Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders


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Finding the Real Self Behind Oppositional Defiant Disorders

For example, a single mother may need legal help to obtain child support from the child's father so that she won't need to work two jobs, and can stay at home in the evenings with the child. Behavioral therapy is usually effective in treating ODD.


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Behavioral therapy focuses on changing specific behaviors, not on analyzing the history of the behaviors or the very early years of the child's life. The theory behind behavioral therapy is that a person can learn a different set of behaviors to replace those that are causing problems. As the person obtains better results from the new behavior, he or she will want to continue that behavior instead of reverting to the old one.

To give an example, the child's parents may be asked to identify behaviors that usually start an argument. They are then shown ways to stop or change those behaviors in order to prevent arguments.

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Contingency management techniques may be included in behavioral therapy. The child and the parents may be helped to draw up contracts that identify unwanted behaviors and spell out consequences. For example, the child may lose a privilege or part of his or her allowance every time he or she throws a temper tantrum. These contracts can include steps or stages—for example, lowering the punishment if the child begins an argument but manages to stop arguing within a set period of time. The same contract may also specify rewards for desired behavior.

For example, if the child has gone for a full week without acting out, he or she may get to choose which movie the family sees that weekend. These contracts may be shared with the child's teachers. The parents are encouraged to acknowledge good or nonproblematic behavior as much as possible.

Attention or praise from the parent when the child is behaving well can reinforce his or her sense that the parent is aware of the child even when he or she is not acting out.

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Cognitive therapy may be helpful for older children, adolescents, and parents. In cognitive therapy, the person is guided to greater awareness of problematic thoughts and feelings in certain situations. The therapist can then suggest a way of thinking about the problem that would lead to behaviors that are more likely to bring the person what they want or need. For example, a girl may be helped to see that much of her anger derives from feeling that no one cares about her, but that her angry behavior is the source of her problem because it pushes people away.

Although psychotherapy is the cornerstone of treatment for ODD, medicine may also be helpful in some cases. Children who have concurrent ADHD may need medical treatment to control their impulsivity and extend their attention span. Children who are anxious or depressed may also be helped by appropriate medications.

Treatment for ODD is usually a long-term commitment.


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  8. It may take a year or more of treatment to see noticeable improvement. It is important for families to continue with treatment even if immediate results are not apparent. If ODD is not treated or if treatment is abandoned, the child has a higher likelihood of developing conduct disorder. The risk of developing conduct disorder is lower in children who are only mildly defiant. It is higher in children who are more defiant and in children who also have ADHD.

    In adults, conduct disorder is called antisocial personality disorder, or ASD. Children who have untreated ODD are also at risk for developing passive-aggressive behaviors as adults. Persons with passive-aggressive characteristics tend to see themselves as victims and blame others for their problems. Prevention of ODD begins with good parenting. If at all possible, families and the caregivers they encounter should be on the lookout for any problem that may prevent parents from giving children the structure and attention they need.

    The earlier ODD is identified and treated, the more likely it is that the child will be able to develop healthy patterns of relating to others. Hales, R. Yudofsky, J. Talbott, eds. Textbook of Psychiatry. Sadock, B. Philadelphia: Lippincott Williams and Wilkins, Loeber, Rolf.

    American Academy of Child and Adolescent Psychiatry. Fax: Toggle navigation. Description Children who have ODD are often disobedient. Causes ODD has been called a problem of families, not of individuals.

    Behavioural disorders in children - Better Health Channel

    It occurs in families in which some or all of the following factors are present: Limits set by parents are too harsh or too lax, or an inconsistent mix of both. Family life lacks clear structure; rules, limits, and discipline are uncertain or inconsistently applied. At least one parent models oppositional behavior in his or her own interactions with others. For example, mother or father may get into frequent disputes with neighbors, store clerks, other family members, etc.

    At least one parent is emotionally or physically unavailable to the child due to emotional problems of the parent such as depression , separation or divorce, or work hours. Symptoms According to DSM-IV-TR , a diagnosis of ODD may be given to children who meet the following criteria, provided that the behavior occurs more frequently than usual compared to children of the same age and developmental level.

    The child: often loses his or her temper frequently argues with adults often disregards adults' requests or rules deliberately tries to provoke people frequently blames others for his or her mistakes or misbehavior is often easily irritated by others is often angry and resentful is often spiteful In order to make the diagnosis of oppositional defiant disorder, the behavioral disturbances must cause significant impairment in the child's social, academic or occupational functioning, and the behaviors must not occur exclusively during the course of a psychotic or mood disorder.

    Diagnosis Oppositional defiant disorder is diagnosed when the child's difficult behavior lasts longer than six months. Treatments Treatment of ODD focuses on both the child and on the parents.

    Prognosis Treatment for ODD is usually a long-term commitment. Prevention Prevention of ODD begins with good parenting. Other articles you might like:. Follow City-Data. Tweets by LechMazur. Also read article about Oppositional defiant disorder from Wikipedia. User Contributions: 1. Yes, this information is very helpful. She also tends to misjudge others behaviors as aggressive or teasing when they are merely making a statement, such as " Wow, I got a yellow one!

    You're not so great! She puts on a drama show over seemingly nonsensical minutia,and generally can be quite embarrassing. She is also overly emotional about a lot of things, and has secondary voluntary enuresis. So, this info. Thanks very much. In his opinion, his paraent;s and teacher's rules and expectations are so ridiculous that he refuses to follow any of them and there is no consequenses that make any difference to him.

    The only thing that would be "painful" to him is to ground him but to this he just laughs at saying "ya right, make me". At school they suspend him and he is well on his way to failing his 1st year of highschool. Kids today know all the legal rights they have and they use them against authorities, laughing at them all saying "you can't maka me do nothing I don 't want to do". Other suggestions "put him in sports or something to keep him occupied".

    To which Rene says "sports are gay, I just want to chill with my friends" and smoke pot and play vedeo games and jam. Rene's dad lately kicked him out, Rene went to live with mom but was thretning her and abusing her emotionaly and physicly so she locked him out and Rene is noe temporary living at his uncle. In 2 month his uncle says he is no longer going to keep Rene so noiw what?

    Committed to addressing the causes of ADHD, Autism & Mood Disorders.

    His father neglecting him over 5 years now is what I believe is the major cause of Rene's ODD but dad cares more about trying to keep from going bankrupt again then his son's life. You have an answer for that, I beg you do tell. We live in Ontario. Then she was assaulted while there, but did not tell me , just acted out. After that everything she objected to. She has remained in a somewhat babified stage and is in somewhat of an imaginary world.

    Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders
    Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders
    Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders
    Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders
    Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders
    Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders Treating the Disruptive Adolescent: Finding the Real Self Behind Oppositional Defiant Disorders

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