Abstract
Abstract Juvenile delinquents with externalizing disorders are a challenging, yet rewarding, population to treat. The externalizing disorders-namely, attention-deficit/hyperactivity disorder (ADHD), conduct disorder (CD), and oppositional defiant disorder (ODD)-are some of the most common encountered by practitioners working with juvenile delinquents (Kazdin, 2002; Kronenberger, Meyer, 2001). In studies of community and clinic samples, a large percentage of youths with CD or ADHD (e.g., 45% to 70%) also met criteria for the other disorder (Fergusson, Horwood,, Lloyd, 1991), and comorbidity between CD and ODD, anxiety disorders, and depression is common as well (Kazdin, 2002). In a recent epidemiological study that examined psychiatric disorders in juvenile delinquents (Teplin, Abram, McClelland, Dulcan,, Mericle, 2002), the most common disorders were substance use disorders and disruptive behavior disorders (ODD and CD), with more than 40% of males and females meeting criteria for a disruptive behavior disorder. Accordingly, this chapter presents a case exemplar of treating a juvenile delinquent dually diagnosed with conduct disorder and alcohol abuse.
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