If your child has oppositional defiant disorder (ODD), they might be frequently irritable or angry, argumentative, defiant and oppositional – and this pattern of behavior has been persistent over time. With therapy and medication, your child can overcome this disorder and start on a happier, healthier path.
Overview
What is oppositional defiance disorder (ODD) in children?
It’s normal for your child to sometimes not follow directions, have tantrums or argue. Oppositional defiant disorder (ODD) is different because it’s a consistent pattern of mood and behavior that lasts for a long period of time (more than six months) and is intense (happens a few times a week).
Your child might get in trouble at school, fight with their peers and argue with their coaches, teachers and family members. They also might be easily annoyed, lose their temper, refuse to comply with directions and blame others for their problems.
Risk factors
Oppositional defiant disorder (ODD) is more common in boys than girls. Children wiht ODD are also at higher risk for developing depression.
Signs and Symptoms
What are the signs and symptoms of oppositional defiance disorder (ODD) in children?
Your child might be experiencing oppositional defiant disorder if they:
Have frequent angry and irritable moods
Often lose their temper
Are easily annoyed
Are resentful
Argue with authority figures or with adults
Deliberately annoy others
Blame others for their mistakes or misbehavior
Are spiteful or vindictive
Actively defy or refuse to comply with requests or rules
Diagnosis
How is oppositional defiance disorder (ODD) in children diagnosed?
A diagnosis is made after an interview with a psychiatrist, a psychologist or a clinical therapist. They will ask you about the symptoms you’ve noticed in your child and how long they’ve lasted. The purpose of this interview is to understand your child, see if they’re suffering from a mental health issue and pinpoint which one it might be.
Causes
What are the causes of oppositional defiance disorder (ODD) in children?
Oppositional defiant disorder (ODD) can be caused by many different factors, including a child’s temperament and factors in their environment. Children who have experienced trauma, abuse or neglect may also be at higher risk. Parenting styles may positively or negatively affect the child’s symptoms.
Treatment
How is oppositional defiance disorder (ODD) in children treated?
Medications can help with aggression, depression, impulsivity and ADHD. However, the most effective treatment is behavioral therapy. A therapist can meet with you to help you learn how to set consistent limits and use positive reinforcement for behaviors you want to see. Meanwhile, the therapist will work one-on-one with your child to improve their self-esteem, develop coping skills and find ways to be motivated to behave better.