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Created on May 16, 2025

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Treatment of Conduct Disorders: Tailoring Approaches to Different Subtypes and Clinical Presentations

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Prof. Stephen Scott

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How much do you know about conduct disorders and their treatment?

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ADHD is frequently comorbid with CD, especially in early-onset cases, and must be carefully assessed with standardized tools like the SDQ or Conners

Age of onset helps differentiate subtypes with distinct trajectories: childhood-onset tends to be more severe, persistent problems; while adolescent-onset is often milder and more situational.

What comorbid condition is often missed but significantly affects prognosis and treatment planning in CD?

Why is it important to consider age of onset when assessing conduct disorder?

In CD, irritability is linked to defiance and aggression; in depression, it is accompanied by low mood and vegetative symptoms

What key clinical feature distinguishes irritability in CD from depressive disorders?

What are some common neurobiological differences between children with or without conduct disorder and CU traits?

Dysfunction in the ventromedial prefrontal cortex and amygdala, contributing to low empathy and instrumental aggression

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Prof. Stephen Scott

"I’m Professor of Child Health and Behaviour at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London, and work as a consultant psychiatrist specialising in conduct problems, as well as adoption and fostering. I have a particular interest in conducting trials of parenting interventions to improve child outcomes, both in the areas of attachment and antisocial behaviour. I’ve carried out more independent trials assessing treatments for conduct problems than anyone else in the world. I’m also co-author of the bestselling introductory textbook Child and Adolescent Psychiatry (Goodman and Scott, 3rd edition), and a contributing author and editor of Rutter’s Child and Adolescent Psychiatry. In recognition of my work, I was made a Commander of the British Empire by the Queen in 2014, elected a Fellow of the Academy of Medical Sciences in 2017, and in 2019, became an honorary fellow of the Royal College of Paediatrics and Child Health."

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