The management of an adolescent with conduct problems in a primary care clinic – A case report
Purpose: To describe the management of mild conduct problems in an adolescent at the primary care level.
Case report: A 16 year old girl presented with conduct problems with impending school suspension. The cause of herbehavioural problems was mainly related to poor parenting skills of her parents and anger in herself. She wassuccessfully managed with counselling and improvement of parenting styles in her parents.
Conclusion: This case report illustrates the opportunity for family physicians to manage simple conduct problems atprimary care level.
American Psychiatric Association. Diagnostic and statistical manual of mental disorder: DSM-IV-TR. 4th ed. American Psychiatric Publication; 2000.
Hutchings J, Gardner F, Bywater T, et al. Parenting intervention in Sure Start services for children at risk of developing conduct disorder: pragmatic randomised controlled trial. BMJ. 2007;334(7595):678.
Searight HR, Rottnek F, Abby SL. Conduct disorder: diagnosis and treatment in primary care. Am Fam Physician. 2001;63(8):1579-88.
Fiendler EL. Encyclopaedia of cognitive behavioural therapy: adolescent aggression and anger management. US: Springer Publications; 2005. p. 11-4.
Colman I, Murray J, Abbott RA, et al. Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort. BMJ. 2009;338:a2981.
Larmar SA, Gatfield T. Management of conduct problems in young children. International Journal of Learning. 2006;13 (1):149-53.
Hoghughi M, Speight AN. Good enough parenting for all children – a strategy for a healthier society. Arch Dis Child. 1998;78(4):293-6.
Berg B. The anger control workbook: exercises to develop anger control skills. Ohio: Cognitive Therapeutics Publication; 1990:1-52.
Synder KV, Kymissis P, Kessler K. Anger management for adolescents: efficacy of brief group therapy. J Am Acad Child Adolesc Psychiatry. 1999;38(11):1409-16.
Zimmerman GL, Olsen CG, Bosworth MF. A ‘stage of change’ approach to helping patients change behaviour. Am Fam Physician. 2000;61(5):1409-16.