Oppositional defiant disorder (ODD) is a behavior disorder in children and teens. Those with this disorder show negative, angry, and defiant behaviors much more often than most people of the same age. These behaviors begin to adversely affect the person’s relationships and ability to perform successfully in school, work, and family situations.
The cause of ODD is unknown. Like other psychiatric disorders, ODD results from a combination of genetic, family, and social factors. Children with ODD may inherit chemical imbalances in the brain that make them more likely to have the disorder.
A chemical imbalance in the brain may be responsible for ODD.
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ODD is more common in males. Other factors that may increase your child's risk for ODD include: A parent with a mood, conduct, attention deficit, or substance abuse disorderMarital conflictChild abuseInconsistent parental attentionLow socioeconomic status
Symptoms usually begin around age 8 and increase over several months.
Children with ODD often: Argue with adultsLose their tempersRefuse to follow adults' requests or rulesDeliberately annoy others and are annoyed by othersAre angry and resentfulAre spiteful or vindictiveBlame others for their own mistakesHave low self-esteem
The doctor will ask about symptoms, medical history, and family history. A physical exam will be done. The doctor will also look for other conduct disorders.
Diagnosis of ODD is based on these criteria: Child displays at least 4 common symptoms.Symptoms occur more often and have more serious consequences than is typical in children of a similar age.Symptoms lead to significant problems in school, work, or social life.Symptoms are continuously present for at least 6 months.
Treatment may include the following:
Training is designed
to help parents manage their child's behavior.
The purpose of the psychotherapy is
to teach the child better ways to manage anger.
Family therapy helps to improve family communication skills.
This type of therapy helps the child and family members learn problem-solving skills and decrease negativity.
This is training to help the child reduce frustration with peers.
There are no current guidelines to prevent ODD.
Children with oppositional defiant disorder. American Academy of Child and Adolescent Psychiatry website. Available at:
http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/Children_With_Oppositional_Defiant_Disorder_72.aspx. Accessed July 17, 2013.
Oppositional defiant disorder in children. Boston Children's Hospital website. Available at:
http://www.childrenshospital.org/conditions-and-treatments/conditions/oppositional-defiant-disorder. Accessed July 17, 2013.
Oppositional defiant disorder. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated December 7, 2012. Accessed July 17, 2013.
Last reviewed June 2015 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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