Oppositional defiant disorder is a pattern of disobedient, hostile, and defiant behavior toward authority figures.
Causes, incidence, and risk factorsThis disorder is more common in boys than in girls. Some studies have shown that it affects 20% of school-age children. However, most experts believe this figure is high due to changing definitions of normal childhood behavior, and possible racial, cultural, and gender biases.
This behavior typically starts by age 8, but it may start as early as the preschool years. This disorder is thought to be caused by a combination of biological, psychological, and social factors.
SymptomsTo fit this diagnosis, the pattern must last for at least 6 months and must be more than normal childhood misbehavior.
The pattern of behaviors must be different from those of other children around the same age and developmental level. The behavior must lead to significant problems in school or social activities.
Signs and testsChildren with symptoms of this disorder should be evaluated by a psychiatrist or psychologist. In children and adolescents, the following conditions can cause similar behavior problems and should be considered as possibilities:
The best treatment for the child is to talk with a mental health professional in individual and possibly family therapy. The parents should also learn how to manage the child's behavior.
Medications may also be helpful, especially if the behaviors occur as part of another condition (such as depression, childhood psychosis, or ADHD).
Expectations (prognosis)Some children respond well to treatment, while others do not.
ComplicationsIn many cases, children with oppositional defiant disorder grow up to have conduct disorder as teenagers or adults. In some cases children may grow up to have antisocial personality disorder.
Calling your health care providerCall your health care provider if you have concerns about your child's development or behavior.
PreventionBe consistent about rules and consequences at home. Don't make punishments too harsh or inconsistent.
Model the right behaviors for your child. Abuse and neglect increase the chances that this condition will occur.
ReferencesSteiner H, Remsing L, Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. J Am Acad Child Adolesc Psychiatry. 2007;46:126-141.
Reviewed ByReview Date: 01/30/2010
Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine; and Michelle Benger Merrill, MD, Instructor in Clinical Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed byDavid Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
no autistic children cannot have oppositional defiant disorder
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The outcome varies. In some children the disorder evolves into a conduct disorder or a mood disorder. Later in life, oppositional defiant disorder can develop into passive aggressive personality disorder or antisocial personality disorder
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Cassidy Todd in 1990
Oppositional Defiant Disorder.
oppositional defiant disorder
There is a disorder for that called Oppositional Defiant Disorder. I have it.
While psychological testing may be needed, the doctor must examine and talk with the child, talk with the parents, and review the medical history. Diagnosis is complicated because oppositional defiant disorder rarely travels alone
you may have Oppositional Defiant Disorder (ODD). losing tempers is one of the symptoms of this disorder.
ODD stands for oppositional defiant disorder in medical terminology.
More commonly known as ODD, Oppositional Defiant Disorder is a disturbing behavior problem that some children and teens are affected by. ODD is a psychiatric disorder that is characterized by aggressiveness and a persistent disregard for societal normalcy and rules. Destruction of property, theft, and rage towards government or "the man" are signs of this disorder.