ADHD
prevalence rates ranged from %3 to % 7 in school-aged children. It is known
that the disorder is more common boys than girls in both epidemiological and
clinical samples. ADHD can co-exist with many diseases. The most important
comorbidities are conduct disorder and disruptive mood dysregulation disorder
because of the effects on impairing functionality. In the patients with ADHD itis reported that the incidence of conduct disorder is % 20 to % 50 anddisruptive mood dysregulation disorder is 86.9%.Disruptive mood dysregulation
disorder is characterized by impairing and chronic irritability. The patients
respond to frustration with extended temper tantrums, verbal rages, and/or
aggression toward people or property. Abnormal mood specifically anger or
sadness present at least half of the day on most days and of sufficient
severity to be noticeable by people in the child’s environment.
In
treatment of ADHD most common used pharmacological agent is methylphenidate.
Atypical antipsychotics can be added to treatment in some cases because of
unsatisfactory clinical response and comorbidities.In this case report, we
discussed the treatment of a 8-year-oldmale patient with methylphenidate and
olanzapine, who has ADHD, disruptive mood dysregulation disorder and conduct
disorder.
Case: The
case, who has consulted with the day clinic of Kocaeli University Department of
Child and Adolescent Psychiatry, is 8-yearold male and a third grade student.
It has been deducted that the case includes some serious problems such as;
temper tantrum, hyperactivity, lying, taking things which don’t belong to him
without permission, and telling he will hurt himself when he’s mad. After the
consultation with him and his family it has been determined that the symptoms
of the case have started when he was attending preschool at the age of 6 and
his symptoms have increased when he started first grade at the age of 7. Read more...............
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