The social worker remembered thinking, "Wow! That kid sure is a handful. I'm surprised he was not referred sooner." Mark Pryor is an 11 year-old boy who is described by his parents as being stubborn and defiant since early childhood. "Sometimes that child can be so spiteful," adds his father. His mother comments, "If I ask Mark to brush his teeth and he's watching TV, he'll turn around and call me all sorts of names. I know my son doesn't mean it… at least I hope so, but it sure hurts. His brothers walk on eggs when he's in one of his moods, which lately seems to be all the time. Oddly enough he does pretty good in school but I notice he doesn't have that many friends these days." What is the most like diagnosis to consider?
A)Attention-deficit hyperactivity disorder
B)Disruptive behavior disorder
C)Oppositional defiant disorder
D)Conduct disorder

Question

Quizplus · Accepted Answer

Mark's behavior is consistent with Oppositional Defiant Disorder, which is characterized by a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least six months. Mark's behavior appears to be pervasive across multiple settings, and his behavior is creating impairment in social, academic, or occupational functioning. Although he may display some symptoms of ADHD or Disruptive Behavior Disorder, Oppositional Defiant Disorder is the most appropriate diagnosis based on the information provided. Conduct Disorder would require more severe antisocial behavior, such as aggression towards people or animals, destruction of property, or theft.

The Social Worker Remembered Thinking, "Wow! That Kid Sure Is