Conduct Disorder In Children And Adolescents

Question 1

Px

Answer 1

Repetit and persis patt of antisoc, aggressive or defiant behav that violate age approp soc norms.
Can split into conduct disorder and oppositional defiant (if no ser violation of norms or others rights).
Feats- aggress, cruelty, destructive, deceitful, theft, arson, truancy, running away, provocative.
Sig impact on family and peer rels, and schooling.
ICD10 reqs one or more feat at a marked lev over 6mnth.
Oppositional defiant disorder beyond 10yo is us called conduct disorder.
Socialised vs unsocialised types. Socialised less serious and more phasic. Unsoc poten leads to criminality and dissoc PD.

Question 2

Aetiology

Answer 2

Social disadv
Parenting
Deveopmental probs

Question 3

Diffs

Answer 3

ADHD
ASD
Adjustment disorder
PTSD
AD
Learning diffic or disabil
Psychosis
Norm but abn parent expecs.

Question 4

Mx

Answer 4

Parent management training eg grp based educ prog.
Consis parenting and care.
Simple behav etchs.
Specif expecs with proportionate conseqs.
Functional family therapy.
Multi systemic therapy inv fam, school, community.
Psychoeduc and supp.
Soc skills, prob solving, anger mx, confid building for child, relaxation.
Tx comorbidity eg ADHD, learn diffics, subst abuse, dep, AD, ASD.
Child protec concerns.
Soc- recreation progs, adult mentoring of youth, financial.
Faciliate communication.
Behav interven eg operant cond, secondary reinf, modelling.
-bio- specif cond tx, antiP for aggress/hyperactiv maybe, or anticonvuls, lithium, BB, buspirone. Naltrexone for self inj.
Phsyical protec gear.