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Tile-me-tin

Tie- shoe

15 – 3 – 12 months
1 – 6 months

if 18yo = antisocial

Aggressive (7)
Property (2)
Deceit/theft (3)
Violate rules (3)

Male who in 30-50% chance will become a sociopath with poor intellectual capacity
(shows low average level on the global scale of intelligence); poor writing and
verbal language, deficits in executive functions, and has cognitive deficit and tends
to misinterpret the intents of others, and interpret them as hostile – overreacts.

Since he also has adhd, he will have a worse outcome and very likely has a specific
learning disorder (20%). He also has conduct disorder, substance abuse and
depression and therefore at an increased risk of suicide.

To treat, it will be multimodal, since attack intellectual and cognitive deficits and
would benefit from a residential program or structured living setting.
Children around 2-4 years of age will show some oppositional attitude. Usually start
with temper tantrums and disobedience, with arguments, lack of cooperation and
would rather lose the chance of eating ice cream just because he wanted to win/not
lose the argument.

Not really aggressive people

RYE – SHOE = 4 symptoms at least 6 months


Criteria
1. Angry and Irritable (3)
2. Argumentative and defiant behavior (4)
Vindictiveness (1)

There are no real pharmacological interventions, rely on behavior therapy as u


selectively reinforce appropriate behavior or not reinforce undesirable behavior.
Combination therapy : behavior treatment and medication = best response.
If with CD or ODD = stimulant = best response.
Approximately ¾ or 75% of preschool children will also meet criteria for another
psychiatric diagnosis.

Symptoms have to appear before 12 yo


Have to affect in mother than two settings,
Interferectes reduce quality of function.

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