Explaining child disorders


Oppositional Defiant Disorder

Introductionresearch studies on ADHD and childhood mood
disorders, there is very little research on
Oppositional defiant disorder (ODD) is aODD.
psychiatric behavior disorder that is
characterized by aggressiveness and aCo-morbidity
tendency to purposefully bother and irritate
others. These behaviors cause significantODD is frequently goes along with other
difficulties with family and friends and atdisorders. 50-65% of ODD children also have
school  or  work.ADHD. 35% of these children develop some
form of affective disorder. 20% have some
Oppositional defiant disorder is sometimes aform of mood disorder, such as depression or
precursor of conduct disorder. Much of theanxiety. 15% develop some form of
literature tends to lump these twopersonality disorder. These children
conditions together. However, they seem tofrequently have learning disorders and
be distinct entities and, although conductacademic  difficulties.
disorder does have a genetic component, ODD
does  not.If your child has ODD it is important to know
there are other co-existing problems. These
Descriptionother problems usually must be addressed
before you can begin to help your child with
Oppositional defiant children show aODD.
consistent pattern of refusing to follow
commands or requests by adults. ThesePrognosis
children repeatedly lose their temper, argue
with adults, and refuse to comply with rulesSo what happens to these children? There are
and directions. They are easily annoyed andfour  possible  paths.
blame others for their mistakes. Children
with ODD show a pattern of stubbornness and1. Some will grow out of it. Half of the
frequently test limits, even in earlypreschoolers that are labeled ODD are normal
childhood.by the age of 8. However, in older ODD
children, 75% will still fulfill the
These children can be manipulative and oftendiagnostic  criteria  later  in  life.
induce discord in those around them.
Commonly they can incite parents and other2. The ODD may turn into something else.
family members to fight with one and other5-10 % of preschoolers with ODD have their
rather than focus on the child, who is thediagnosis changed from ODD to ADHD. In some
source  of  the  problem.children, the defiant behavior gets worse and
these children eventually are diagnosed with
Behavioral  SymptomsConduct Disorder. This progression usually
happens fairly early. If a child has ODD for
Common behaviors seen in oppositional defiant3-4 years and he hasn't developed Conduct
disorder  include:Disorder,  then  he  won't  ever  develop it.
-  Losing  one's  temper3. The child may continue to have ODD without
any thing else. This is unusual. By the
-  Arguing  with  adultstime preschoolers with ODD are 8 years old,
only  5%  have  ODD  and  nothing  else.
-  Actively  defying  requests
4. The child develops other disorders in
-  Refusing  to  follow  rulesaddition  to  ODD. This  is  very  common.
-  Deliberately  annoying  other  peopleTreatment
- Blaming others for one's own mistakes orMost of these children have some other
misbehaviordisorder along with their ODD. Treating this
other disorder is the key to proper ODD
-  Being  touchy,  easily  annoyedmanagement. This frequently means giving
medication. Although this type of medical
- Being easily angered, resentful, spiteful,intervention does not make the children
or  vindictive."normal", it can make a big difference. It
often allows other non-medical interventions
-  Speaking  harshly,  or  unkind  when upsetto  work  much  better.
-  Seeking  revengeFor example, if a child has both ODD and
ADHD, then giving the child Ritalin may have
-  Having  frequent  temper  tantrumsa significant effect on his ODD, also. This
positive effect does not seem to be related
Many parents report that their ODD childrento the severity of the ADHD. That means even
were  rigid  and demanding from an early age.if the child has mild ADHD and could do
without Ritalin, if he is treated medically,
Normal children, especially around the agesyou  might  see  an  improvement  in his ODD.
or 2 or 3 or during the teenage years display
most of these behaviors from time to time.Once the other problems are under control,
When children are tired, hungry, or upset,the best treatment for ODD is parent
they may be defiant. However, children withtraining. In a study published in 1998,
oppositional defiant disorder display theseeighty-two research studies were evaluated
behaviors more frequently and to the extentwere examined for efficacy. Approaches
that they and interfere with learning, schoolfocusing on parent training were the most
adjustment, and, sometimes, with the child'saffective  techniques.
social  relationships.
The main point is that some parent-training
Diagnosisprogram is essential in addressing ODD. This
is not going to work for everyone, but it is
The diagnosis of ODD is not always straightthe best treatment that we have available for
forward and needs to be made by aODD.
psychiatrist or some other qualified mental
health professional after a comprehensiveAdvice  to  Parents
evaluation. The child must be evaluated for
other disorders as well since ODD usuallyThat is with regard to your child. If your
does not come alone. If the child has ADHD,child has ODD you need to take care of
mood disorders, or anxiety disorders, theseyourself, also. No child needs a martyr as a
other problems must be addressed before youparent.
can  begin  to  work  with  the  ODD.
Here  are  some  of  the  things  you can do:
If you feel your child may have ODD, there is
a  quick  screening  test. Go  to:- Maintain interests other than your child
with  ODD. You  have  to  be  a  person.
Causes
- Try to work with and obtain support from
What is the cause of ODD? The real answer isthe other adults (teachers, coaches, and
that nobody knows. However, since asspouse)  dealing  with  your  child.
scientist we hate to admit this, we have
currently  have  two  theories.- Take time to work on your relationship with
your spouse. Raising these children is very
The developmental theory proposes that ODD isdifficult and can put a strain on the best of
really a result of incomplete childmarriages.
development. For some reason, these
children never complete the developmental- Manage your own stress with exercise and
tasks that normal children learn to masterrelaxation.
during  the  toddler  years.
-  Take  frequent vacations. This is a must.
The learning theory suggests that ODD comes
as a response to negative interactions. TheConclusion
techniques used by parents and authority
figures on these children bring about theIt is tough to live with children who have
oppositional  defiant  behavior.ODD. What is worse is that there does not
seem to be any cure. However, if you make
ODD is the most common psychiatric diagnosissure that your child has his other problems
in children and it usually persists intoaddressed and you improve your parenting
adulthood. One would think a lot of researchskills by enrolling in a parent training
would be done on this condition. That is notprogram, you can do a great deal to improve
the case. While there are hundreds ofyour child's condition and your own.



1 A B C D 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95