ODD, CD, ADHD Flashcards
what are the three possible diagnoses in ADHD?
hyperactivity domain
attention domain
both domains
how many settings must symptoms be in for ADHD diagnosis?
2 different settings
when diagnosing adult with ADHD at what point must they have had symptoms?
must have symptoms before 12 to be considered for ADHD
where is the issue in ADHD?
prefrontal cortex
is ADHD more common in males or females?
males
what are two NTs associated with ADHD?
norepinephrine and dopamine
do we want to increase or decrease the availability of NE and dopamine in treatment of ADHD?
increase!!
what is first line medical treatment for ADHD?
stimulants…adderall and ritalin
what is the mechanism of adderal and ritalin?
both increase release of dopamine and NE
what is the ANS class of drugs used for ADHD treatment?
alpha 2 adrenergic agonists…clonidine, guanficine
what are the three main characteristics of ODD?
angry/irritable mood
argumentative/defiant behavior
vindictiveness (revenge)
how long must you have ODD symptoms and how many do you have to have for diagnosis?
6 mos…4 symptoms aimed at someone other than sibling
what is the disorder you cannot have to be diagnosed with ODD?
disruptive mood dysregulation disorder
what are the ratings of ODD?
Mild (1 setting)
Moderate (2 settings)
Severe (3 settings)
what is most common comorbidity with ODD?
ADHD
what do some patients with ODD develop as they get older?
Conduct disorder that then leads to antisocial personality disorder
what is first line treatment for ODD?
behavioral therapy, including parent management training
what are the four characteristics of CD?
aggression to ppl/animals
destruction of property
deceitfulness/theft
serious rule violations
what are criteria for diagnosis of CD?
3 out of 15 total criteria related to the four characteristics (aggression to ppl/animals
destruction of property
deceitfulness/theft
serious rule violations) in the past 12 mos with at least one present in last 6 mos
if a person hits 18 yo with CD, then what should they be evaluated for? if eval is positive then what happens to diagnosis?
eval for antisocial personality disorder…diagnosis changed from CD to antisocial personality disorder at that time
to have antisocial personality disorder, what age must you be? and what must you experience prior?
must be 18 with history of conduct disorder
is it worse to have childhood or adolescent onset of CD?
childhood
what is treatment for CD?
behavioral therapy
what type of behavioral therapy is indicated for CD?
Multisystemic therapy including many facets of life
