Oppositional Defiant Disorder (ODD) Diagnosis and Treatment

Questions and Answers

Acts irresponsibly

6 times in 6 months

50% Signup and view all the answers

To improve communication and problem-solving skills Signup and view all the answers

Teaching parents skills to manage child behavior Signup and view all the answers

Cognitive-Behavioral Family Therapy (CBFT) Signup and view all the answers

Increased functional impairment Signup and view all the answers

To target cognitive distortions and negative thinking patterns Signup and view all the answers

Requires a multimodal approach Signup and view all the answers

Study Notes

Oppositional Defiant Disorder (ODD) is characterized by a pattern of negative, hostile, and defiant behavior.
Diagnostic criteria include:
- At least 4 symptoms from any of the following categories:
  - Angry/Irritable Mood:
    - Loses temper
    - Is easily annoyed
    - Is angry and resentful
    - Is spiteful and vindictive
  - Argumentative/Defiant Behavior:
    - Argues with adults
    - Actively defies rules
    - Deliberately annoys others
    - Blames others for mistakes
- Symptoms occur frequently (at least 6 times in 6 months)
- Symptoms cause significant distress or impairment in social, academic, or occupational functioning
- Symptoms are not better explained by another mental disorder (e.g., Conduct Disorder, ADHD)

ODD is commonly comorbid with Attention Deficit Hyperactivity Disorder (ADHD)
Up to 50% of children with ADHD also meet criteria for ODD
Comorbidity is associated with:
- Increased severity of symptoms
- Greater functional impairment
- Higher risk of developing Conduct Disorder
Treatment of ODD in individuals with ADHD often requires a multimodal approach, including behavioral therapy and medication

Family therapy is an effective treatment approach for ODD
Goal: Improve parenting skills, reduce conflict, and increase positive relationships
Approaches:
- Functional Family Therapy (FFT):
  - Focuses on improving communication, problem-solving, and conflict resolution skills
  - Targets reduction of negativity and criticism
- Parent Management Training (PMT):
  - Teaches parents skills to manage child behavior, set clear boundaries, and use positive reinforcement
  - Emphasizes consistency, predictability, and positive reinforcement
- Cognitive-Behavioral Family Therapy (CBFT):
  - Targets cognitive distortions, negative thinking patterns, and problem-solving skills
  - Encourages active participation from all family members