Many kids and teens come to me with a diagnosis of Oppositional Defiant Disorder (ODD), which means that they have a hard time with the word, “no” and don’t easily follow rules or requests. Kids with ODD face many challenges in the classroom, at home and socially. Their constant agitation, poor impulse control and simple lack of pleasantries cause others to push away from these kids, which further exacerbates their issues.
Even though ODD may be a clinical disorder, I think of oppositional and defiant behaviors as issues that are always part of another clinical issue or condition. These are kids that have so much bubbling inside that they say, “NO!’ to just about everything because they are so dysregulated. The question is if it isn’t ODD, then what is it? Well, understanding what are the components of oppositional and defiant behavior is the first step to figuring out what could be the root cause of ODD.
According to the Diagnostic and Statistical Manual, Fifth Edition (DSM 5), Oppositional Defiant Disorder is a pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months as evidenced by at least four symptoms of the following categories, and exhibited during interaction with at least one individual who is not a sibling.
Angry/Irritable Mood
Argumentative/Defiant Behavior
Parenting a child or a teen with ODD is extremely difficult. You know that every time you say, “No”, there will be a battle. Kids who are oppositional simply are hard to parent because they are so inflexible. Oppositional kids aren’t “go with the flow” kind of kids and the littlest things can cause them to explode.
So what does ODD look like in the real world? Well they are prone to many behaviors including:
ODD is often misunderstood and frequently misdiagnosed. The behaviors associated with ODD, anger, irritability, arguing and defiant behavior are very real but are typically rooted in another often missed clinical condition. It is so important to identify the root cause otherwise behaviors, thoughts, sensations, and feelings can’t adequately be addressed. Remember, you can’t get the right treatment unless you have identified the right underlying issues!
Here are common root cause issues of oppositional and defiant behaviors that should be considered:
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Dr. Roseann is a Children’s Mental Health Expert and Therapist who has been featured in/on hundreds of media outlets including, CBS, NBC, FOX News, PIX11 NYC, The New York Times, The Washington Post,, Business Insider, USA Today, CNET, Marth Stewart, and PARENTS. FORBES called her, “A thought leader in children’s mental health.”
She is the founder and director of The Global Institute of Children’s Mental Health and Dr. Roseann Capanna-Hodge. Dr. Roseann is a Board Certified Neurofeedback (BCN) Practitioner, a Board Member of the Northeast Region Biofeedback Society (NRBS), Certified Integrative Medicine Mental Health Provider (CMHIMP) and an Amen Clinic Certified Brain Health Coach. She is also a member of The International Lyme Disease and Associated Disease Society (ILADS), The American Psychological Association (APA), Anxiety and Depression Association of America (ADAA) National Association of School Psychologists (NASP), International OCD Foundation (IOCDF) International Society for Neurofeedback and Research (ISNR) and The Association of Applied Psychophysiology and Biofeedback (AAPB).
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