Parental abuse, onset of problem behavior in early childhood, financial hardship and lack of
supervision are all associated with more severe conduct disorder.10, 18 Additionally, a
poorer prognosis is associated with an increase in the number and severity of specific DSM - IV criteria.10 Risk
also increases with comorbid ADHD and substance abuse.10 These dimensions should guide treatment Subclinical conduct disorder symptoms or those of recent onset may be amenable to physician - parent counseling.