Explaining child disorders


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Oppositional Defiant Disorder: the War in your Home

When Hunter was a baby, Pat neverresponses that includes negotiating,
imagined parenting him would meanbargaining, giving in, threatening and
becoming stuck in an argument with himscreaming. The problem is when you
lasting 15 years. From the time he wasscream, argue or negotiate, you are
old enough to express himself, it seemedgiving your child's defiance even more
that he was looking to start a fightpower.
with her.Everyone from the school psychologist to
"He's a very strong-willed person," saysyour mother-in-law will tell you what
Pat, her polite demeanor belying anthis child needs is "structure." But no
obvious understatement. "He'sone really shows you what kind of
manipulative, and he learned at a verystructure and how to put it in place.
young age how to make that work for himIt's not as easy as giving the child a
to get what he wanted."time out. A child with ODD won't use the
The simplest things always seem to turntime out to change his thinking. He'll
into huge problems because Hunter simplyuse it to plot revenge. Parents have to
refuses to do what he is asked to do,change their style of parenting and mode
whether it was brushing his teeth at ageof operation with the child.
five, or raking the yard at age 15. TheChildren with ODD need structure with an
word "no" lights his fuse, especiallyaggressive training component that is
when in response to something he wantsbuilt around learning how solve the
to do. "He's always doing theseproblems that trigger their defiant
irritating things," Pat explains, "as ifbehaviors. Your child becomes
he enjoys bothering you."oppositional when he is confronted with
Getting out of bed in the morning is thea problem and he can't figure out how to
issue around which Hunter and hisfix it. The problem can be anything from
parents argue the most. "We've had thenot wanting to get up in the morning (as
worst time in the world getting him upin Hunter's case) to not wanting to do
in the morning and into the shower. Ihomework. Screaming at the child to get
know this is unbelievable, but he getsout of bed won't work. You need to show
in the shower, stretches out in thethe child that he has a problem that has
bottom of the tub with the water beatingto be solved and address it as such.
on him, and goes back to sleep. FromExample: "Lying in bed after your alarm
that moment on, we have to micromanagegoes off won't solve your problem. It
his morning to get him to the bus stop."makes you late and you miss the bus.
Recently, Hunter was diagnosed withWhat can you do to solve your problem?"
Oppositional Defiant Disorder, and PatThe focus of treatment should be on
finally has a name for the behaviordeveloping compliance and coping skills,
that's been exhausting her all thesenot primarily on self-esteem or
years. Now, she needs a solution. Howpersonality. ODD is not a self-esteem
does a parent stop the arguments with aissue; it's a problem solving issue.
child whose primary way of communicatingThere's no evidence that self-esteem
is arguing?leads to compliance, and emotions are
James Lehman: A day with a child who hasnot, in and of themselves, a way to kids
Oppositional Defiant Disorder is ato cope with their problems. Kids get
series of battles in an undeclared war.self-esteem by doing things that are
It starts when they wake up, continueshard for them.
at breakfast, intensifies when they haveChildren with ODD need a lot of strong
to get dressed, and doesn't end untilpraise and support as well as realistic
they fight with you over bedtime.rewards. They don't benefit from a pat
Kids with ODD lose their temper quicklyon the back for doing something that's
and often. They're easily annoyed andeasy for them to do. They should be
frustrated by other people, resentfulpraised for doing things that are
and hostile with adults, bossy and pushychallenging to them. Don't create false
with other kids. They blame everyonesituations for which to praise them to
else for their difficulties and makemake them "feel better." Parents need to
excuses for their inability to cope.learn several different parenting styles
They gravitate toward negative peers andthat meet the needs of this child. You
tend to be sulking, angry adolescents.need to be less of a "cheerleader" and
Unrestricted free time is a breedingmore of a trainer and coach.
ground for aggressive behavior for theseAvoid senseless power struggles. Pick
children. In an unstructuredyour battles with your child carefully
environment, they become annoying,and win the ones you pick. Many times
threatening or destructive to kidsyou can win fights with this child by
around them and to adult authoritynot arguing back. When you argue with
figures. They will use this time tohim, his resistance strengthens. Instead
deliberately antagonize anyone they seeof arguing, set limits in a businesslike
as "in charge."way and expect compliance.
As a parent, you can't satisfy a childHave a plan for managing your child's
with ODD, since their thinking isbehavior. When you're going to the mall,
irrational. They beg for your attentionknow what you'll do when he acts out in
and then want to be left alone. The sadthe car. It's important to lay out the
truth is, kids with ODD aren't veryrules ahead of time, when things are
likeable. Parents often feel guiltycalm. For instance, before you go to the
about the fact that they love theirmall, tell the child, "When you lose it
kids, but don't like being around them.in the car, it becomes dangerous for me
Parents get blamed for their child'sand for everyone because it's
oppositional behavior and tend to heapdistracting. So if you lose it in the
even more blame on themselves. Thecar, I'm going to pull over for five
parent of a child with ODD often feelsminutes, and I'm not going to talk to
incompetent and isolated. They live withyou. You'll have five minutes to get
the self-imposed shame that other peopleyour act together. If, after five
think they're bad parents, and thatminutes, you have not regained control
humiliation grows larger as their worldof yourself, then we're not going to the
gets smaller. Left untreated,mall. We're going to turn around and go
Oppositional Defiant Disorder can leadhome. Have a plan you'll use if he
to Conduct Disorder, a more seriousthrows a tantrum in the store or if he
pathology that is a precursor foracts out at a family gathering. And be
anti-social behavior and criminality.willing to follow through on the plan
Of course, for many parents, ODD is notuntil the child learns defiance doesn't
the primary issue. Rather, they areget him what he wants.
dealing with continuous, low-levelParents dealing with ODD need a powerful
defiance that is not incendiary andmix of determination and strength. You
aggressive, but is aggravating, annoyingcan have a child with ODD and a peaceful
and disruptive to the family. Whetherhome. The key is to decide: Are you
the defiance has turned into a diagnosisgoing to change the world for your child
of ODD or has not, the parent's approachor teach him to cope with it? It's not
should be the same.practical or effective to try to change
How to Stop the War and Restore Peace atthe world for your kid. But by setting
Homelimits consistently, concisely and
Most parents lack the tools to deal withclearly, you will teach your child to
oppositional defiance. So they generallycope with the world and succeed in it.
respond to this behavior with a range ofCopyright 2007. EmpoweringParents.



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