Oppositional Defiant Disorder ODD

1
Oppositional Defiant Disorder (ODD)

• Dabney Byrd
• Anna Kimball
• University of North Florida
• June 4, 2005

2
Occupational Defiant Disorder (ODD)

• According to the DSM-IV-TR, children with
  occupational defiant disorder display an
  age-inappropriate pattern of stubborn hostile,
  and defiant behaviors that is persistent and
  might be exhibited as early as preschool or
  kindergarten.
• At least four percent of
• children and adolescence
• are diagnosed with ODD.

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History of ODD

• Relatively new disorder
• First confirmed as a psychiatric disorder in the
  DSM in 1980 as Oppositional Disorder.
• Was changed in the DSM-III-R in 1987 to
  Oppositional Defiant Disorder.

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Diagnosis of ODD

• Doctors, psychiatrists, psychologists,
• anyone who has a certified mental health
  license, or a licensed counseling social worker.
• Children must meet four of the eight behaviors
  over the course of six months in the DSM check
  list.
• Severity of the symptoms and the age of the
  client or student is an important part of the
  diagnostic criteria.

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Diagnosis of ODD cont.

• Limitations Internal psychiatric dysfunction or
• a reaction to a negative environment.
• Males are diagnosed at higher rates than females.

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Other factors to consider

• Developmental Age
• Academic Evaluation
• Total Environment
• Family
• Neighborhood
• Economic status

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Case Study- Mental Health

• Thirteen year old girl, frequent suspensions from
  school, failing grades, using drugs, sexual
  experimentation, running away from home, arguing
  and cussing with parents.
• Mother says, She is out of control, I am at my
  wits end, I do not know what to do?
• Girl says, I do not have a problem if they
  (parents) would just get off my back.

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Case study- School Counselor

• Third grade student, inattentive to teacher, when
  called upon to transition to a new task would
  argue and eventually end in a screaming tantrum.
• Mother says, I have severe problems with him at
  home, it has gotten to the point that I can no
  longer take him out in public.
• Student says, He acts like that in public
  because his mom buys his little brother more
  things then she buys him. He disobeys his teacher
  because he does not like her.

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Suggestions for behavior modification.

• Reality Therapy
• Behavior reward system
• Stop light
• Parent conferences
• Referral to a counseling agency
• Full Service School
• Behavior Interventionist
• Northwestern Behavioral Counseling Agency

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Bibliography

• Erk, R. (2004). Counseling Treatment for Children
  and Adolescents with DSM-IV-TR Disorders. Upper
  Saddle River, New Jersey Pearson Education, Inc.
• Hanna, F., Hanna, C., Keys, S. (1999). Fifty
  strategies for counseling defiant, aggressive
  adolescents reaching, accepting, and relating.
  Journal of Counseling and Development, 77(4),
  395-404.
• Northey, W., Wells, K., Silverman, W., Bailey,
  C. (2003). Childhood Behavioral and Emotional
  disorders. Journal of Marital and Family Therapy,
  20(4), 523-541.
• Wakefield, J., Pottick, K., Kirk, S. (2002).
  Should the DSM-IV diagnostic criteria for conduct
  disorder social context. The American journal of
  Psychiatry, 159(3), 380-387.
• .