Transcript Oppositional Defiant Disorder

Oppositional
Defiant Disorder
(ODD)
Dabney Byrd
Anna Kimball
University of North Florida
June 4, 2005
Occupational
Defiant Disorder (ODD)…
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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.
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At least four percent of
children and adolescence
are diagnosed with ODD.
History of ODD
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Relatively new disorder
First confirmed as a psychiatric disorder in the
DSM in 1980 as Oppositional Disorder.
Was changed in the DSM-III-R in 1987 to
Oppositional Defiant Disorder.
Diagnosis of ODD
Doctors, psychiatrists, psychologists,
anyone who has a certified mental health license,
or a licensed counseling social worker.
 Children must meet four of the eight behaviors
over the course of six months in the DSM check
list.
 Severity of the symptoms and the age of the
client or student is an important part of the
diagnostic criteria.
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Diagnosis of ODD cont.
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Limitations: Internal psychiatric dysfunction or
a reaction to a negative environment.
Males are diagnosed at higher rates than females.
Other factors to consider…
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Developmental Age
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Academic Evaluation
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Total Environment:
Family
 Neighborhood
 Economic status
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Case Study- Mental Health
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Thirteen year old girl, frequent suspensions
from school, failing grades, using drugs, sexual
experimentation, running away from home,
arguing and cussing with parents.

Mother says, “She is out of control, I am at my
wit’s end, I do not know what to do?”

Girl says, “I do not have a problem if they
(parents) would just get off my back.”
Case study- School Counselor
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Third grade student, inattentive to teacher, when called
upon to transition to a new task would argue and
eventually end in a screaming tantrum.

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.”

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.
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Reality Therapy
Behavior reward system
Stop light
Parent conferences
Referral to a counseling agency
Full Service School
 Behavior Interventionist
 Northwestern Behavioral Counseling Agency
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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.
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