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by KateCheezum
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Explanation of Disorder:According to the DSM-5, oppositional defiant disorder (ODD) can be characterized by:- An angry/irritable mood- Argumentative/defiant behavior- Vindictiveness- If an adult or child is experiencing all of these symptoms for more than 6 months, it is likely they can be clinically diagnosed with ODD.- People with ODD are often angry, antisocial, disruptive, and disrespectful- Their behaviors are generally not dangerous- If untreated, the disruptive behaviors tend to escalate with age, and may develop into a more serious problem that can be difficult to treat. -A specifier of the diagnosis is that it is not uncommon for individuals with ODD to show symptoms only at home and with family members.- The pervasiveness of the symptoms is also a good indicator of the severity of the disorder, which range from mild to severe. DSM Code: 313.81 (F91.3) Oppositional Defiant Disorder



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1. Poor frustration tolerance and high levels of emotional reactivity can be a gateway to ODD2. Harsh and inconsistent parenting practices are common of families of children with ODD3. Certain genetic and physiological markers have been linked to ODD such as lower heart rate, abnormalities in the prefrontal cortex, skin conductance reactivity 4. Appears during preschool years5. Conveys risk for development of anxiety disorders and major depressive disorders6. Disorder appears more prevalent in males than females (1.4:1)

Here are just some of the key Etiologic facts about ODD:


Kate CheezumHoly Family UniversityCOUN 575

Researchers place an emphasis on variations of family counseling and parent training to rid the client of the diagnosis:-Parent Child Interactive Therapy (PCIT) uses different phases first teaching the parents to engage in positive play with their child and matching their enthusiasm. The second phase is to teach parents skills for behavior correction and appropriate discipline for negative behavior. -Parent Management Training (PMT) gives parents the information through role playing and scenarios about how to deal with defiant behavior. PMT places an emphasis on collaborating with the diagnosed child and incorporating them in the decision process of punishment rather than commanding them. In turn, this creates positive family cohesion.-Collaborative Problem Solving (CPS) the child and the parent work as a team. The parent informs the child of all aspects of the diagnosis so they deeply understand it. They talk about the “how” and “why” of the diagnosis so the child doesn’t feel like the diagnosis defines them.

ODD resources in the Princeton area:http://therapists.psychologytoday.com/rms/prof_results.php?city=Princeton&state=NJ&spec=204 http://www.brainbalancecenters.com/blog/2014/03/managing-oppositional-defiant-disorder-kids/


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