Oppositional Defiant Disorder What is it - PowerPoint PPT Presentation

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Oppositional Defiant Disorder What is it

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Social Skill Defecits. Sleep Disorders. Gross Motor Delay. Irritable. Low Frustration ... Attend to positive behavior. Positive Behavior. Does child have the ... – PowerPoint PPT presentation

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Title: Oppositional Defiant Disorder What is it


1
Oppositional Defiant DisorderWhat is it?
  • Larry Burd
  • Department of Pediatrics
  • University of North Dakota
  • 701-777-3683

2
Onset in Childhood
  • Temperament
  • Developmental Disorders
  • More boys

3
Accompanying Disorders
  • ADHD gt80
  • Speech and Language Disorders
  • Social Skill Defecits
  • Sleep Disorders
  • Gross Motor Delay

4
Low Frustration
  • Irritable

5
Sleep Disorders
  • Late to bed
  • Up at night
  • Snoring
  • Parents bed

6
Ending Activities
  • Changing

7
Gross and Fine Motor
  • Dressing
  • Tying shoes
  • Zipping
  • Writing
  • lt Bilateral coordination

8
Peer Relationships
  • Social skills
  • Exploitation
  • Empathy
  • Attachment

9
Parents
  • Many single parents
  • Limited resources
  • Family History (20-30)

10
ODDWhat to Do
11
Oppositional Defiant Disorders    ___ Speech
delays ___ Language delays ___ Difficulty
understanding ___ Irritable ___ Impatient ___ Slee
p problems ___ Hard to get to bed ___ Wakes up
often ___ Gets out of bed in the night ___ Sleeps
with parent(s) ___ Hits ___ Kicks ___ Bites ___ Th
rows ___ Temper tantrums ___ Wont
listen ___ Hyperactive ___ Poor
attention ___ Social skill deficits ___ Poor
coordination ___ Clumsy     Most
frequent _______________________   _________
______________    Most difficult _______________
________
12
Management
  • Parent training
  • Time out
  • Positive behavior management
  • Speech and language therapy
  • ADHD treatment

13
Parent Training
  • Education
  • Planned Ignoring
  • M Ms
  • The Store
  • Bedtime
  • Getting dressed
  • Respite care
  • Sleep in own bed

14
Management Time Out
  • Time away
  • 1 - 2 minutes each year
  • 1 2 behaviors
  • Attend to positive behavior

15
Positive Behavior
  • Does child have the behavior on demand?
  • Catch em being good
  • Stars
  • MMs

16
Speech Language Therapy
  • Expressive
  • Receptive
  • Comprehension

17
ADHD
  • Assessment
  • Education
  • Behavioral Intervention
  • Medication

18
Sleep
  • Bedtime ritual
  • set time 800 830
  • 4-5 activities
  • no scaring
  • reward success last nights success

19
Getting Dressed
  • Allow plenty of time
  • Pick the clothes
  • Reward success

20
The Store
  • Go when you dont need anything
  • Talk before going in
  • Have reward ready
  • No second chance that day

21
Social Skills
  • Observe
  • Identify
  • Teach
  • Positive skills
  • Identify skilled partner

22
Directions
  • Short - short
  • Low key approach

23
Irritable
  • Ignore temper tantrums
  • Catch em being good

24
Easy Living
  • Plan ahead
  • Slow pace
  • Reward change

25
Better Listening
  • Come here
  • Eat this M M
  • Treasure hunt

26
Everybody Gets to Sleep
  • Bed time ritual
  • No more talking
  • No hugs of kisses
  • No drinks
  • Sleeps in own bed (no exceptions)

27
Attending and Behavior Change
  • Catch em being good

28
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Picture or Reward
Picture or Reward
Target Behavior __________________________________
___________ Morning ___ ___ ___ ___ ___ Afternoo
n ___ ___ ___ ___ ___
Target Behavior __________________________________
___________ Morning ___ ___ ___ ___ ___ Afternoo
n ___ ___ ___ ___ ___ Evening ___ ___ ___ ___ ___

33
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34
Teaching and Learning
  • Task _______________________________
  • Reinforcer___________________________

35
  • Task_________________________________
  • Reinforcer


-
Improved

No change
Worse
-
-
-
36
Teaching and Learning
  • Task_______________________________
  • Reinforcer


-
- Doesnt understand - Cant do it

Improved
Unchanged
-
Doesnt work
Worse
-
-
-
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