Oppositional Defiant Disorder

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Transcript Oppositional Defiant Disorder

CLASSROOM MANAGEMENT OF
OPPOSITIONAL DEFIANT
DISORDERED
(odd)
STUDENTS
Nancy Edwards
PART 1
What Is ODD?
A persistent pattern of
behavior different from
other children of the same
developmental level
Behaviors occur
frequently enough to
affect child’s social,
family, and academic life
SYMPTOMS
1.
2.
3.
4.
5.
6.
7.
8.
Loses temper often
Frequent arguing with adults
Actively defies requests and refuses to
follow rules
Deliberately annoys people
Blames others for own mistakes and
misbehaviors
Touchy and easily annoyed
Often angry and resentful
Spiteful and vindictive
ODD CHILDREN OFTEN SEEM
PROUD OF THEIR
MISBEHAVIORS
CAUSES

Genetic
– Sometimes runs in families
 Nature
– Inborn temperament
 Nurture
– Sometimes precipitated by mental
or physical trauma
 Brain Chemistry
– May be related to serotonin,
cortisol, or other brain chemicals
DIAGNOSING

Present in 5-15% of students
 Usually diagnosed by age 8
– Many boys diagnosed by preschool
– Many girls diagnosed in middle
school
 Occasionally develops into…
– Conduct disorder
– Passive Aggressive Personality
Disorder
– Antisocial Personality Disorder
COMORBID CONDITIONS
1.
2.
3.
4.
5.
6.
Depression
ADD/ADHD
Learning Disabilities
Bipolar Disorder
Anxiety Disorder
Giftedness
TREATMENT
 Parent Training
Programs
 Individual Psychotherapy
 Family Counseling
 Cognitive-Behavioral Therapy
 Social Skills Training
 Medication used only for
comorbid disorders
PART 2
TWO KEYS TO EFFECTIVE
CLASSROOM MANAGEMENT
FOR STUDENTS WITH ODD
Escape
for the
child
Affecting
attitudes
THE TEACHER SHOULD
NOT
 Respond
quickly
 Try to “convince”
 Threaten
 Raise the stakes
 Create an audience
 Keep it going
 Use sarcasm, anger, or bribes
THE TEACHER SHOULD
 Give
simple, direct, real choices
 Follow pre-determined
behavior plan
 Listen
 Give brief, direct responses
 Maintain privacy
 Walk away from confrontation
AFFECTING ATTITUDES
 Most
ODD students reject obvious positive
reinforcements
 The trick is to sneak it in
– Whisper it as you pass them
– Leave a private note
– Use emotion flash cards visible only to the
individual child
TWO RULES FOR SUCCESS
When the ODD student is neutral or
positive you should be positive and
engaging, offering encouraging
feedback and instruction
2. When the ODD student is negative
you should be emotionless and
business like and follow through on
pre-determined plans and
consequences
1.
THINGS NOT TO DO WITH
AN ANGRY ODD CHILD
Don’t
touch the student
Don’t raise your voice
Don’t threaten consequences
Don’t point your finger
Don’t crowd the student
Don’t feed the rage
HOW TO DEAL WITH AN
ANGRY ODD CHILD
 Use
the student’s name
 Remove the audience
 Use humor (but never sarcasm)
 Double your physical distance
 Attempt to distract
 Minimize discussion
TIME OUT
 In
order to work, time out
MUST be creative
 Must involve being
– Reasonable
– Respectful
– Fair
 Use child’s strengths to find a
way to let him/her cool off
RECOMMENDED BOOKS
 The
Explosive Child
– Dr. Ross W. Green
 The Defiant Child: A Parent’s Guide to ODD
– Dr. Douglas Riley
 Parenting With Love and Logic
– Jim Faye and Foster Cline
 The Difficult Child
– Dr. Stanley Turecki
RECOMMENDED LINKS
 Conduct
Disorders For Parents and
Teachers
 The Chandler Papers
 Explosive Kids
 American Academy of Child and
Adolescent Psychiatry
 Internet Mental Health Site
Nancy Edwards
Thayer Central Schools
Chester, NE 68327