Disruptive Behavior Disorders: Oppositional Defiant Disorder and Conduct Disorder Flashcards Preview

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Flashcards in Disruptive Behavior Disorders: Oppositional Defiant Disorder and Conduct Disorder Deck (16)
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1
Q

ODD

A

Pattern of angry/irritable mood, defiant behavior, or vindictiveness lasting 6 mos with 4 or more sx

and exhibited during interaction with a least one non-sibling

2
Q

ODD criteria

A

Angry/irritable mood
Argumentative/defiant
Vindictiveness (spiteful or vindictive at least twice in last 6 months)

Disturbance associated with distress in individual or others in social contacts

3
Q

ODD onset

A

Before 8 years old typically

Starts in home and spreads

4
Q

Biology of ODD

A

Underarousal has been cfound consistently

Underutilize social cues, misattirbute hostile intent to peers, cannot generate solutions to own problems

5
Q

ODD Nautrla course

A

Most kids no longer have diagnosis ater 3 years

Early onset is owrse

30% will progress to CD

6
Q

Differential for ODD

A

Unlike CD, ODD does NOT include physcal aggression, destruction of property or theft

in 50% of children with ADHD

7
Q

Tx of ODD

A

For preschool, use programs like Head Start or home visits

For school age, parent managment strategies

Adolescents - CBT, training, academics

8
Q

Pharm ODD

A

Adjunctive and should not be the only thing

Atypical antipsychotics are most common

9
Q

Ineffective interventions

A

Inoculation approaches - boot camps/shock incarceration

Exposrue to frightening situatins

10
Q

Conduct disorder

A

Repetitve and persistent pattern of behavior in which basic rights of others or major norms are violated

11
Q

CD diagnosis

A

Aggression to people and animals
Destruction of property
Deceitfulness or theft
Serious violations of rules

12
Q

CD genetics and sex

A

Males more like to exhibit aggression, girls more covert crimes

There is a gneetic risk

13
Q

APD

A

Antisocial personality disorder
Evidence of CD before age 15

ODD–>CD–>APD but some skip ODD

14
Q

Evaluation and tx of CD

A

Refer to specialized testing
Consider lab tests
There is no single tx

Multimodal is best and must be delivered long term to malke a difference

15
Q

Psychosocial tx for CD

A

Parent management - reinforce positive and eeal with bad

Probelm solving skills to teach about options

Multi-systemic therapy in a home based model with 24/7 therapists

16
Q

CD pharm

A

Some psychotropic meds work

Best case can be made for comorbid ADHD with stimulants

Must be careful about abuse/diversion of stimulant meds