A 10-year-old boy is brought to clinic by his mother because…

A 10-year-old boy is brought to clinic by his mother because of frequent aggressive outbursts. His mother says that over the last several months, her son has been fighting with peers, is openly rude to his teachers, and actively ignores his parents’ rules. She reports that he goes out of his way to bully his younger sister. A week ago, he stole his classmate’s backpack. The classmate began crying, but her son did not return the backpack, apologize, or appear remorseful. The mother says she is worried that if this behavior continues, her son will soon be suspended from school. Which of the following traits displayed by this patient is more suggestive of a diagnosis of conduct disorder than of oppositional defiant disorder (ODD)?

A 17-year-old girl has a 3-year history of major depressive…

A 17-year-old girl has a 3-year history of major depressive disorder and intermittent suicidal thoughts. She discloses that she has new intermittent thoughts of cutting and made one very superficial cut with her razor a week ago, following a fight she had with her boyfriend. She denies current acute suicidal ideation. What is the most important next step in your clinical management?