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Oppositional Defiant Disorder. Definition. Recurrent pattern of negative, defiant, disobedient, and hostile behavior toward authority figures that persists for at least 6 months. What Does This Look Like? . Loses temper Argues with adults
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Definition • Recurrent pattern of negative, defiant, disobedient, and hostile behavior toward authority figures that persists for at least 6 months
What Does This Look Like? • Loses temper • Argues with adults • Actively defies or refuses to comply with adults’ request or rules • Deliberately annoys people • Often blames others for his/her mistakes or misbehavior • Is touchy or easily annoyed by others • Angry and resentful • Spiteful or vindictive
Common Characteristics Diagnostic Features Associated Features Disorder more prevalent in males Often coupled with ADHD, Anxiety and Autism .ODD is associated with Mood Disorders More prevalent in families with disrupted caregivers or families with harsh, inconsistent, or neglectful child-rearing • Manifestations of the disorder almost invariably present in the home setting • May not be evident at school or in the community • Symptoms are typically more evident in interactions with peers or adults whom the individual knows well
Key Issues Teachers • Behavior management in classroom • Patience using procedures with child • Avoid “Head-on Battles” Parents • Educate oneself on disorder • Develop at home routine with child and perform daily (Be Involved!) • Have hope and be patient with child • Know you are a saint Social Workers • Become familiar and integrate behavior management strategies • Teach parents and teachers key procedures to use in classroom and at home • Earn child’s trust (most ODD children often distrust the world)
Specific Accommodations • Understand and practice the difference between discipline and behavior management • Use of structured interventions in classroom and in the home • Written Contract • Be logical (Use logical consequences for undesirable behaviors whenever possible) • You tube: Voicing behavior expectations part 1 • Voicing behavior expectations part 2
Short Term Goals 1.)Assessment 2.)Early behavior management intervention 3.)Early education and implementation
Long Term Goals 1.)Valadation of feelings and use of empathy 2.)Continuing use of behavior management 3.)Mainstream 4.)Continuious education
Resources 1.) The Defiant Child: A Parent’s Guide to Oppositional Defiant Disorder by Douglas A.Riley 2.) 10 Days to a Less Defiant Child: The Breakthrough Program for Overcoming Your Child’s Difficult Behavior by Jeffery Bernstein 3.) Your Defiant Teen: 10 Steps to Resolve Conflict and Rebuild Your Relationship by Russell A. Barkley 4.) “Basic information, expert resources, and answers” http://www.mayoclinic.com/health/oppositional-defiant-disorder/DS00630 5. Youtube Videos: Solutions for Oppositional Defiant Difficult Kids
Bibliography http://specialed.about.com/od/behavioremotional/a/odd.htm http://emedicine.medscape.com/article/918095-overview http://www.mayoclinic.com/health/oppositional-defiant-disorder/DS00630 MacKenzie, E. P., Fite, P. J., & Bates, J. E. (2004). Predicting outcome in behavioral parent training: expected and unexpected results. Child & Family Behavior Therapy, 26(2), 37-53. Markward, M. J., & Bride, B. B. (2001). Oppositional defiant disorder and the need for family-centered practice in schools. Children & Schools, 23(2), 73-84. Northey, W. r., Wells, K. C., Silverman, W. K., & Bailey, C. E. (2003). Childhood behavioral and emotional disorders. Journal Of Marital And Family Therapy, 29(4), 523-545.
