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Externalizing Disorders

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Abstract

Youth with oppositional defiant disorder (ODD) and conduct disorder (CD), referred to together in this chapter as externalizing disorders (ED), represent a sizeable population of youth, and exhibit high rates of comorbidity with other psychiatric disorders, including anxiety disorders, depressive disorders, substance use disorders, and neurodevelopmental disorders such as attention-deficit/hyperactivity disorder. This chapter begins with a discussion of background and etiology of ODD and CD, including associated comorbid diagnoses and health-related behavior problems. We then review considerations for assessment under various real-world conditions. Next, we discuss the treatment literature for youth with ED, with an emphasis on implications for process-oriented intervention. We follow this section with considerations for working across systems to meet the unique and complex need of the population of youth with ED. Then, we provide a case vignette describing the course of treatment for a 9-year-old boy with ODD who was treated in an integrated primary care setting. Last, we close with a discussion of our conclusions and suggestions for future directions for working with families coping with ED.

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Authors and Affiliations

  1. Division of Psychiatry, Geisinger, Danville, PA, USA

    Sean M. O’Dell & Monika Parikh

  2. Department of Psychology, Lebanon Valley College, Annville, PA, USA

    Jenna M. Marx

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Correspondence to Sean M. O’Dell .

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Editors and Affiliations

  1. Department of School Psychology, Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA

    Susan G. Forman

  2. Department of School Psychology, Graduate School of Applied and Professional Psychology, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA

    Jeffrey D. Shahidullah

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O’Dell, S.M., Marx, J.M., Parikh, M. (2018). Externalizing Disorders. In: Forman, S., Shahidullah, J. (eds) Handbook of Pediatric Behavioral Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-00791-1_11

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