Oppositional Defiant Disorder: the War in your Home

When Hunter was a baby, Pat never imaginedincludes negotiating, bargaining, giving in,
parenting him would mean becoming stuck in anthreatening and screaming. The problem is when
argument with him lasting 15 years. From the timeyou scream, argue or negotiate, you are giving
he was old enough to express himself, it seemedyour child's defiance even more power.
that he was looking to start a fight with her.Everyone from the school psychologist to your
"He's a very strong-willed person," says Pat, hermother-in-law will tell you what this child needs is
polite demeanor belying an obvious"structure." But no one really shows you what
understatement. "He's manipulative, and he learnedkind of structure and how to put it in place. It's
at a very young age how to make that work fornot as easy as giving the child a time out. A child
him to get what he wanted."with ODD won't use the time out to change his
The simplest things always seem to turn intothinking. He'll use it to plot revenge. Parents have
huge problems because Hunter simply refuses toto change their style of parenting and mode of
do what he is asked to do, whether it wasoperation with the child.
brushing his teeth at age five, or raking the yardChildren with ODD need structure with an
at age 15. The word "no" lights his fuse, especiallyaggressive training component that is built around
when in response to something he wants to do.learning how solve the problems that trigger their
"He's always doing these irritating things," Patdefiant behaviors. Your child becomes oppositional
explains, "as if he enjoys bothering you."when he is confronted with a problem and he
Getting out of bed in the morning is the issuecan't figure out how to fix it. The problem can be
around which Hunter and his parents argue theanything from not wanting to get up in the
most. "We've had the worst time in the worldmorning (as in Hunter's case) to not wanting to do
getting him up in the morning and into the shower.homework. Screaming at the child to get out of
I know this is unbelievable, but he gets in thebed won't work. You need to show the child that
shower, stretches out in the bottom of the tubhe has a problem that has to be solved and
with the water beating on him, and goes back toaddress it as such. Example: "Lying in bed after
sleep. From that moment on, we have toyour alarm goes off won't solve your problem. It
micromanage his morning to get him to the busmakes you late and you miss the bus. What can
stop."you do to solve your problem?"
Recently, Hunter was diagnosed with OppositionalThe focus of treatment should be on developing
Defiant Disorder, and Pat finally has a name forcompliance and coping skills, not primarily on
the behavior that's been exhausting her all theseself-esteem or personality. ODD is not a
years. Now, she needs a solution. How does aself-esteem issue; it's a problem solving issue.
parent stop the arguments with a child whoseThere's no evidence that self-esteem leads to
primary way of communicating is arguing?compliance, and emotions are not, in and of
James Lehman: A day with a child who hasthemselves, a way to kids to cope with their
Oppositional Defiant Disorder is a series of battlesproblems. Kids get self-esteem by doing things
in an undeclared war. It starts when they wakethat are hard for them.
up, continues at breakfast, intensifies when theyChildren with ODD need a lot of strong praise and
have to get dressed, and doesn't end until theysupport as well as realistic rewards. They don't
fight with you over bedtime.benefit from a pat on the back for doing
Kids with ODD lose their temper quickly andsomething that's easy for them to do. They
often. They're easily annoyed and frustrated byshould be praised for doing things that are
other people, resentful and hostile with adults,challenging to them. Don't create false situations
bossy and pushy with other kids. They blamefor which to praise them to make them "feel
everyone else for their difficulties and makebetter." Parents need to learn several different
excuses for their inability to cope. They gravitateparenting styles that meet the needs of this child.
toward negative peers and tend to be sulking,You need to be less of a "cheerleader" and more
angry adolescents.of a trainer and coach.
Unrestricted free time is a breeding ground forAvoid senseless power struggles. Pick your battles
aggressive behavior for these children. In anwith your child carefully and win the ones you
unstructured environment, they become annoying,pick. Many times you can win fights with this child
threatening or destructive to kids around themby not arguing back. When you argue with him,
and to adult authority figures. They will use thishis resistance strengthens. Instead of arguing, set
time to deliberately antagonize anyone they seelimits in a businesslike way and expect compliance.
as "in charge."Have a plan for managing your child's behavior.
As a parent, you can't satisfy a child with ODD,When you're going to the mall, know what you'll
since their thinking is irrational. They beg for yourdo when he acts out in the car. It's important to
attention and then want to be left alone. The sadlay out the rules ahead of time, when things are
truth is, kids with ODD aren't very likeable.calm. For instance, before you go to the mall, tell
Parents often feel guilty about the fact that theythe child, "When you lose it in the car, it becomes
love their kids, but don't like being around them.dangerous for me and for everyone because it's
Parents get blamed for their child's oppositionaldistracting. So if you lose it in the car, I'm going to
behavior and tend to heap even more blame onpull over for five minutes, and I'm not going to
themselves. The parent of a child with ODD oftentalk to you. You'll have five minutes to get your
feels incompetent and isolated. They live with theact together. If, after five minutes, you have not
self-imposed shame that other people thinkregained control of yourself, then we're not going
they're bad parents, and that humiliation growsto the mall. We're going to turn around and go
larger as their world gets smaller. Left untreated,home. Have a plan you'll use if he throws a
Oppositional Defiant Disorder can lead to Conducttantrum in the store or if he acts out at a family
Disorder, a more serious pathology that is agathering. And be willing to follow through on the
precursor for anti-social behavior and criminality.plan until the child learns defiance doesn't get him
Of course, for many parents, ODD is not thewhat he wants.
primary issue. Rather, they are dealing withParents dealing with ODD need a powerful mix of
continuous, low-level defiance that is not incendiarydetermination and strength. You can have a child
and aggressive, but is aggravating, annoying andwith ODD and a peaceful home. The key is to
disruptive to the family. Whether the defiance hasdecide: Are you going to change the world for
turned into a diagnosis of ODD or has not, theyour child or teach him to cope with it? It's not
parent's approach should be the same.practical or effective to try to change the world
How to Stop the War and Restore Peace atfor your kid. But by setting limits consistently,
Homeconcisely and clearly, you will teach your child to
Most parents lack the tools to deal withcope with the world and succeed in it.
oppositional defiance. So they generally respond toCopyright 2007. EmpoweringParents.
this behavior with a range of responses that