Tuesday, December 18, 2012

Oppositional Defiant Disorder (ODD)

"WHAT IS IT?

ODD is a psychiatric disorder that is characterized by two different sets of problems. These are aggressiveness and a tendency to purposefully bother and irritate others. It is often the reason that people seek treatment. When ODD is present with ADHD, depression, anxiety disorders, or other neuropsychiatric disorders, it makes life with that child far more difficult. For Example, ADHD plus ODD is much worse than ADHD alone, often enough to make people seek treatment.

THE CRITERIA FOR ODD ARE:

A pattern of negativistic, hostile, and defiant behavior lasting at least six months.

  1. Often loses temper
  2. often argues with adults
  3. often actively defies or refuses to comply with adults' requests or rules
  4. often deliberately annoys people
  5. often blames others for his or her mistakes or misbehavior
  6. is often touchy or easily annoyed by others
  7. is often angry and resentful
  8. is often spiteful and vindictive

The disturbance in behavior causes clinically significant impairment in social functioning.

HOW OFTEN IS "OFTEN"?

Has occurred at all during the last three months-

5. blames others for his or her mistakes or misbehavior
8. is spiteful and vindictive

Occurs at least twice a week-

1. loses temper
2. argues with adults
3. actively defies or refuses to comply with adults' requests or rules
6. is touchy or easily annoyed by others

Occurs at least four times per week-

4. deliberately annoys people
7. is angry and resentful

WHAT CAUSES IT?

No one knows for certain. The usual pattern is for problems to begin between ages 1-3.

HOW CAN YOU TELL IF A CHILD HAS IT?

ODD is diagnosed in the same way as many other psychiatric disorders in children. Sometimes other medical tests are necessary to make sure it is not something else. It is common the children with ODD will have other problems, too.

WHO GETS IT?

A lot of children! This is the most common psychiatric problem in children. Over 5% of children have this.

ODD RARELY TRAVELS ALONE

It is exceptionally rare for a physician to see a child with only ODD. Usually the child has some other neuropsychiatric disorder along with ODD

ODD PLUS ADHD

If a child comes to a clinic and is diagnosed with ADHD, about 30-40% of the time the child will also have ODD."

I have included only information that pertains to Damien. Click here for more information on ODD.

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