Pinnacle Guru · Published archive
Collab Topic - Behavioural Therapy
Published
* There will be comorbidity of Adhd with other childhood disintegrative disorders.
*The combination of ADHD with other disorders often presents extra challenges for children, parents, educators,
Therefore, it is important for healthcare providers to screen every child with ADHD for other disorders and problems. This page provides an overview of the more common conditions and concerns that can occur with ADHD.
Behavior or Conduct Problems in ADHD :
Children occasionally act angry or defiant around adults or respond aggressively when they are upset. When these behaviors persist over time, or are severe, they can become a behavior disorder. Children with ADHD are more likely than other children to be diagnosed with a behavior disorder such as Oppositional Defiant Disorder or Conduct Disorder:
Examples of ODD behaviors include
#Often losing their temper
#Arguing with adults or refusing to comply with adults’ rules or requests
#Often getting angry, being resentful, or wanting to hurt someone who they feel has hurt them or caused problems for them
#Deliberately annoying others; easily becoming annoyed with others
#Often blaming other people for their own mistakes or misbehavior
Conduct Disorder :
Conduct Disorder (CD) is diagnosed when children show a behavioral pattern of aggression toward others, and serious violations of rules and social norms at home, in school, and with peers. These behaviors can lead to breaking the law and being jailed. Having ADHD makes a child more likely to be diagnosed with a CD. Children with CDs are more likely than other children to get injured, and to have difficulties getting along with peers.
Examples of CD behaviors include:
*Breaking serious rules, such as running away, staying out at night when told not to, or skipping school
*Being aggressive in a way that causes harm, such as bullying, fighting, or being cruel to animals
*Lying and stealing, or damaging other people’s property on purpose
Treatment for disruptive behavior disorders:
Starting treatment early is important. Treatment is most effective if it fits the needs of the child and family. The first step to treatment is to have a comprehensive evaluation by a mental health professional. Some of the signs of behavior problems, such as not following rules, are also signs of ADHD, so it is important to get a careful evaluation to see if a child has both conditions.
For younger children, the treatment with the strongest evidence is behavioral parent training, where a therapist helps the parent learn effective ways to strengthen the parent-child relationship and respond to the child’s behavior.
For school-age children and teens, an often-used effective treatment is combination training and therapy that includes the child, the family, and the school. Sometimes medication is part of the treatment.
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