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Oppositional Defiant Disorder-ODD?

Take this quick Oppositional Defiant Disorder- ODD screening test.

 

How Many of These Oppositional Defiant Disorder- ODD Behaviors did Your Child Display During the Last Six Months?


"Have a Defiant Child Problem?"

Get Your Child to Behave
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Get Your Child to Behave
Simple Step-by-Step Action Plan
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To meet the DSM-IV criteria for Oppositional Defiant Disorder your child has to display Oppositional Defiant Disorder behavior "more often" than other children of his age. Since this definition is still vague, I have added what is usually considered "often" in most age groups.

Keep in mind that children do go through stages as they grow and whereas twice a week may be often for a seven-year-old, it might be normal for a four-year-old.




Which Oppositional Defiant Disorder Behaviors Does Your Child Display?


Loses temper at least twice a week

Argues with adults at least twice a week

Actively defies or refuses to comply with adults' requests or rules at least twice a week

Defiant Child
Disrepectful Child


Deliberately annoys people at least four times a week

Blames others for his or her mistakes or misbehavior at least once during the last three months

Is touchy or easily annoyed by others at least twice a week

Is angry and resentful at least four times per week

Acts spiteful or vindictive at least once during the last three months


If your child displays four out of these eight behaviors, then he or she might have Oppositional Defiant Disorder.


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It is tough to live with child who has Oppositional Defiant Disorder. However, if you improve your parenting skills by enrolling in a parent training program, then you can do a great deal to improve your child's condition and his future.

Learn more about Oppositional Defiant Disorder

Get more information on controlling your child's behavior at

Oppositional Defiant Disorder - ODD Help for parents of children ages 2-12

Get more information on controlling your teen's difficult behavior at

Difficult Defiant Teen Behavior Help for parents of children ages 12 and older



Anthony Kane, MD

ADD ADHD Advances


ODD Risk Factors

Oppositional Defiant Disorder usually does not occur alone.

* 50-65% of these children also have ADD ADHD
* 35% of these children develop some form of affective disorder
* 20% have some form of mood disorder, such as Bipolar Disorder or anxiety
* 15% develop some form of personality disorder
* Many of these children have learning disorders

Any child with ODD should be evaluated for other disorders as well. If your child's disruptive behavior is excessive, then you must find out if there are other co-existing problems. The key to getting a handle on ODD child behavior is treating these other conditions, as we shall soon discuss.

Prognosis of Oppositional Defiant Disorder

So what happens to to ODD children? There are four possible paths.

* Some will grow out of it. Half of the preschoolers that are labeled ODD are normal by the age of 8. However, in older children, 75% will still be noticeably defiant later in life.
* The ODD may turn into something else. 5-10 % of preschoolers with ODD have their diagnosis changed to ADHD. In some children, the defiant behavior gets worse and these children eventually are diagnosed with Conduct Disorder. This progression usually happens fairly early. If a child has ODD for 3-4 years and he hasn't developed Conduct Disorder, then he wonג€™t ever develop it.
* The child may continue to have ODD without any thing else. This is unusual. By the time preschoolers with ODD are 8 years old, only 5% have just this condition and nothing else.
* The child develops other disorders. This is very common.

Medical Treatment of Oppositional Defiant Disorder

Recent studies demonstrate that certain medications can help with Oppositional Defiant Disorder. The research is preliminary, but the studies show that under certain circumstances medical treatments may help.

In one study, Ritalin was used to treat children with both ADHD and ODD. Researchers found that when treated with Ritalin, 90% of the children no longer had the ODD. However, this was a poorly executed study. The researchers dropped a number of children from the study because they were too defiant to take their medication as scheduled. Still, even if these children are included as treatment failures, the study still showed a 75% success rate with Ritalin.

In two separate studies, researchers examined the use of Strattera on children with both ADHD and ODD. One study showed that Strattera helped, one study showed it did not help.

In Canada, researchers found that Risperdal helps aggressive children of below normal intelligence. ADHD was not a factor. It didn't matter if the children had ADHD or not.

In another study, 80% of children with explosive behavior improved when given the mood stabilizer, Divalproex.

ODD Alternative Medical Treatment

No extensive studies have been run testing alternative medicine in ODD children or defiant teens. However, an alternative medicine that helps with ADHD should be effective with ODD. There was a pilot study examining the use of Omega-3 oils and vitamin E in ODD children. Both helped the problem behavior to some degree.

Psychological Intervention for Defiant Child Behavior

The main treatment for Oppositional Defiant Disorder is parental management. That means parents of ODD children or defiant teens need to improve their parenting skills in order to meet their child's particular needs and maintain their own sanity.

Originally, these programs were given by health care professionals either privately or in group settings and were expensive and not available everywhere. However, research has come out that demonstrates that a well structure home study parenting program is just as effective, less expensive, and far more convenient.

A Note of Caution:

Programs designed to teach normal parenting skills are not effective with ODD children. You will need a program that is designed to help you with the special issues that ODD children have.

Also, teens are different than younger children, and you must parent them differently. There are a lot of programs being sold today that ignore this difference and give you a "one size fits all" remedy. Some of these programs are quite expensive, too. Be careful. You need a program that is designed for your child's age group category, either 2-11 years old or twelve and older.

We specifically designed our programs, How to Improve Your Child's Behavior for parents of children ages 2-11 and How to Handle Your Difficult Defiant Teenager for parents of children ages 12 and older to meet these two challenges. These programs are available online and come with complete support for one year so that we can tailor it to your specific child and the challenges you are facing as a parent.

Conclusion: For Parents of Oppositional Defiant Disorder Children and Teens

Currently, there is still far too little research on this very common disorder.

* The best conventional and alternative medicine treatments are those that address the conditions that accompany ODD.

We know that drugs for ADHD may alleviate the defiant behavior problems in 75-90% of these children who also have ADHD. This is important because most ODD children have ADHD, also. Therefore, if you suspect your child might ADHD, it is worth your while to treat the ADHD, even if it is mild, in order to best address the behavior issues.

* ODD alternative medicine treatments may help, but there has not been a lot of research on this.

I feel that using Omega-3 supplements and a vitamin E supplement should be tried in all children. This is not as an alternative medication, but rather because most children are deficient in these nutrients. Even if it does not help with the behavioral symptoms, it should make your child healthier.

* Parenting information and parent training programs are still the most effective means of dealing with ODD in children and teens. The two main drawbacks of most of these programs are the expense and the limited availability.

Some practitioners charge $100 or more per visit and considering the program will take several months costs add up. Insurance usually will not pay for such programs. Many parents complain to me that they can not afford the program that their child so desperately needs.

In addition, these programs are not available everywhere. Over the years, numerous parents have told me that where they live there are no programs to help them with their child. Other parents tell me that they found programs online programs, but these programs didn't their child's particular needs. Some of them are 'for children of all ages' type programs and they ignore the differences between teenagers and younger children. Big mistake!

I created How to Improve Your Child's Behavior for parents of children ages 2-11 and How to Handle Your Difficult Defiant Teenager for parents of children ages 12 to address all of these problems. It allows parents to help their children regardless of where they live and at a cost that is less than one or two office visits.

Over the past five years How to Improve Your Child's Behavior and How to Handle Your Difficult Defiant Teenager have proven time and again to help parents gain control of their Oppositional Defiant Disorder teens and defiant children.

Get more information on ODD Child Behavior Help for parents of children ages 2-11 or ODD Teen Behavior Help for parents of teens ages 12.

It is tough to live with an obnoxious disobedient child. However, if you make sure that your child has his other problems addressed and you improve your parenting skills by enrolling in a parent training program, you can do a great deal to improve your child's condition and his future.

Anthony Kane, MD
ADD ADHD Advances

 

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