion met only if the behavior
occurs more frequently than is typically
observed in individuals of comparable age and
The disturbance in behavior causes clinically
significant impairment in social, academic, or
The behaviors do not occur exclusively during
the course of a Psychotic or Mood Disorder.
Criteria are not met for Conduct Disorder, and,
if the individual is age 18 years or older,
criteria are not met for Antisocial Personality