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Disruptive and oppositional behavior in an 11-year old boy
Ann Garland1, Marilyn Augustyn, Martin T Stein
1University of California San Diego, CA, USA.
Journal of Developmental and Behavioral Pediatrics : JDBP
|April 24, 2010
Summary
This case study highlights an 11-year-old boy with Attention Deficit Hyperactivity Disorder (ADHD) whose disruptive behaviors persisted despite stimulant therapy. Behavioral therapy was recommended to address oppositional and aggressive conduct.
Area of Science:
- Pediatrics
- Child Psychology
- Neurodevelopmental Disorders
Background:
- An 11-year-old boy diagnosed with ADHD (combined type) exhibited persistent oppositional and disruptive behaviors.
- Stimulant therapy improved academic attention but did not resolve social and home-based conduct issues.
Purpose of the Study:
- To describe a case of a child with ADHD experiencing ongoing behavioral challenges.
- To illustrate the need for comprehensive behavioral interventions beyond medication.
Main Methods:
- Clinical case presentation of an 11-year-old boy with ADHD.
- Review of behavioral observations from school and home environments.
- Pediatrician referral for child psychology evaluation.
Main Results:
- The child displayed significant oppositional behavior, temper tantrums, and aggression towards siblings.
- Difficulty maintaining peer friendships and compliance with parental requests were noted.
- Academic performance remained average to above average despite behavioral issues.
Conclusions:
- Standard stimulant therapy for ADHD may not fully address all behavioral manifestations.
- Comprehensive behavioral therapy is indicated for managing oppositional and aggressive symptoms in children with ADHD.
- Multifaceted treatment approaches are crucial for improving social and familial functioning.
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