Prompt

You are the general paediatrician seeing a school-age child referred for 'defiance'. The examiner will test formulation, parent training, comorbidity, medication limits and safety.

Stem

The examiner starts with a 7-year-old referred for defiance at home and school, then adds ADHD features, a waitlist for parent training, and a safeguarding concern. ^[4]

References9Show

[4]Steiner H Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry, 2007.PMID 17195736
[5]Scott S Multicentre controlled trial of parenting groups for childhood antisocial behaviour in clinical practice. BMJ, 2001.PMID 11473908
[6]Gorman DA Canadian guidelines on pharmacotherapy for disruptive and aggressive behaviour in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, or conduct disorder. Can J Psychiatry, 2015.PMID 25886657
[8]Moffitt TE Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev, 1993.PMID 8255953
[9]Dishion T The Oregon Model of Behavior Family Therapy: From Intervention Design to Promoting Large-Scale System Change. Behav Ther, 2016.PMID 27993335
[11]Kaminski JW A meta-analytic review of components associated with parent training program effectiveness. J Abnorm Child Psychol, 2008.PMID 18205039
[12]Henggeler SW Multisystemic Therapy: Clinical Overview, Outcomes, and Implementation Research. Fam Process, 2016.PMID 27370172
[18]Wolraich ML Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics, 2019.PMID 31570648
[2]Stringaris A Three dimensions of oppositionality in youth. J Child Psychol Psychiatry, 2009.PMID 19166573

Stem

The examiner starts with a 7-year-old referred for defiance at home and school, then adds ADHD features, a waitlist for parent training, and a safeguarding concern. ^[4]

References9Show

[4]Steiner H Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry, 2007.PMID 17195736
[5]Scott S Multicentre controlled trial of parenting groups for childhood antisocial behaviour in clinical practice. BMJ, 2001.PMID 11473908
[6]Gorman DA Canadian guidelines on pharmacotherapy for disruptive and aggressive behaviour in children and adolescents with attention-deficit hyperactivity disorder, oppositional defiant disorder, or conduct disorder. Can J Psychiatry, 2015.PMID 25886657
[8]Moffitt TE Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev, 1993.PMID 8255953
[9]Dishion T The Oregon Model of Behavior Family Therapy: From Intervention Design to Promoting Large-Scale System Change. Behav Ther, 2016.PMID 27993335
[11]Kaminski JW A meta-analytic review of components associated with parent training program effectiveness. J Abnorm Child Psychol, 2008.PMID 18205039
[12]Henggeler SW Multisystemic Therapy: Clinical Overview, Outcomes, and Implementation Research. Fam Process, 2016.PMID 27370172
[18]Wolraich ML Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics, 2019.PMID 31570648
[2]Stringaris A Three dimensions of oppositionality in youth. J Child Psychol Psychiatry, 2009.PMID 19166573

Behavioural management of defiance and oppositional behaviours — branching viva

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Behavioural management of defiance and oppositional behaviours — branching viva

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