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Special Issue: Focus on ADHD
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ADHD & ODD: Confronting the Challenges of Disruptive Behavior

By CHRISTOPHER K. PETERS, MD
University of Louisville | September 9, 2009
Dr Peters is director of training in child and adolescent psychiatry and assistant professor in the division of child and adolescent psychiatry at the University of Louisville.



TREATMENT OUTCOMES IN 3 CASES
In Case 1, adequately treating TJ's ADHD did very little to mitigate the indulgent strategies that his mother used to assuage her own guilt and coercively minimize acute problems. She did not realize that she was impeding TJ's development of self-regulation. Through PMT and individual therapy to help her see the role her own thoughts and emotions played in maintaining her son's behavior, TJ's mother was able to make strides in creating more appropriate limits and boundaries. Although TJ continues to have challenges, he is showing progress.

In Case 2, AT's parents had been struggling with a lack of confidence in their parenting methods, and they responded well to PMT.

In Case 3, JS engaged well with the therapist and began to try out new ways of self-managing his anger and frustration. He also benefited from his mother's response to her own treatment for ADHD.

Although not every case is a success story, with better understanding of the interactional components of ODD, primary care pediatricians can provide more appropriate interventions and will be more likely to elicit the needed change. While the major goal of working with disruptive patients is to enhance their own self-confidence in managing impulses and negative emotions, this cannot occur without working with the context within which these children live—that is, their families.

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REFERENCES

1. Fravenglass S, Routh DK. Assessment of the disruptive behavior disorders: dimensional and categorical approaches. In: Quay HC, Hogan AE, eds. Handbook of Disruptive Behavior Disorders: Dimensional and Categorical Approaches. New York: Kluwer Academic/Plenum Publishers; 1999:49-71.

2. Finch AJ Jr, Nelson WM III, Hart KJ. Conduct disorder: description, prevalence and etiology. In: Nelson WM III, Finch AJ Jr, Hart KJ, eds. Conduct Disorders: A Practitioner’s Guide to Comparative Treatments. New York: Springer Publishing; 2006: 1-13.

3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Arlington, VA: American Psychiatric Publishing, Inc; 2000:83-103.

4. The MTA Cooperative Group. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Multimodal Treatment Study of Children with ADHD. Arch Gen Psychiatry. 1999;56:1073-1086.

5. Perepletchikova F, Kazdin AE. Oppositional defiant disorder and conduct disorder. In: Cheng K, Myers KM, eds. Child and Adolescent Psychiatry: The Essentials. Philadelphia: Lippincott Williams & Wilkins; 2005:73-88.

6. Newcorn JH, Halperin JM. Attention-deficit disorders with oppositionality and aggression. In: Brown TE, ed. Attention-Deficit Disorders and Comorbidities in Children, Adolescents, and Adults. Washington, DC: American Psychiatric Press, Inc; 2000:171-207.

7. Greenhill L, Kollins S, Abikoff H, et al. Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD [published correction appears in J Am Acad Child Adolesc Psychiatry. 2007;46:141]. J Am Acad Child Adolesc Psychiatry. 2006;45:1284-1293.

8. Steiner H, Remsing L; Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 2007;46:126-141.

9. Angold A, Costello EJ. Toward establishing an empirical basis for the diagnosis of oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 1996;35:1205-1212.

10. McHugh PR. Striving for coherence: psychiatry’s efforts over classifications. JAMA. 2005;293: 2526-2528.

11. Burke JD, Loeber R, Birmaher B. Oppositional defiant disorder and conduct disorder: a review of the past 10 years, part II. J Am Acad Child Adolesc Psychiatry. 2002;41:1275-1293.

12. Quinlan DM. Assessment of attention-deficit/ hyperactivity disorder and comorbidities. In: Brown TE, ed. Attention-Deficit Disorders and Comorbidities in Children, Adolescents, and Adults. Washington, DC: American Psychiatric Press, Inc; 2000:455-507.

13. Mayes R, Bagwell C, Erkulwater J. Medicating Children: ADHD and Pediatric Mental Health. Cambridge, MA: Harvard University Press; 2009.

14. Pappadopulos E, Jensen PS, Chait AR, et al. Medication adherence in the MTA: saliva methylphenidate samples versus parent report and mediating effect of concomitant behavioral treatment. J Am Acad Child Adolesc Psychiatry. 2009;48:501-510.

15. Peters CK, Josephson AM. Understanding and managing adolescent disruptive behavior: a developmental family perspective. Psychiatr Times. 2009; 26(2):42-47.

16. Kazdan AE. Parent Managed Training: Treatment for Oppositional, Aggressive, and Antisocial Behavior in Children and Adolescents. New York: Oxford University Press; 2005.

17. Mabe PA, Turner MK, Josephson AM. Parent management training. Child Adolesc Psychiatr Clin N Am. 2001;10:451-464.

18. Webster-Stratton C, Hancock L. Training for parents of young children with conduct problems: content, methods, and therapeutic processes. In: Briesmeister JM, Schaefer CE, eds. Handbook of Parent Training: Parents as Co-Therapists for Children’s Behavior Problems. 2nd ed. Hoboken, NJ: John Wiley & Sons; 1989:99-152.

19. Bloomquist ML, Schnell SV. Social competence training. In: Bloomquist ML, Schnell SV, eds. Helping Children With Aggression and Conduct Problems: Best Practices for Intervention. New York: Guilford Press; 2002:117-143.

20. Josephson AM, Serrano A. The integration of individual therapy and family therapy in the treatment of child and adolescent psychiatric disorders. Child Adolesc Psychiatr Clin N Am. 2001;10:431-450.

21. Weissman MM, Pilowsky DJ, Wickramaratne PJ, et al; STAR*D-Child Team. Remissions in maternal depression and child psychopathology: a STAR*D-child report [published correction appears in JAMA. 2006;296:1234]. JAMA. 2006;295:1389-1398.


 
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