Child and adolescent psychiatry

Question 1

Conduct disorder clinical features

Answer 1

Persistent and serious violation of rules, societal norms & rights of others

Physical aggression directed towards people & animals

Destructive behaviour eg. arson or vandalism

Deceitfulness or theft

Serious violation of rules eg, truancy or running away from home

Question 2

Conduct disorder

Answer 2

Psychological disorder given to patients < 18 years who consistently exhibit behaviours and attitudes that disrespect and violate the rights of others, often breaching societal norms & rules

Question 3

Conduct disorder mx

Answer 3

Psychotherapy - CBT can be effective in helping the child control their anger & improve their problem-solving skills

Family therapy - can help improve family interactions & communication → can reduce symptoms

Pharmacological treatments

School-based interventions

Question 4

Oppositional defiant disorder (ODD)

Answer 4

Psychiatric condition that typically presents in childhood

Characterised by a persistent pattern of defiant, disobedient & hostile behaviour directed towards authority

Does not meet severity threshold for conduct disorder

Question 5

OOD clinical features

Answer 5

Frequent temper tantrums

Argumentativeness with authorities

Refusal to comply with rules & directions

Deliberate annoyance of others

Blaming others for mistakes/misbehaviour

Spiteful or vindictive behaviour

Question 6

ODD mx

Answer 6

Parent management training - parents are taught effective ways to positively reinforce desirable behaviours & discourage negative ones

Individual psychotherapy

Family therapy

CBT