Maladaptive Aggression is defined as an impulsive aggression that is usually unplanned, unprofitable and poorly controlled, or predatory aggression that can be planned, profitable and self-controlled aggressive behavior.  

Teaching Points

  • Treatments should target the underlying conditions related to the youth’s aggression which requires knowing what you are treating via a comprehensive assessment.

  • Avoid using two antipsychotic medications simultaneously (co-pharmacy) or more than two psychotropic medications (polypharmacy). Patients with complex, co-morbid conditions may benefit from more than one medication at a time but data on such combinations remains scant for most conditions.


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Special Acknowledgment

The AAP gratefully acknowledges support for the Pediatric Mental Health Minute in the form of an educational grant from SOBI.