Behavioral Science - Child Psychiatry II - Kevin Antshel

Question 1

Delay of reinforcement gradients in ADHD children is indicative of what future risk?

Answer 1

Addiction risk

Question 2

What behavioral treatments are available for ADHD?

Answer 2

Direct contingency mgmt
School-based behavioral interventions
Behavioral Parent Training (BPT)

Question 3

Name this disorder:
Pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months and includes at least 4 symptoms AND occurs in at least one person who is not a sibling.

Answer 3

ODD

Angry/irritable Mood

• -Often loses temper
• -Often touchy or easily annoyed
• -Often angry and resentful

Argumentative/Defiant Behavior

• -Often argues with authority figures or adults
• -Often actively defies or refuses to comply with requests from authority figures or rules
• -Often deliberately annoys others
• -Often blames others for his/her mistakes or behaviors

Vindictiveness
Has been spiteful or vindictive at least twice within the past 6 months

Question 4

What constitutes severe ODD?

Answer 4

Symptoms present in 3+ settings

Question 5

What behavioral treatments are available for ODD?

Answer 5

Problem Solving Skills Training (PSST) - treats “hostile attribution bias”

Behavioral Parent Training - teaches authoritative parenting

Question 6

Name this diagnosis:
A repetitive and persistent pattern of behavior in which the basic rights of others or major age=appropriate societal norms or rules are violated, as manifested by at least 3 of the significant symptoms in the past 12 months.

Answer 6

CD

Symptom Categories:
Aggression to People and Animals
Destruction of Property
Deceitfulness or Theft
Serious Violations of Rules

Question 7

What is the diagnosis if the criteria for CD are met in a patient who is over the age of 18?

Answer 7

Antisocial Personality Disorder

Question 8

What is the largest risk factor for a child with CD developing Antisocial Personality Disorder in adulthood?

Answer 8

Childhood-onset (the patient showed at least 1 symptom before age 10)

Question 9

Limited prosocial emotions associated with CD such as callousness/lack of empathy, are indicative of what treatment difficulty?

Answer 9

Recalcitrance

Question 10

What are the behavioral treatments for CD?

Answer 10

Multisystemic therapy (MST)
Multidimensional Treatment Foster Care (MTFC)
Functional Family Therapy (FFT)
BPT
PSST

Question 11

ADHD requires how many symptoms for diagnosis?

Answer 11

6
4 for ODD
3 for CD