Abstract
Childhood Onset Conduct Disorder [CD] is a condition characterized by at least one symptom of conduct disorder (based on Diagnostic and Statistical Manual of Mental Disorders criteria—Fifth Edition) prior to 10 years of age. Children affected exhibit disruptive behaviors, usually negative, hostile, and defiant behavior similar to Oppositional Defiant Disorder [ODD]. As the child gets older they begin to display more characteristic of Conduct Disorder (lying, fighting, and stealing, vindictive behavior). These children are also likely to have comorbidities including Attention Deficit Hyperactivity Disorder (ADHD), learning disabilities, poor academic achievement, and substance abuse. Distinguishing early between symptoms of Conduct Disorder versus other differential diagnoses is essential in effective treatment. Early intervention with these children leads to a better prognosis and likelihood of functioning in society. This case illustrates the difficulty of diagnosing a young child with Childhood Onset Conduct Disorder.
Highlights
This case illustrates the complexity of this diagnosis in a young child
This case illustrates the difficulty of diagnosing a young child with Childhood Onset Conduct Disorder
The neuropsychological testing showed he did not meet criteria for Autism Spectrum Disorder. He was continued on medications for Attention Deficit Hyperactivity Disorder (ADHD) and impulsivity (Amphetamine 5 mg in morning and clonidine 0.1 mg at bedtime) and is participating in intensive family intervention services. It is a challenge when diagnosing a young child with Childhood Onset Conduct Disorder
Summary
This case illustrates the complexity of this diagnosis in a young child He is a victim of neglect and presents with suggestive symptoms of Childhood Onset Conduct Disorder. He was diagnosed with ADHD and Disinhibited Social Engagement Disorder after initial psychiatric assessment Patient was born vaginally at 40 weeks with no complications at birth; he was exposed to methamphetamine in utero. His developmental milestones were significantly delayed in communication, motor, and social skills.
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