So Simple

Why can't psychiatrists understand the differential diagnosis of Intermittent Explosive Disorder and Conduct Disorder. Remorse vs. No Remorse, not that hard. If you are angry b/c you want my money and hit me over the head to get it and don't feel bad about that until you get punished for the act (CD). If you randomly find yourself hitting people over the head in unpredictable fits of rage with no discernible utilitarian purpose involved (IED). This is not that hard and I can do this well for 1/3 the salary you guys are making. If you are absolutely annoying to most people who meet you and find yourself constitutionally incapable of complying with even the most basic and seemingly innocuous of requests from authority figures - Oppositional Defiant Disorder. Oh and no kid should ever, ever be diagnosed with all of the following in the same assessment: Conduct Disorder, Oppositional Defiant Disorder, Disruptive Behavior Disorder, N.O.S., Bipolar Disorder, N.O.S., Intermittent Explosive Disorder and ADHD - make a darn decision folks! Be a clinician. I know the DSM nosology is not carving nature at the joints but I'm thinking we could at least pick which childhood disruptive behavior disorder best captures the youth's symptom profile and go with that. OK done with rant.