A childhood behavioral disorder, conduct disorder is defined by the patient bullying, defying rules and fighting. MedlinePlus states that conduct disorder is associated with attention deficit disorder (ADD), and can be an early sign of bipolar disorder or depression. The Merck Manual Home Edition adds that symptoms vary by gender; girls are more likely to lie, run away and abuse substances, while boys are more likely steal, vandalize and fight. Treatment for conduct disorder involves behavioral changes and medication, which can be difficult if the patient does not acknowledge the behavioral problems.
Psychotherapy
Talk therapy is used to find underlying cause of the inappropriate behaviors. Psychotherapy is also helpful with depressive symptoms that can occur with conduct disorder. MedlinePlus notes that conduct disorder is often associated with child abuse, so therapy may also uncover suppressed memories and feelings. A psychologist will work with the child to teach him how to express and control his anger. A reward-based system may be used, where the child received positive feedback or a physical prize when he displays appropriate behavior. The therapy may also include social skills training, which teaches the patient how to act appropriately. Therapy may also include family or parental therapy, which helps the patient's family cope with the conduct disorder problems. School-based programs may also be used as part of the treatment. However, psychotherapy for conduct disorder is a long-term program, as it takes time to change violent behaviors.
Structured Environment
The Merck Manual Home Edition states that behavior can also be improved by removing the child from a negative environment; mental health and juvenile justice facilities are two possibilities. MedlinePlus warns parents about behavior modification schools and other programs that use attack therapy and confrontation. These methods can be dangerous and cause more harm than good. When looking for an inpatient clinic for the patient, parents should choose regulated programs that ensure a safe environment for the child.
Medications
Medications may be used for co-morbid depression and ADD. The American Academy of Child and Adolescent Psychiatry states that three medications---stimulants, mood stabilizers and anticonvulsants---can be prescribed. Methylphenidate, a type of stimulant, is used to treat ADD symptoms, such as inattention. Lithium, a mood stabilizer, treats aggression. Carbamazepine, an anticonvulsant and mood stabilizer, also helps with aggressive outbursts. The organization warns, however, that the medications may not change all of the behavioral problems associated with conduct disorder. Medications can be more effective when combined with psychotherapy.
