Explaining child disorders


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Oppositional Defiant Disorder: the War in your Home

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



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