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Oppositional Defiant Disorder: the War in your Home

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




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