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Thread: On a separate note..... OPPOSITIONAL DEFIANT DISORDER anyone?

  1. #1
    angeleena is offline INCIIDer - A Community Creator
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    Default On a separate note..... OPPOSITIONAL DEFIANT DISORDER anyone?

    We looked over this website from the American Academy of Child and Adolescent Psychiatry about ODD and feel like Ella has every symptom. It seems pretty dismal as far as treatment for it though!?

    Anyone else dealing with THIS? Sometimes we wonder if this is her main problem along with anxiety and probable ADHD?> (Stimulants make her more anxious and rageful though)
    If you read the list, ella has every symptom!

    Children With Oppositional Defiant Disorder

    No. 72; Updated June 2009

    All children are oppositional from time to time, particularly when tired, hungry, stressed or upset. They may argue, talk back, disobey, and defy parents, teachers, and other adults. Oppositional behavior is often a normal part of development for two to three year olds and early adolescents. However, openly uncooperative and hostile behavior becomes a serious concern when it is so frequent and consistent that it stands out when compared with other children of the same age and developmental level and when it affects the child’s social, family and academic life.

    In children with Oppositional Defiant Disorder (ODD), there is an ongoing pattern of uncooperative, defiant, and hostile behavior toward authority figures that seriously interferes with the youngster’s day to day functioning. Symptoms of ODD may include:

    * Frequent temper tantrums
    * Excessive arguing with adults
    * Often questioning rules
    * Active defiance and refusal to comply with adult requests and rules
    * Deliberate attempts to annoy or upset people
    * Blaming others for his or her mistakes or misbehavior
    * Often being touchy or easily annoyed by others
    * Frequent anger and resentment
    * Mean and hateful talking when upset
    * Spiteful attitude and revenge seeking

    The symptoms are usually seen in multiple settings, but may be more noticeable at home or at school. One to sixteen percent of all school-age children and adolescents have ODD. The causes of ODD are unknown, but many parents report that their child with ODD was more rigid and demanding that the child’s siblings from an early age. Biological, psychological and social factors may have a role.

    A child presenting with ODD symptoms should have a comprehensive evaluation. It is important to look for other disorders which may be present; such as, attention-deficit hyperactivity disorder (ADHD), learning disabilities, mood disorders (depression, bipolar disorder) and anxiety disorders. It may be difficult to improve the symptoms of ODD without treating the coexisting disorder. Some children with ODD may go on to develop conduct disorder.

    Treatment of ODD may include: Parent Management Training Programs to help parents and others manage the child’s behavior. Individual Psychotherapy to develop more effective anger management. Family Psychotherapy to improve communication and mutual understanding. Cognitive Problem-Solving Skills Training and Therapies to assist with problem solving and decrease negativity. Social Skills Training to increase flexibility and improve social skills and frustration tolerance with peers.

    Medication may be helpful in controlling some of the more distressing symptoms of ODD as well as the symptoms related to coexistent conditions such as ADHD, anxiety and mood disorders.

    A child with ODD can be very difficult for parents. These parents need support and understanding. Parents can help their child with ODD in the following ways:

    * Always build on the positives, give the child praise and positive reinforcement when he shows flexibility or cooperation.
    * Take a time-out or break if you are about to make the conflict with your child worse, not better. This is good modeling for your child. Support your child if he decides to take a time-out to prevent overreacting.
    * Pick your battles. Since the child with ODD has trouble avoiding power struggles, prioritize the things you want your child to do. If you give your child a time-out in his room for misbehavior, don’t add time for arguing. Say “your time will start when you go to your room.”
    * Set up reasonable, age appropriate limits with consequences that can be enforced consistently.
    * Maintain interests other than your child with ODD, so that managing your child doesn’t take all your time and energy. Try to work with and obtain support from the other adults (teachers, coaches, and spouse) dealing with your child.
    * Manage your own stress with healthy life choices such as exercise and relaxation. Use respite care and other breaks as needed

    Many children with ODD will respond to the positive parenting techniques. Parents may ask their pediatrician or family physician to refer them to a child and adolescent psychiatrist or qualified mental health professional who can diagnose and treat ODD and any coexisting psychiatric condition.

    See also:
    eAACAP Oppositional Defiant Disorder Resource Center
    This resource center offers a definition of the disorder, answers to frequently asked questions, and information on getting help.

  2. #2
    angeleena is offline INCIIDer - A Community Creator
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    Well, we just spoke to the dev pediatrian who is treating her and he said that ODD is just a label and there is not much to do about it, and we should do more OT. ARGH.

  3. #3
    trek is offline INCIIDer - A Community Creator
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    As I have stated children will have co-morbid dx
    anxiety,OCD, anger, the key is finding either medication and/or therapy to help address the most severe issues.

  4. #4
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    Jan 2006

    Default Yes, we've read that as well...

    and heard the same thing that it basically is "untreatable" as a stand-alone. But Carter is similar to Ella in that he has those "symptoms" but boy! I struggle just like you to figure out exactly what is really his core dx. I hope that we find it soon. ADHD meds do nothing for Carter except make the "bad stuff" worse - just like Ella with the anger. He also just seems wired on it. And it also appears to bring out some OCD type things where he wants to do math non-stop, and work on projects non-stop.

    I have now real answers for you, but want to send you (((HUGS))) because I do understand.


  5. #5
    BriNJ is offline INCIIDer - A Community Creator
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    ODD, like many labels, has little value by itself. The only real value in a label, in my opinon, is to either gain an understanding of your child or to determine/secure help for them. Other then that, it really doesnt matter- and if a label cant do those 2 things for you, they are worse then useless. ODD specifically... well, there are people who are OD because of something else (the comorbid disorder) and many more who are just oppositional personalities who need to be taught to work with others because they dont have a natural ability to do so.

    Not everything is a disorder or a treatable condition; sometimes it just comes down to "this is who she is and we need to learn to help her manage herself". And sometimes, we all just have to brace ourselves and pray it works out because there isnt a magic bullet- expecting medication, therapy etc to "fix" something thats part of a person is a recipe for heartbreak- at best, they can help, but often that help is shortterm, temporary and not something you can bank on. And sadly, especially with medication, those benefits are so short lived and end when the meds arent taken.

    ODD just makes it easier to describe a kid and may legitimize thier behavior- but in the end, its a useless label that may prevent that child from learning and growing. A label like ODD (especially when you read about) leaves parents feeling helpless and often less able to handle discipline correctly which is a vicious cycle. Alot of dx's are like that... they leave you saying "well, he/she has XXX so its not something they can control" when honestly, yes, they can learn to control whatever it is, it just takes alot more work and time for them then an average child. We have to really be careful to not let these labels get out of control and prevent us from parenting, kwim?

  6. #6
    mickey2's Avatar
    mickey2 is offline INCIIDer - A Community Creator
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    Jan 2006

    Default dss has this

    along with aspergers and adhd....he is a young adult now. ds doesnt seem to have the odd. we found counseling very helpful for him. but finding the right counselor who could relate to him and he liked proved challenging. also finding one that was familiar with how his dx's i personally dont think there a feeling of helplessness with odd label. for us, it helped understand why he truly cant in many cases control his rage as eaily as others. one counselor worded it as odd is OCD of control to the 9th degree of authority figures. i would have to agree with that. good luck!!

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