DISRUPTIVE DISORDERS DISRUPTIVE DISORDERS OFOF

CHILDHOOD & CHILDHOOD & ADOLESCENCEADOLESCENCE

BY: CARLOS R. ESTRADA, M.D.BY: CARLOS R. ESTRADA, M.D.

DISRUPTIVE DISORDERSDISRUPTIVE DISORDERS OF OF

CHILDHOOD & ADOLESCENCECHILDHOOD & ADOLESCENCE

TABLE OF CONTENTSTABLE OF CONTENTS

I.I.DEFINITIONDEFINITIONII.II.NORMAL DEVELOPMENTNORMAL DEVELOPMENTIII.III.OUTGROWING THE TERRIBLE TWO’SOUTGROWING THE TERRIBLE TWO’SIV.IV.ATTENTION DEFICIT HYPERACTIVE DISORDERATTENTION DEFICIT HYPERACTIVE DISORDERV.V.OPPOSITIONAL DEFIANT DISORDEROPPOSITIONAL DEFIANT DISORDERVI.VI.IMTERMITTENT EXPLOSIVE DISORDERIMTERMITTENT EXPLOSIVE DISORDERVII.VII.CONDUCT DISORDERCONDUCT DISORDERVIII.VIII.CO-MORBIDITY & COMPLICATIONSCO-MORBIDITY & COMPLICATIONSIX.IX.TREATMENTTREATMENTX.X.PROGNOSISPROGNOSIS

IDEFINITION

-A PATTERN OF BEHAVIOR THAT MAKES PEOPLE ANGRY WITH THE CHILD OR TEENAGER

-LASTS MORE THAN 6 MONTHS

-PERSISTS DESPITE DIRE CONSEQUENCES

IINORMAL DEVELOPMENT

(TERRIBLE TWOS)

CHILDREN FROM 18 MONTHS TO 4 YEARS OR SO ARE NORMALLY DEMANDING, CONTROLLING, STUBBORN AND CRY.

THEY MAY THROW TEMPER TANTRUMS WHEN FRUSTRATED.

IIIOUTGROWING THE TERRIBLE TWOS

IV ATTENTION DEFICIT HPERATIVITY

DISORDER/ATTENTIONDEFICIT DISORDER

VOPPOSITONAL DEFIANT DISORDER

VIINTERMITTENT EXPLOSIVE DISORDER

USUALLY CALM & COOPERATIVERAGE WITH MINOR FRUSTRATIONSDESTRUCTIVE & ASSAULTIVEASHAMED & GUILTY AFTER THE EPISODE ENDS

VII CONDUCT DISORDER

LACK OF CONCERN & RESPECT FOR OTHERSREPEATED VIOLATION OF RULES & LAWSMANEUVERS TO AVOID CONSEQUENCESVIOLENT OR NON-VIOLENT ALONE OR IN GROUP

VIIICOMORBIDITY

MAY CO-EXIST WITH ANY OTHER PSYCHIATRIC DISORDERMOST COMMON COMORBIDITIES:BIPOLAR DISORDERDEPRESSIONPTSDALCOHOL & DRUG ABUSE

IXTREATMENT

XPROGNOSIS

MOST PATIENTS WITH SOME ADEQUATE HELP FROM FAMILY,

SCHOOL & MENTAL HEALTH PROVIDERS GROW UP TO BE

HAPPY, HEALTHY, YOUNG ADULTS