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ODD~Oppositional Defiance Disorder **Update with Sources/Help**

Posted by on May. 8, 2012 at 7:18 PM
  • 788 Replies
3 moms liked this

The debate, discussion.....

What do YOU think of this disorder?


http://www.mayoclinic.com/health/oppositional-defiant-disorder/DS00630

http://en.wikipedia.org/wiki/Oppositional_defiant_disorder

"Oppositional defiant disorder (ODD) is a diagnosis described by the Diagnostic and Statistical Manual of Mental Disorders (DSM) as an ongoing pattern of anger guided disobedience, hostilely defiant behavior toward authority figures which goes beyond the bounds of normal childhood behavior. People may appear very stubborn and often angry. A diagnosis of ODD cannot be given if the child presents with conduct disorder (CD)[1]

 

Contents

[hide]

[edit] Behavioral features

Common features of Oppositional Defiant Disorder (ODD) include excessive, often persistent anger, frequent temper tantrums or angry outbursts, as well as disregard for authority. Children and adolescents with ODD often purposely annoy others, blame others for their own mistakes, and are easily disturbed. Parents often observe more rigid and irritable behaviors than in siblings.[2] In addition, these young people may appear resentful of others and when someone does something they don't like they prefer taking revenge more than sensitive solutions.[3]

For a child or adolescent to qualify for a diagnosis of ODD these behaviors must cause considerable distress for the family and/or interfere significantly with academic or social functioning. Interference might take the form of preventing the child or adolescent from learning at school or making friends, or placing him or her in harmful situations. These behaviors must also persist for at least six months. Effects of ODD can be greatly amplified by other disorders in comorbidity such as ADHD.[4]

[edit] Signs and Symptoms

Some signs and symptoms that must be perpetuated for longer than 6 months and must be considered beyond normal child behavior to fit the diagnosis are:[5][6]


The child must exhibit 4 out of the 8 signs and symptoms listed below in order to meet the DSM-IV-TR diagnostic threshold for ODD[7]

  • Actively refuses to comply with majority's requests or consensus supported rules[8]
  • Performs deliberate actions to annoy others[8]
  • Angry and resentful of others[6]
  • Argues often[6]
  • Blames others for his or her own mistakes
  • Has few or no friends or has lost friends
  • Is causing constant trouble at school
  • Touchy or easily annoyed

Generally, these patterns of behavior will lead to problems at school and other social venues.[6]

[edit] Causes

Children of alcoholic parents, or whose fathers have "been in trouble with the law" run a 18% chance of developing ODD, beginning very early in age.[4] This could suggest that the development of ODD concerning symptoms of dis-cooperativeness may be influenced by the behavior of the parents.

 Update:

I would like to add some helpful resources, books, for those who are navigating this terrain.

Your Defiant Child,  Barkley

The Defiant  Child, Dr. Riley

Taking Charge of Adhd, Barkley
The Explosive Child, Greene

Parenting Children w/ Adhd, MonastraSuper Parenting for ADD: The Survival Guide to Kids with ADD or ADHD, John Taylor PhD

 

by on May. 8, 2012 at 7:18 PM
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Replies (1-10):
Radarma
by "OneDar" on May. 8, 2012 at 7:18 PM
11 moms liked this

 Are these kids simply the "brats" of yesteryear?

SLTmom
by Silver Member on May. 8, 2012 at 7:21 PM
3 moms liked this
Yes.

Quoting Radarma:

 Are these kids simply the "brats" of yesteryear?


"I would rather have a mind opened by wonder than one closed by belief"  Gerry Spence

trippyhippy
by Gold Member on May. 8, 2012 at 7:56 PM
72 moms liked this
I don't think you realize to what level the behaviors have to be to get this diagnosis. It's not just being bratty and it is usually part of another diagnosis like autism or other neurological disorders. My son who has severe autism and severe adhd has borderline ODD. And has been in daily behavioral therapy for years due to it. Like I said his is just borderline and it's a nightmare, I can't imagine the extreme cases.
EireLass
by Ruby Member on May. 8, 2012 at 8:06 PM
2 moms liked this

Sounds like me and my 7 brothers and sisters.

beachbeauty
by on May. 8, 2012 at 8:08 PM
23 moms liked this


No, not in my experience.  I usually think of "brats" as children who lack discipline, who have not been taught how to behave.  My youngest 8yo DS has been diagnosed with ODD.  It differs in that with corrective discipline he will still repeat the behavior and have to be corrected for it over and over, not once or twice, but over a period of months so that it feels to the parent that you really aren't affecting his behavior at all.  Also, positive reinforcement often angers him or makes him act out more, if I point out something I am happy he is doing he will purposely stop doing it.  I have had some success with reward charts, but it's very slow and I can't put a time constraint on it or he becomes anxious and stops trying.  He does not have any other diagnoses that they've found except anxiety and severe separation anxiety and I am fortunate that he functions well in school where it is structured, but outside of school he has difficulty making friends.  We counter this by enrolling him in team sports which he enjoys and does well with.

Quoting Radarma:

 Are these kids simply the "brats" of yesteryear?


Radarma
by "OneDar" on May. 8, 2012 at 8:11 PM
2 moms liked this

 

Quoting trippyhippy:

I don't think you realize to what level the behaviors have to be to get this diagnosis. It's not just being bratty and it is usually part of another diagnosis like autism or other neurological disorders. My son who has severe autism and severe adhd has borderline ODD. And has been in daily behavioral therapy for years due to it. Like I said his is just borderline and it's a nightmare, I can't imagine the extreme cases.

 Actually, I do.

 

rfurlongg
by on May. 8, 2012 at 8:44 PM
36 moms liked this

 

Quoting Radarma:

 Are these kids simply the "brats" of yesteryear?

No. These are the kids that ended up institutionalized or in prison in yesteryears. Thank goodness for research and therapeutic advancements some of these children have a chance at a normal productive life.

psuedonym
by Member on May. 8, 2012 at 8:49 PM
4 moms liked this

There are brats only and then ODD kids who are worse brats.


katzmeow726
by Platinum Member on May. 8, 2012 at 9:05 PM
16 moms liked this

It goes beyond bratty...I don't think you realized the severity of ODD.  These kids are a danger to themselves and others.  Discipline has no effect on them...only making them angrier, and to act out more.  Even when they KNOW a punishment is coming, they will  continue with the behavior.  I've seen the results of such behavior in the bruises and bite marks my Dh would come home from work with because he had to deal with some of these kids.  

Although, the prognosis for ODD is better than conduct disorder.  Most of your CD kids are later diagnosed with antisocial personality.  

Quoting Radarma:

 Are these kids simply the "brats" of yesteryear?


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katzmeow726
by Platinum Member on May. 8, 2012 at 9:05 PM

Its hard though.  Treatment is often long term, up to a year or two, many kids end up in residential treatment. 

Quoting rfurlongg:

 

Quoting Radarma:

 Are these kids simply the "brats" of yesteryear?

No. These are the kids that ended up institutionalized or in prison in yesteryears. Thank goodness for research and therapeutic advancements some of these children have a chance at a normal productive life.


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