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