Oppositional Defiant Disorder ODD Dabney Byrd Anna Kimball

Oppositional Defiant Disorder (ODD) Dabney Byrd Anna Kimball University of North Florida June 4, 2005

Occupational Defiant Disorder (ODD)… n According to the DSM-IV-TR, children with occupational defiant disorder display an ageinappropriate pattern of stubborn hostile, and defiant behaviors that is persistent and might be exhibited as early as preschool or kindergarten. n At least four percent of children and adolescence are diagnosed with ODD.

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

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

Diagnosis of ODD cont. Limitations: Internal psychiatric dysfunction or a reaction to a negative environment. n Males are diagnosed at higher rates than females. n

Other factors to consider… n Developmental Age n Academic Evaluation n Total Environment: n Family n Neighborhood n Economic status

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

Case study- School Counselor n Third grade student, inattentive to teacher, when called upon to transition to a new task would argue and eventually end in a screaming tantrum. n 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. ” n 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. ”

Suggestions for behavior modification. Reality Therapy n Behavior reward system n Stop light n Parent conferences n Referral to a counseling agency n n Full Service School n Behavior Interventionist n Northwestern Behavioral Counseling Agency

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. .