ODD, CD, ADHD

Question 1

what are the three possible diagnoses in ADHD?

Answer 1

hyperactivity domain
attention domain
both domains

Question 2

how many settings must symptoms be in for ADHD diagnosis?

Answer 2

2 different settings

Question 3

when diagnosing adult with ADHD at what point must they have had symptoms?

Answer 3

must have symptoms before 12 to be considered for ADHD

Question 4

where is the issue in ADHD?

Answer 4

prefrontal cortex

Question 5

is ADHD more common in males or females?

Answer 5

males

Question 6

what are two NTs associated with ADHD?

Answer 6

norepinephrine and dopamine

Question 7

do we want to increase or decrease the availability of NE and dopamine in treatment of ADHD?

Answer 7

increase!!

Question 8

what is first line medical treatment for ADHD?

Answer 8

stimulants…adderall and ritalin

Question 9

what is the mechanism of adderal and ritalin?

Answer 9

both increase release of dopamine and NE

Question 10

what is the ANS class of drugs used for ADHD treatment?

Answer 10

alpha 2 adrenergic agonists…clonidine, guanficine

Question 11

what are the three main characteristics of ODD?

Answer 11

angry/irritable mood
argumentative/defiant behavior
vindictiveness (revenge)

Question 12

how long must you have ODD symptoms and how many do you have to have for diagnosis?

Answer 12

6 mos…4 symptoms aimed at someone other than sibling

Question 13

what is the disorder you cannot have to be diagnosed with ODD?

Answer 13

disruptive mood dysregulation disorder

Question 14

what are the ratings of ODD?

Answer 14

Mild (1 setting)
Moderate (2 settings)
Severe (3 settings)

Question 15

what is most common comorbidity with ODD?

Answer 15

ADHD

Question 16

what do some patients with ODD develop as they get older?

Answer 16

Conduct disorder that then leads to antisocial personality disorder

Question 17

what is first line treatment for ODD?

Answer 17

behavioral therapy, including parent management training

Question 18

what are the four characteristics of CD?

Answer 18

aggression to ppl/animals
destruction of property
deceitfulness/theft
serious rule violations

Question 19

what are criteria for diagnosis of CD?

Answer 19

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

Question 20

if a person hits 18 yo with CD, then what should they be evaluated for? if eval is positive then what happens to diagnosis?

Answer 20

eval for antisocial personality disorder…diagnosis changed from CD to antisocial personality disorder at that time

Question 21

to have antisocial personality disorder, what age must you be? and what must you experience prior?

Answer 21

must be 18 with history of conduct disorder

Question 22

is it worse to have childhood or adolescent onset of CD?

Answer 22

childhood

Question 23

what is treatment for CD?

Answer 23

behavioral therapy

Question 24

what type of behavioral therapy is indicated for CD?

Answer 24

Multisystemic therapy including many facets of life