Conduct Disorder vs ADHD: Key Differences Explained | Cadabam’s CDC
When teachers report “disruptive behaviour” or homework never gets done, parents often ask, “Is it ADHD or Conduct Disorder?” Both conditions can look similar in a classroom or at the dinner table, yet the underlying causes, risks, and treatment paths differ. This article—brought to you by Cadabams CDC—breaks down Conduct Disorder vs ADHD in plain language so you can spot the signs early and choose the right support for your child.
ADHD vs. Conduct Disorder: Key Comparisons & Management Strategies
1. Quick Snapshot
| Feature | ADHD | Conduct Disorder |
|---|---|---|
| Core Challenge | Focus, impulse control | Rule-breaking, disregard for others |
| Age of Onset | 3–7 years | 8–15 years |
| Behavior Intent | Impulsive, accidental | Deliberate, goal-oriented |
| Social Perception | Seen as distractible | Viewed as aggressive/bullying |
2. Core Symptoms
ADHD
- Inattention: Forgetful, loses items, easily distracted.
- Hyperactivity: Fidgeting, excessive talking, restlessness.
- Impulsivity: Interrupts, acts without considering consequences.
Subtypes:
- Inattentive: Daydreaming, slow task completion.
- Hyperactive-Impulsive: Constant motion, impatience.
- Combined: Mixed symptoms (most common).
Conduct Disorder
- Behaviors: Aggression (fighting, cruelty), property destruction (vandalism), deceit/theft, serious rule violations (truancy).
- Severity:
- Mild: Localized to home/school.
- Moderate: Impacts multiple settings.
- Severe: Involves physical harm or legal issues.
3. Differentiating Symptoms
| Symptom | ADHD | Conduct Disorder |
|---|---|---|
| Attention | Struggles even when motivated | Focused during rule-breaking acts |
| Intent | Impulsive, no planning | Premeditated actions (e.g., revenge) |
| Emotion | Frustration → Quick recovery | Anger, blame, long grudges |
| Peer Impact | Annoying but non-threatening | Bullying/manipulation |
| School Issues | Poor grades from missed details | Defiance, intimidation of staff |
4. Overlapping & Co-Occurring Conditions
- ODD: 30–50% of ADHD cases also have Oppositional Defiant Disorder.
- Learning Disorders: Masked by disruptive behaviors.
- Mood Disorders: Anxiety/depression exacerbates symptoms.
Shared Risk Factors: Genetics, childhood trauma, inconsistent parenting.
5. Diagnostic Process
Cadabam’s Child Development Center Approach:
- Tools: Clinical interviews, standardized scales (Conners-3, CBCL), classroom simulations.
- Input: Parent/teacher digital questionnaires.
- Timeline:
- Session 1: History intake.
- Session 2: Cognitive/academic testing.
- Session 3: Behavioral observation.
- Session 4: Feedback + report.
6. Evidence-Based Treatments
ADHD
- Behavioral: Parent training (praise, routines), CBT for self-monitoring.
- Medication: Stimulants (methylphenidate, amphetamines) or non-stimulants.
Conduct Disorder
- Social Skills Groups: Empathy practice, conflict resolution.
- Family Therapy: Communication strategies, boundary-setting.
- Medication: Off-label use for aggression (e.g., mood stabilizers).
7. School & Home Strategies
- ADHD Accommodations:
- IEP: Extended test time, sensory breaks.
- 504 Plan: Preferential seating, fidget tools.
- Conduct Disorder Rules:
- Rule of 3: 3 clear, posted rules.
- Consequences: Immediate, calm, and consistent.
Teacher Resources: Free Cadabams webinars with actionable strategies.
8. Real Parent Experiences
Mrs. R., Bengaluru: “After ADHD+ODD diagnosis, parent coaching and medication reduced homework time from 3 hours to 30 minutes.”
Mr. S., Hyderabad: “Family therapy addressed Conduct Disorder triggered by bullying. Our daughter now thrives in school and sports.”
Key Takeaways
- ADHD stems from neurodevelopmental challenges; Conduct Disorder from deliberate rule-breaking.
- Early assessment is critical—look for intent and patterns.
- Combined therapies (behavioral + medical) and consistent boundaries yield the best outcomes.