1. DISRUPTIVE DISORDERS OF CHILDHOOD & ADOLESCENCE BY: CARLOS R. ESTRADA, M.D.

2. DISRUPTIVE DISORDERS OF CHILDHOOD & ADOLESCENCE TABLE OF CONTENTS I. DEFINITION II. NORMAL DEVELOPMENT III. OUTGROWING THE TERRIBLE TWO’S IV. ATTENTION DEFICIT HYPERACTIVE DISORDER V. OPPOSITIONAL DEFIANT DISORDER VI. IMTERMITTENT EXPLOSIVE DISORDER VII. CONDUCT DISORDER VIII. CO-MORBIDITY & COMPLICATIONS IX. TREATMENT X. PROGNOSIS

3. I DEFINITION -A PATTERN OF BEHAVIOR THAT MAKES PEOPLE ANGRY WITH THE CHILD OR TEENAGER -LASTS MORE THAN 6 MONTHS -PERSISTS DESPITE DIRE CONSEQUENCES

4. II NORMAL 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.

5. III OUTGROWING THE TERRIBLE TWOS DETERMINED ASSERTIVE COMMANDING SELF ASSURED PASSIONATE DRIVEN UNWAIVERING PERSISTENT CONFIDENT STRONG WILLED

6. IV ATTENTION DEFICIT HPERATIVITY DISORDER/ATTENTIONDEFICIT DISORDER IMPULSIVITY DISTRACTABILITY HYPERACTIVITY DISRUPTIVE FORGETFUL

7. V OPPOSITONAL DEFIANT DISORDER OPPOSITIONAL DEFIANT ARGUMENTATIVE DEMANDING CONTROLLING STUBBORN VIOLENT TEMPER TANTRUM DESTRUCTIVE OR ASSAULTIVE WHEN FRUSTRATED

8. VI INTERMITTENT EXPLOSIVE DISORDER USUALLY CALM & COOPERATIVE RAGE WITH MINOR FRUSTRATIONS DESTRUCTIVE & ASSAULTIVE ASHAMED & GUILTY AFTER THE EPISODE ENDS

9. VII CONDUCT DISORDER LACK OF CONCERN & RESPECT FOR OTHERS REPEATED VIOLATION OF RULES & LAWS MANEUVERS TO AVOID CONSEQUENCES VIOLENT OR NON-VIOLENT ALONE OR IN GROUP

10. VIII COMORBIDITY MAY CO-EXIST WITH ANY OTHER PSYCHIATRIC DISORDER MOST COMMON COMORBIDITIES: BIPOLAR DISORDER DEPRESSION PTSD ALCOHOL & DRUG ABUSE

11. IX TREATMENT DIAGNOSIS & REFERRAL BEHAVIOR MODIFICATION COUSELING & PSYCHOTHERAPY MEDICATION HOSPITALIZATION RESIDENTIAL TREATMENT

12. X PROGNOSIS MOST PATIENTS WITH SOME ADEQUATE HELP FROM FAMILY, SCHOOL & MENTAL HEALTH PROVIDERS GROW UP TO BE HAPPY, HEALTHY, YOUNG ADULTS