My friends son has been said to maybe have this disorder but is very hard to diagnose..
This disorder used to be used for the so called juvenile delinquent. You know, the kid who got into trouble. It could put a kid away to a mental hospital or juvenile retention center. not so today. The real condition is very complex to diagnose and really has little use in comparison to underlying conditions such as ADD, depression. Bipolar or whatever. My guess is that five psychiatrists and PhD psychologists would come up with five different diagnoses. It is understood that in order to bill an insurance company and for record keeping a therapist must pick the most likely diagnosis as found from the initial intake. When uncertain, broad categories may be used until a firmer diagnosis is found. Since individuals can have multiple issues the diagnosis can change according to the area being worked with.
So the answer regarding your friends boy is that he is fighting with parents and authority, lacking proper social skills, physical and/or verbally abusive, and I would have to get out my DSM-IV to look up the rest. The kid needs time somewhere away from family where he can be heard and understood. The parents need training in how to better understand their child and work with him by establishing boundaries and providing consistent rules and consequences. most often that is what is really lacking. By the time this diagnosis comes about the family is a wreck. No body is right and that includes the parents. Kids can heal. Parents get stuck with their egos. As soon as parents blame the child, the child is lost. I do hope this young man receives the help he so deserves.
I would not be enthusiastic about any therapist that labels a child this way. The current method is to find what needs treating and then do what is needed. I do hope this is a child therapist we are talking about who diagnosed. They specialize. Did you want more info? I have it if you do. Write me if you wish. Karen
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