Chapter 10- Externalizing Disorders

Question 1

What are some features of ADHD?

When do symptoms must be present?

4pts

Answer 1

• Persistent pattern of Inattention and hyperactivity
• Symptoms must be present prior to age 12
• Symptoms are present in 2 or more settings
• Interferes with social, academic or occupational functioning

Question 2

What are 2 subtypes of ADHD?

3pts

Answer 2

Inattentive presentation
–> 6 of 9 symptoms are required from Criteria A1

Hyperactive-impulsive presentation
–> 6 of 9 symptoms are required from Criteria A2

Combined presentation
–> 6 of 9 symptoms from Criteria A1 and 6 of 9 symptoms from Criteria A2

Question 3

What is an externalizing disorder?

2pts

Answer 3

• Under controlled behaviors/impulses including acting out, disruptive, delinquency, aggressive behavior, hyperactive
• Two major dimensions are ADHD and conduct problems/aggressive behavior

Question 4

What’s the developmental course and outcome for ADHD?

Is it a life long condition or short term?

What will the symptoms look like?

2pts

What are 4 things they are at risk for in later life?

Answer 4

• it is a typically chronic, lifelong condition though symptoms expression may change over time
• Hyperactive symptoms may decrease with age, while inattention and impulsivity can persist into adolescence and adulthood
• At risk for academic difficulties, social problems, substance abuse and occupational challenges in later life

Question 5

What is treatment for ADHD?

3pts

Answer 5

• Mix of both pharmacological and psychosocial interventions

pharmacological:
- stimulants and non stimulants

Psychosocial:
- CBT
- Social skills training

Question 6

Prevalence:

BLANK often diagnosed later

Symptoms often confused with anxiety and depression in BLANK

Blank presentation more common in girls

Answer 6

• Girls
• Girls
• Inattentive

Question 7

To diagnose ADHD in adults and adolescents 17 or older only BLANK symptoms are needed instead of BLANK for younger children

Answer 7

5, 6

Question 8

What is ODD?

What are 3 main symptoms

4pts

Answer 8

Oppositional defiant disorder: angry and defiant
- Angry/irritable mood
- Argumentative
- Vindictiveness

Question 9

What is Conduct Disorder?

6pts

Answer 9

• Aggressive and violent
  -Threat to physically harm humans and animals
• Property damage/loss
• Theft
• Serious violation of rules
• Callousness/lack of empathy

Question 10

What is the developmental outcome of ODD and CD?

What are 5 risks?

What are 3 forms of psychosocial treatment? and 1 pharmacological treatment?

Answer 10

• Some children may outgrow these behaviors or it could become worse
• Risk of ASPD, substance abuse, criminal behavior, poor social and occupational outcomes

Treatment:
- Parent Management Training (PMT)
- Multisystemic therapy (MST)
- CBT
- Stimulant medication