How does a real-world child psychiatric clinic diagnose and treat attention deficit hyperactivity disorder?

Table 5 Psychiatric treatment recommendations for attention deficit hyperactivity disorder patients with vs without oppositional defiant disorder comorbidity (n = 59)

Diagnostic source	ODD	n	Medication therapy only	Behavior therapy only	Combined treatment
CAP	Negative	27	15 (25%)	1 (2%)	11 (19%)
VADRS	Negative
CAP	Negative	17	3 (5%)	0 (0%)	14 (24%)
VADRS	Positive
CAP	Positive	3	0 (0%)	1 (2%)	2 (3%)
VADRS	Negative
CAP	Positive	12	0 (0%)	3 (5%)	9 (15%)
VADRS	Positive
Total (%)			18 (30%)	5 (9%)	36 (61%)

ODD: Oppositional defiant disorder; CAP: Child and adolescent psychiatrist; VADRS: Vanderbilt ADHD Diagnostic Rating Scales.