Oppositional Defiant Disorder Analysis

Disruptive Behavior Disorders. Oppositional defiant disorder (ODD), conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) form a cluster of childhood disorders considered to be “disruptive behavior disorders” (American Psychiatric Association, 2004). Although most violent adolescents have more than one mental disorder and they may have internalizing disorders, for example depression or substance abuse, there appear to be increasingly higher rates of physical aggression found in these adolescents who experience disruptive behavior disorders than for those with other mental disorders. The fact that violent juvenile offenders are more likely to have these diagnoses is not surprising, because impulsive and/or aggressive behaviors are part of their diagnostic criteria. Additionally, there is relatively high co-morbidity with substance abuse disorders, which are also associated with juvenile violence (Moeller, 2001). Individuals with conduct disorder have the following features but this list is not inclusive for example they may have little empathy and little concern for the feelings, wishes, and wellbeing of others, respond with aggression, may be callous and lack appropriate feelings of guilt re remorse, self-esteem may be low despite a projected

According to Barkley (1997), oppositional defiant disorder is categorized as a pattern of aggressive defiance behavior that lasts for about six months. ODD ranges from moderate non-compliant behavior to total defiant behavior. Children diagnosed with ODD will meet both non-compliance and defiance criteria. A child who is diagnosed with defiance disorder will refuse to listen to a reasonable order and will act out

A rating scale was completed by a Parker Elementary school teacher, Mrs. Smith for 8 year old Andrea. The Disruptive Behavior Rating Scale (DBRS) consisted of 50 questions with responses with zero representing rarely/hardly ever, one representing occasionally, two representing frequently, and three representing most of the time. The scale utilized is used by clinical professionals for diagnostic purposes of four different areas for behavior concerns these include: distractible, oppositional, impulsive-hyperactivity, and antisocial conduct. The rating scale was completed on 1/31/1992.

Today, as many as 3.5% of children in the United States are being diagnosed with Conduct Disorders some as early as age three (Perou, et al., 2013). Research has shown that CD is a behavior that predicts Oppositional Defiant Disorder and Attention Deficit Hyperactivity Disorder symptoms at age six (Harvey and Metcalfe, 2013).

Oppositional defiant disorder (ODD) is one of a group of behavioral disorders in the disruptive behavior disorders category. Children who have these disorders tend to be disruptive with a pattern of disobedient, hostile, and defiant behavior toward authority figures. These children often rebel, are stubborn, argue with adults, and refuse to obey. They have angry outbursts, have a hard time controlling their temper, and display a constant pattern of aggressive behaviors. ODD is one of the more common mental health disorders found in children and adolescents (AACAP, 2009). It is also associated with an increased risk for other forms of psychopathology, including other disruptive behavior disorders as well as mood or anxiety problems (Martel,

There are two common type of disruptive behavior disorders that affects children lives in a negative fashion when not treated properly. According to the American Academy of Pediatrics (2004) “Behaviors typical of disruptive behavior disorders can closely resemble ADHD particularly where impulsivity and hyperactivity are involved but ADHD, ODD, and CD are considered separate conditions that can occur independently. About one third of all children with ADHD have coexisting ODD, and up to one quarter have coexisting CD” .The two types of disruptive behavior disorders are oppositional defiant disorder and conduct disorder. Some symptoms of disruptive behavior disorder is breaking rules, defiant, argumentative, disobedient behaviors towards authority

If ODD was not treated properly in childhood it will most likely follow them into their adolescent life. When the adolescent is in school and becomes defiant and argumentative people might think that it is a phase that the person is going through even though it is not. This could cause serious problems in the person’s education and their home life, and then so on into their adult life. Also ODD is also often viewed as a mild variation of a conduct disorder (Essau, 2003). The only differences between the two is that CD and ODD have different diagnostic requirements when they are compared. Although the only difference between the two is that CD is a more extreme than ODD. A client with ODD is often most times very out of control when getting orders from authority figures. This is why ODD is a major problem when it comes to being prevalent in adolescents. When ODD is present it is often times very hard for the parent to control the child. The child will often times be very out of control and not listen to the orders that the parent of authority figure is giving them. ODD can become a major problem if not treated correctly.

Opposition Defiant disorder, also known as (ODD), can be classified as disruptive behavior disorder (DBD). This type of disorder represents a persons inability to control their emotions or behaviors. Individuals diagnosed with ODD tend to be hostile, vindictive, and may display irritability. Adolescents with Odd tend to display a pattern of angry outburst, arguments, disobedience, etc. toward other individuals such as parents, teachers, classmates, friends, or other authority figures. Symptoms of ODD tend to decrease as adolescent’s age, and problems generally are not long lasting.

Oppositional Defiant Disorder is a tricky diagnosis when it comes to teens. Let’s face it, a whole lot of teens are defiant by nature, so let’s take a closer look at this complex disorder.

Antisocial personality disorder (ASPD), opposition defiant disorder (ODD), and conduct disorder (CD) are three distinct disorders based upon their respective diagnostic criteria in the DSM-5. If ODD and CD were mild forms of ASPD, then there would need to be causal relationship between the childhood manifestations of ODD and CD and the adult manifestation of ASPD. There is evidence of comorbidity between ODD and CD, and also evidence to suggest that children diagnosed with these disorders may go on to develop ASPD later in life; however, correlation does not equal causation. The three disorders have subtle but important differences in their associated behaviors, underlying causes, treatment outcomes, and neurological signs.

Oppositional Defiant Disorder, also know as ODD, is a consistent pattern of negative behavior demonstrated by a child or teenager who often argues, displays aggressive behavior, steals and/or destroys property. Parents and children with this extreme behavior disorder often are blamed and face undue, unhelpful judgement. The ODD Lifeline parenting program takes the blame away and restores parent dignity while providing real solutions to end the oppositional defiant child.

According to Ross Greene (2002), Oppositional Defiant Disorder (ODD) is defined as “recurrent pattern of developmentally inappropirate levels of negativistic, defiant, disobedient, and hostile behavior toward authority figures” (p. 1214). Children who are diagnosed with this disorder rebel against most authority and the rules that are set in place. The child will be: quick to throw tantrums, actively and verbally fight with people older than them, disregard any orders or guidelines to be followed, knowingly bother others and their personality may showcase a lot of hate or bitterness. A lot of the times, the child may only misbehave in their homes and show aggression towards their family, while other times, the disorder may develop into a

Conduct disorder is the primary identifying risk factor in childhood that may be recognized as an early sign preceding the eventual development of antisocial personality disorder in adulthood (Holmes, Slaughter, & Kashani, 2001). Antisocial personality disorder possesses an array of proposed origins which include but are not limited to domestic, genetic, prenatal, and educational factors (Holmes, Slaughter, & Kashani, 2001; Farrington, 2005). Early detection and intercession are preventative measure that can be taken to dissolve the progression of conduct disorder in at risk individuals and dissolve the development of antisocial personality disorder in affected individuals (Holmes, Slaughter, & Kashani, 2001). The prognosis for individuals with antisocial personality disorder, or ASPD/APD, who receive treatment, ideally, is decreased repetitive criminal behavior and reduction of antisocial behavior (Hatchett, 2015).

Also, according to Rowe et al (2010), since Oppositional Defiant Disorder (ODD) symptoms has been linked to early indictors of the child developing symptoms of Conduct Disorder (CD) in both gender, with the prevalence rate of one out of five boys and one out of ten girls will meet the criteria for both ODD and CD within the ages of nine years old to sixteen years old.

Overt conduct disorder violate social rules and includes a wide variety of antisocial behaviors such as aggression, theft, vandalism, firesetting, lying, truancy, and running away. It interferes with everyday functioning at home and school. Students with overt conduct disorder “perform harmful behaviors at a much higher rate and at a much later age than normally developing student” (Kauffman 2005).