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Recent research indicates that a multi-pronged approach involving psychotherapy is often most effective in treating conduct disorders. Cognitive-behavioral therapy (CBT) may be used to help patients restructure negative thought processes and address emotions such as anger. In order for treatment to be successful, the patient’s entire family is urged to become involved. In addition, therapy should address the child’s behavior in the family, at school and in the community. However, if the child’s problems stem from physical or emotional abuse in the home, separation from the home may be necessary for the child.
During treatment, patients may learn to build skills such as anger management skills. Treatment may also focus on addressing associated disorders, such as attention-deficit hyperactivity disorder (ADHD). In some cases, medications may be used in conjunction with psychotherapy. Children with learning disabilities may require special education. Parents often need expert assistance in devising and carrying out special management and educational programs in the home and at school.
Medication treatment has been thought to be useful for treating comorbid problems such as ADHD and anxiety. Recent studies have demonstrated efficacy of the medication treatment in reducing aggression, oppositionalism and mood changes in patients with conduct disorders. Substance abuse problems should also be addressed and closely monitored.
There are some treatment methods for conduct disorders that may be advocated by outsiders to parents, yet are potentially harmful for the child. A “boot camp” style behavior modification program uses techniques such as confrontation that may harm the patient, and also end up worsening the disorder. Parents or caregivers are encouraged to consult mental health professionals for reliable and safe treatment options.
The prognosis for patients with conduct disorders is mixed. In some patients, conduct disorder resolves by adulthood. Early and long-term treatment may increase the odds that patients will successfully learn adaptive behaviors, and many patients grow up to be successful adults. However, a substantial minority of patients continue to have problems as adults, developing conditions such as antisocial personality disorder. Generally, the more significant the symptoms, the more difficult it is to treat the condition. Patients with associated mental health disorders also have a more uncertain prognosis. |