12.09.17 Child psychiatry notes
Psychological disorder diagnosed in childhood that presents itself through a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate norms are violated
A repetitive and persistent pattern of behavior in which the basic rules of others or major age-appropriate societal norms or rules are violated
Manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months:
Aggression to people and animals
Often bullies, threatens, or intimidates others
Often initiates physical fights
Has used a weapon that can cause serious physical harm to others
Has been physically cruel to people
Has been physically cruel to animals
Has stolen while confronting a victim
Has forced someone into sexual activity
Destruction of property
Has deliberately engaged in fire setting with the intention of causing serious damage
Has deliberately destroyed others' property (other than by firesetting)
Deceitfulness or theft
Has broken into someone else's house, building, or car
Often lies to obtain goods of favors or to avoid obligations
Has stolen items of nontrivial value without confronting a victim
Serious violations of rules
Often stays out at night despite parental prohibitions, beginning before age 13 years
Has run away from home overnight at least twice while living in parental or parental surrogate home (or once without returning home for a lengthy period of time)
Is often truant from school, beginning before the age 13 years
The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
If individual is age 18 years or older, criteria are not met for antisocial Personality Disorder
Precursor to antisocial personality disorder
Apparent when in a group
cf Herd mentality
Apparent when alone
Much more serious
IA. Six or more of the following signs of inattention have been present for at least 6 months to a point that is disruptive and inappropriate for developmental level:
Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities.
Often has trouble keeping attention on tasks or play activities.
Often does not seem to listen when spoken to directly.
Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).
Often has trouble organizing activities.
Often avoids, dislikes, or does not want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework).
Often loses things needed for tasks and activities (such as toys, school assignments, pencils, books, or tools).
Is often easily distracted.
Often forgetful in daily activities.
IB. Six or more of the following signs of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level:
Often fidgets with hands or feet or squirms in seat.
Often gets up from seat when remaining in seat is expected.
Often runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).
Often has trouble playing or enjoying leisure activities quietly.
Is often "on the go" or often acts as if "driven by a motor".
Often talks excessively.
Often blurts out answers before questions have been finished.
Often has trouble waiting one's turn.
Often interrupts or intrudes on others (example: butts into conversations or games).
II. Some signs that cause impairment were present before age 7 years.
III. Some impairment from the signs is present in two or more settings (such as at school/work and at home)
IV. There must be clear evidence of significant impairment in social, school, or work functioning.
The signs do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder
The signs are not better accounted for by another mental disorder
Dad has full parental responsibility if he is named on the birth certificate, even if separated
Connor's questionnaire for ADHD