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Conduct Disorders (ODD (etiology (social (family w/ patterns of…
Conduct Disorders
ODD
behavior more frequent than typically observed in kids of comparable age/developmental level - needs to show up in multiple different locations
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argumentative/defiant behavior (deliberately annoying, blaming others for mistakes)
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serious temper tantrums involving threats of suicide/destruction of property when denied something they want --> ER eval
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tx
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meds (for comorbid ADHD): stimulants, alpha adrenergic - clonidine, guanfacine
Conduct disorder
repetitive, persistent pattern of behavior - violating basic rights of others or major social norms
behaviors
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serious violations of rules: truancy, running away from home
onset
childhood onset < 10 yo: M>F, physical aggression, disturbed relationships, more likely to have conduct disorder persist in adulthood
adolescent onset > 10: more balanced gender ratio, less likely to be physically aggressive, more normative peer relationships, less likely to have conduct disorder into adulthood
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specify if "limited prosocial emotions": lack of remorse/guilt/empathy, unconcerned about performance, shallow or deficient affect
typically angry/sullen in context of adult world: pressure to conform, stay in school, persist in dull activities/
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etiology
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biological
hormones: oxytocin, vasopression, cortisol
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social
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poor parenting styles: inconsistent, abandonment
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treatment
behavioral interventions: preventive measures toward risk factors, parent training, multisystemic therapy (targets individual, family, peer, school, and neighborhood)
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aggression is SYMPTOM, not disease in itself
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by behavioral features (destructive vs non-destructive, overt vs covert)
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oppositional behavior
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becomes a concern when it's so frequent and consistent that it stands out compared to other kids of same age
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