Conduct Disorder and ODD

Question 1

How many symtpoms must be present in that previous 12 months?

Answer 1

3

Question 2

How many of those symptoms must have occured in the last 6 months?

Answer 2

1

Question 3

What are the symptom categories?

Answer 3

Aggression toward people or animals- 7 symptoms
Destruction of property- 2 symptoms
Deceitfulness or theft- 3 symptoms
Serious rule violation- 3 symptoms

Question 4

What is an important part of the social history when evaluating a patient with conduct disorder?

Answer 4

Substance abuse

Question 5

In what areas do girls with CD have the most trouble?

Answer 5

Lower intelligence
Poor performance
- Visuospatial
- Executive function
- Academic achievement

Question 6

Where should sources of information be acquired from?

Answer 6

Teachers
Parents
Siblings
Etc

Question 7

What area of the brain is impaired in boys with CD and ADHD?

Answer 7

Frontolimbic

- Adults with antisocial behavior

Question 8

Which part of the brain is responsible for empathy?

Answer 8

Amygdala

Question 9

Which part of the brain is resbonsible for decision making and reinforcement learning?

Answer 9

Ventromedial prefrontal cortex

Striatum

Question 10

How does ODD differ from CD?

Answer 10

Offences do not typically cause significant harm to others

Do not violate major societal norms

Question 11

How do ODD, CD, and Antisocial personalyt disorder relate to each other?

Answer 11

ODD could preceed CD and CD preceeds antisocial

Question 12

What makes treating CD so difficult?

Answer 12

Late dx
- Parents have lost control of their home and child
Child often outlasts the changes made by the parents
Child may escalate their behavior

Question 13

What is the foundation of treating CD?

Answer 13

Wraparound programs
- Cultural sensitivity
- Strengths focus
- Creativity
- Natural supports
- Team approaches
Multisystemic treatment 
- Parent-child interaction training
- Classroom social skills
- Playground behavior programs

Question 14

What place does pharmacotherapy have in treating CD?

Answer 14

Stimulants may decrease aggresiveness and impusliveness
Atypical neuroleptics may also help control aggression
- Risperidone
- Olanzapine
- Quetiapine
- Aripiprazole

Question 15

What types of non-pharmacological therapies have shown to be effective and cost effective?

Answer 15

Behavioral and cognitive behavioral group-based parenting interventions

Question 16

What actions need to be taken when there are comorbid psychiatric conditions?

Answer 16

They should be the target of psychopharmacologic interventions

Question 17

What is the basic diagnostic criteria for conduct disorder?

Answer 17

Persistent, repetitive pattern of behavior that infringes on the basic rights of others or violates major age-appropriate societal norms