Explaining child disorders


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Oppositional Defiant Disorder Treatment

Oppositional  Defiant  Disorder  Treatment
-Prognosis
So what happens to these children? There are
Attention  Publishers:four  possible  paths.
This article is available for your website or-Some will grow out of it. Half of the
ezine.preschoolers that are labeled ODD are normal
by the age of 8. However, in older ODD
For an ezine, send an email to: For a websitechildren, 75% will still fulfill the
send an email to: About a year ago I wrote andiagnostic  criteria  later  in  life.
article on Oppositional Defiant Disorder
discussing the condition, symptoms and-The ODD may turn into something else. 5-10%
treatment options. This article is an updateof preschoolers with ODD have their diagnosis
describing  what  is  new.changed from ODD to ADHD. In some children,
the defiant behavior gets worse and these
-Introductionchildren eventually are diagnosed with
Conduct Disorder at This progression
Oppositional defiant disorder (ODD) is ausually happens fairly early. If a child has
psychiatric behavior disorder that isODD for 3-4 years and he hasn't developed
characterized by aggressiveness and aConduct Disorder, then he won't ever develop
tendency to purposefully bother and irritateit.
others. These behaviors cause significant
difficulties with family and friends and at-The child may continue to have ODD without
school  or  work.any thing else. This is unusual. By the
time preschoolers with ODD are 8 years old,
-Descriptiononly  5%  have  ODD  and  nothing  else.
Oppositional defiant children show a-The child develops other disorders in
consistent pattern of refusing to followaddition  to  ODD. This  is  very  common.
commands or requests by adults. These
children repeatedly lose their temper, argue-Treatment:  Medical  Intervention
with adults, and refuse to comply with rules
and directions. They are easily annoyed andThere have been some recent studies that have
blame others for their mistakes. Childrenexamined the effects of certain medications
with ODD show a pattern of stubbornness andon Oppositional Defiant Disorder. All the
frequently test limits, even in earlyresearch is preliminary and just suggests
childhood.that  certain  treatments  may  help.
These children can be manipulative and oftenOne study examined the use of Ritalin to
induce discord in those around them. Commonlytreat children with both ADHD and ODD. This
they turn attention away from themselves bystudy found that 90% of the children treated
inciting parents and other family members towith Ritalin no longer had the ODD by the end
fight  with  one  and  other.of the study. The researchers skewed the
results a bit because a number of children
-Behavioral  Symptomswere dropped from the study because they
wouldn't comply with the treatment regimen.
Normal children occasionally have episodes ofStill if these children are included as
defiant behavior, particularly during ages oftreatment failures the study still showed a
transition such as 2 to 3 or the teenage75%  success  rate.
years where the child uses defiance in an
attempt to assert himself. Children who areThere have been two studies examining the
tired, hungry, or upset may be defiant.effect of Strattera on children with both
Oppositional defiant behavior is a matter ofADHD and ODD. One study showed that
degree and frequency. Children withStrattera helped with ODD, one study showed
Oppositional Defiant Disorder displayit  did  not  help.
difficult behavior to the extent that it can
interfere with learning, school adjustment,There was a large Canadian study that showed
and, sometimes, with the child's socialthat Risperdal helped with aggressive
relationships.behavior in children with below normal
intelligence. It did not matter if the child
Common behaviors seen in Oppositional Defianthad  ADHD  or  not.
Disorder  include:
There was study showing that 80% of children
-Losing  one's  temperwith explosive behavior improved when given
the  mood  stabilizer,  divalproex.
-Arguing  with  adults
There was another pilot study examining the
-Actively  defying  requestsuse of Omega-3 oils and vitamin E in ODD
children. Both helped the ODD behavior to
-Refusing  to  follow  rulessome  degree.
-Deliberately  annoying  other  people-Treatment:  Psychological  Intervention
-Blaming others for one's own mistakes orParent management training is still viewed as
misbehaviorthe main treatment for Oppositional Defiant
Disorder. Our program, How to Improve Your
-Being  touchy,  easily  annoyedChild's Behavior, located at which is
available online, or some other parent
-Being easily angered, resentful, spiteful,training program is still considered
or  vindictive.essential if you want to help your child.
Also, the younger your child is when you
-Speaking  harshly,  or  unkind  when  upsetenroll in such a program, the better the
results.
-Seeking  revenge
-Conclusion: Advice  to  Parents
-Having  frequent  temper  tantrums
Currently, there is still far too little
Many parents report that their ODD childrenresearch  on  this  very  common  disorder.
were  rigid  and demanding from an early age.
Medically, the most important consideration
-Diagnosisis to treat other disorders that come along
with ODD. Considering that Ritalin may help
The diagnosis of ODD is not always straightalleviate the problem in 75-90% of ODD
forward and needs to be made by achildren who have ADHD, and considering that
psychiatrist or some other qualified mentalmost children with ODD also have some degree
health professional after a comprehensiveof ADHD, I feel that it is very worth your
evaluation.while to try your ODD child on Ritalin unless
you know for sure that he does not have ADHD.
If you feel your child may have ODD, there isThe other treatments may also be worth a try
a  quick  ODD  Screening  Test  atdepending  upon  the  nature  of  your child.
-CausesI feel that using Omega-3 supplements and a
vitamin E supplement should be tried in all
It is not clear what causes Oppositionalchildren. This is because most children are
Defiant Disorder. There are currently twodeficient in these nutrients. Even if it
theories.does not help with the ODD, it should make
your  child  healthier.
The developmental theory suggests that ODD is
really a result of incomplete development.Parent training is still the most effective
For some reason, ODD children never completemeans of dealing with Oppositional Defiant
the developmental tasks that normal childrenDisorder. The two main drawbacks of most of
master during the toddler years. They getthese programs are the expense and the
stuck in the 2-3 year old defiant stage andavailability.
never  really  grow  out  of  it.
Some practitioners charge $100 or more per
The learning theory suggests thatvisit and considering the program will take
Oppositional Defiant Disorder comes as aseveral months costs add up. Insurance
response to negative interactions. Theusually will not pay for such programs. Many
techniques used by parents and authorityparents complain to me that they can not
figures on these children bring about theafford the program that their child so
oppositional  defiant  behavior.desperately  needs.
-Co-morbidityIn addition, these programs are not available
everywhere. Over the years, numerous parents
Oppositional Defiant Disorder usually doeshave told me that where they live there are
not  occur  alone.no programs for Oppositional Defiant
Children.
50-65%  of  ODD  children  also  have:
I created How to Improve Your Child's
-ADD  ADHDBehavior to address these two problems. It
allows parents to help their children
-35% of these children develop some form ofregardless of where they live and at a cost
affective  disorderthat is less than one office visit. Even
though it was an experiment to try to
-20% have some form of mood disorder, such asadminister such a program online and to date
no one else is doing this, over the past two
-Bipolar  Disorder  or  anxietyyears How to Improve Your Child's Behavior
has proven time and again to help parents
-15% develop some form of personalitygain  control  of  their  defiant  children.
disorder
Get more information on Oppositional Defiant
-Many of these children have learningDisorder-  ODD  Help  at
disorders
It is tough to live with children who have
Any child with Oppositional Defiant DisorderODD. However, if you make sure that your
must be evaluated for other disorders aschild has his other problems addressed and
well. If your child has ODD it is imperativeyou improve your parenting skills by
to find out what are the co-existingenrolling in a parent training program, you
problems. This is the key to treating thecan do a great deal to improve your child's
condition,  as  we  shall  soon  discuss.condition and his future.



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