Oppositional Defiant Disorder

ODD is a pattern of angry/irritable mood, argumentative/defiant behaviours or vindictiveness towards authority figures.

Behaviour Help is a registered NDIS provider.

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Definition of Oppositional Defiant Disorder

The Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-V) (American Psychiatric Association, 2013), is a handbook that is used by professionals around the world to diagnose a range of mental disorders.The DSM–V describes ODD as a pattern of angry/irritable mood, argumentative/defiant behaviours or vindictiveness towards authority figures. The first symptoms of ODD usually appear during preschool years and rarely later than early adolescence.

Most children, adolescents and young adults have at least once argued with authority figures, refused to comply with a rule or request, or annoyed someone on purpose and blamed the other person for their behaviour. However, for these individuals, it is not their normal pattern of behaviour. These behaviours may be in response to overwhelming stresses in their lives or a developmental phase they are going through. Hence, this negative behaviour pattern is generally short-lived and tends to disappear as the individual adjusts to the new circumstance or matures. However, for some individuals with persistent oppositional and defiant behaviours or with a diagnosis oppositional defiant disorder (ODD), this is not the case.

 

Causes of ODD

The exact cause is currently unknown, rather the interaction between the risk factors may contribute to its development. They include:

  • Genetic factors: a predisposition to ODD is inherited in families with a history of attention deficit hyperactivity disorder (ADHD), substance use disorders, or mood disorders such as depression or bipolar disorder.
  • Physiological factors: abnormal functioning of certain types of brain chemicals or neurotransmitters lead to abnormalities in brain functioning.
  • Temperamental factors: the child has a difficult temperament (e.g. poor frustration tolerance, intense and high reactive responding and difficulty being soothed).
  • Environmental factors: the influence of the family is a strong risk factor for many individuals with ODD. 

 

Some of the family level risk factors include:

  • Parental lack of supervision.
  • Parental rejection and neglect.
  • Parental discipline is too harsh or too relaxed or inconsistent.
  • Parental inconsistent child rearing practices.
  • Parental criminality.
  • Parental disharmony.
  • Lack of parental monitoring.
  • Parents with a mental health problem.
  • Parents with a substance abuse problems.
  • Parents involved in criminal behaviour.
  • Individual has been physically or sexually abused.
  • Individual lives in institutionalised care.
  • Individual has frequent changes of caregivers.
  • Individual is part of a large family.

 

Types of ODD

There are two types of oppositional defiant disorder:

  • Childhood-onset ODD (i.e. the child showed at least one symptom characteristic of ODD before the age of 10 years).
  • Adolescent-onset ODD (i.e. the child showed no symptom characteristic of ODD before the age of 10 years).

 

Symptoms of ODD

A pattern of angry/irritable mood, argumentative/defiant behaviour, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms from any of the following categories and exhibited during interaction with at least one individual who is not a sibling.

Angry/Irritable Mood 

  1. Often loses temper. 
  2. Is often touchy or easily annoyed. 
  3. Is often angry and resentful. 

Argumentative/Defiant Behaviour 

  1. Often argues with authority figures or, for children and adolescents, with adults. 
  2. Often actively defies or refuses to comply with requests from authority figures or with rules. 
  3. Often deliberately annoys others. 
  4. Often blames others for his or her mistakes or misbehaviour. 

Vindictiveness 

  1. Has been spiteful or vindictive at least twice within the past 6 months.

 

References

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.).

 

Behaviour Help

If you are supporting an individual with this diagnosis, please refer to our services and resources. They aim to help children, adolescents and adults achieve better communication, social, emotional, behavioural and learning outcomes. So whether you are wanting guidance on parenting, teaching, supporting or providing therapy, Behaviour Help is at hand.

Note: This is not an exhaustive list of all the possible causes, symptoms and types but some general information that can be further explored. Based on what you have read if you have any concerns about an individual, please raise them with the individual/s. The caregiver can then raise these concerns with their local doctor who can provide a referral to the relevant professional (e.g. paediatrician, psychologist, psychiatrist, allied health professional and learning specialists) for diagnosis and treatment if appropriate.

Which resources are right for you?

Apps

Based on the Taking CHARGE of Rainbow of Emotions Workbook this app helps children of all ages develop emotional regulation skills. The app guides the child to firstly, identify and express their emotion in appropriate ways. Then the child is guided to use emotional management tool/s from the CHARGE tool kit to manage their emotions in a healthy way.

The acronym CHARGE stands for the different categories of emotional management tools – Chat tools, Helpful thinking tools, Amusement tools, Relaxation tools, Good routine tools and Exercise tools.

Behaviour Help App - Using the evidence-based approach of Positive Behaviour Support (PBS), the Behaviour Help web-based app allows people supporting individuals with emotional and behavioural difficulties to complete a Functional Behaviour Analysis and put together a comprehensive Behaviour Support Plan (BSP). The BSP can then be used by everyone interacting with the individual to manage and prevent challenging behaviours and ultimately improve their lives, and the lives of those who support them.

Books

If you want to learn more about emotional and behavioural difficulties then we have a great range of books you can read on your Kindle or order from Amazon.

Coaching

Personalised and practical one to one help tailored specifically to your family.

Online Courses

Access these online courses anytime online to learn about a range of diagnoses, practical skills and strategies to help develop the individual’s emotional regulation skills. Also learn to utilise the positive behaviour support framework to address anxiety, aggression, ADHD, ASD and ODD.

SEL Educational Videos

Minimise or eliminate the occurrence of challenging behaviours by teaching children of all ages appropriate ways of communicating, interacting, managing their emotions and behaviours.

The SEL curriculum uses video modelling to provide direct, explicit and systematic teaching of the various skills by discussing the importance of the skill, modelling the skill so the child learns what the skill looks like? sounds like? feels like? and learn the skill in staged situations that simulate real life scenarios.

Therapy

Personalised and practical behaviour therapy tailored specifically to your family.

Webinars

Webinars discuss a range of practical strategies to guide your child learn positive ways of behaving and managing their emotions.

Workshops

Attend our practical and interactive workshops to learn about a range of diagnoses, practical skills and strategies to help develop the individual’s emotions, behaviours, social and communication skills in your learning environment.

Ask Dolly

Since you’re here, you probably have questions and concerns. I am Dolly Bhargava, am here to help. I am a NDIS registered behaviour support practitioner and speech pathologist.

I have worked in a number of settings for over 21 years so, how can I help?

Please tell me what is worrying you right now and I will do my best to recommend resources and/or services that will be most useful to you in your situation.

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