User:Biancaeloi/Conduct disorder

Treatment for Conduct Disorder may slightly differ depending on the onset of symptoms. For children with onset of symptoms before age 10, the following interventions are recommended:

Child-oriented interventions (onset of Conduct Disorder before age 10)


 * Use of behavioral and cognitive interventions aimed at resolving impulsivity and anger control with behavioral interventions to improve and increase the child’s communication and problem-solving skills (Tonyali et al., 2019).

Family Based interventions - Interventions often aimed at parent-training and parent-child interactions.


 * Parent-Child Interaction Therapy – this approach is aimed at improving parents’ coping style in order to curb the child’s problematic behaviors. This approach I used with children ages 2-7 and it includes active listening, feedback, using “I” statements (Tonyali et al., 2019). The therapy is done in two phases: First, unstructured play techniques and increasing quality time between parents and child; Second, more structured and involves parent instructions guided by therapist that is appropriate to child’s age. This training starts in playroom with therapist and eventually is continued by parents at home (McNeil & Hembree-Kigin, 2010).

School-Based Interventions - based on social learning theory, can be applied by teachers or aides at school.


 * Teacher oriented interventions: aimed to reduce child’s aggressive behaviors towards peers.
 * Non-teacher Specialist based: interventions applied by school-based clinicians aimed at stress management, building positive relationships, managing problematic behaviors and co-operation with parents. One school-based program that has been successful is “First Step to Success” used with children displaying anti-social behaviors and their parents, teaching principles of positive behavior and consistent rewards for these behaviors (Toyali et al., 2019).

Interventions for Adolescence onset Conduct Disorder


 * Cognitive Behavioral Interventions: It targets adolescent’s thought process that reinforces anti-social behavior patterns and helps change those into more helpful problem-solving thought patterns. This interventions includes, cognitive skills training, anger management, and social skills (Toyali et al., 2019; Frick, 2001).
 * Social and Problem-Solving skills training – is aimed to gain perspective on adolescents through problem solving, critical reasoning, goal setting, long term planning. The goal of these interventions is to aid the adolescent in creating new approaches to cope with situations that lead to anti-social behaviors (Toyali et al., 2019).
 * Anger Management – This intervention focuses on teaching them the automatic thinking patterns that lead to aggressive and angry outbursts and encouraging them to consider non-violent explanations, develop appropriate responses, decide on these responses and enact on them (Frick, 2001).


 * Family Based Interventions - Family supported therapies have been shown affective in adolescents with Conduct Disorders
 * On type that is widely used is Multisystemic Therapy [LINK], designed to work with adolescents 12-17 and difficult-to-reach families. This treatment lasts 3-5 months and a specialist is available 24/7 to ensure the family has access to a multisystemic support in the event of a crisis. It is effective on processes that play a role in anti-social behavior, conflict between hostile adolescents and parents improve, support for family members increase, and verbal communication between parents increase (Toyali et al., 2019; Henggeler et al., 2009)


 * School-Based Interventions – There is a lnk between anti-social and criminal behaviors and school performance. Alternative school-based programs have positive effects on school performance and self-esteem.
 * Family Checkup – it’s an extended version of the Oregon Model [LINK – parent management training article – Oregon model section]. It encourages development of family resource centers in schools and aimed at developing parenting practices via motivational interviewing. High risk families are reached through routine checks and support (Toyali et al., 2019; Stormshak & Dishion, 2009).