Disruptive behavioral disorders.

Disruptive behavior disorders are some of the most frequently encountered disorders in any setting. Most authorities agree that DBDs are a heterogeneous group of disorders with multiple etiological risk factors. DBD can manifest in a variety of ways and is unique for each individual. The multiple revisions for defining DBD, along with the complexities encountered in the diagnosis and treatment, create some very difficult cases. Fortunately, research continues to advance knowledge and understanding and provide newer options for treatment. Using the concepts and principles in a comprehensive multi-disciplinary team approach to the diagnosis and treatment continue to provide the best results. Because most offices and clinics are not able to offer this multitude and variety of professional services, making referrals becomes a necessity. It is important to emphasize the need of periodic reassessments to demonstrate and document progress and for modifications in the treatment plan. The American Academy of Child and Adolescent Psychiatry (AACAP) publishes a helpful summary article entitled "Practice Parameters for the Assessment and Treatment of Children and Adolescents with Conduct Disorder," and copies can be obtained by contacting the AACAP.