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Questions and Answers
Children and adolescents with ODD typically have difficulty controlling their laughter.
False
ODD is more likely to develop in late preschool than in early adolescence.
True
Behavioral therapy is not considered as a suitable treatment for ODD.
False
The Vanderbilt and the Connor Rating Scale for ADD do not include items to screen for ODD.
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ODDs consist of a pattern of calm and cooperative behaviors.
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Distress associated with disruptive outbursts in ODD can only be isolated toward family interactions.
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Medication should always be the only treatment intervention for teens with ODD.
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Parent management training focuses on effective disciplining and age-appropriate supervision to decrease support for positive social behavior.
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All medications used for teens with ODD require the teen's assent for a positive outcome.
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Nurses are not responsible for educating the patient and family about medication side effects.
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Compliance with the medication regimen is not important, and patients can abruptly stop medications without consequences.
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Collaborative Problem Solving and COPE are evidence-based treatment programs for teens with ODD.
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Study Notes
Oppositional Defiant Disorder (ODD)
- Pattern of irritability, defiant behaviors, and vindictiveness that results in disturbed functioning in academic and social domains.
- Children and adolescents with ODD typically have difficulty controlling their temper, with anger often directed at authority figures.
Diagnosis and Assessment
- Distinguish behavior within normal limits from symptomatic behavior.
- Consider frequency and intensity of disruptive outbursts, as well as distress associated with those in social context (family, peer group, work colleagues).
- Evidence-based tools, such as Vanderbilt and Connor Rating Scale for ADD, include items that screen for ODD and have specific rating scales for parents and teachers.
Treatment and Management
- Behavioral therapy and cognitive behavioral therapy (CBT) are individually designed to meet the needs of the child.
- Techniques include family therapy, anger management, and collaborative problem-solving.
- Multidisciplinary and multimodal approach may be necessary, including psychosocial interventions and occasionally medication.
- Parent management training focuses on effective disciplining and age-appropriate supervision to increase support for positive social behavior.
Treatment Programs
- Collaborative Problem Solving and Creating Opportunities for Personal Empowerment (COPE) are evidence-based treatment programs for teens with ODD.
- Recommended parent management training programs include Triple P, The Incredible Years, and The REACH Institute.
Medication
- May be used in addition to psychosocial treatment for symptoms of aggressive behavior and to treat comorbid conditions.
- Should not be the only treatment intervention.
- Medications used include stimulants, atomoxetine, mood stabilizers, and atypical antipsychotics.
- Importance of compliance with medication regimen, as abruptly stopping increases risk of rebound reaction.
Nurse's Role
- Educate patient and family about side effects and monitor metabolic assessments and laboratory evaluations.
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Description
Learn about the characteristics and impact of Oppositional Defiant Disorders (ODDs) in children and adolescents, including patterns of irritability, defiant behaviors, and vindictiveness affecting academic and social functioning. Understand the importance of distinguishing between normal behavior and symptomatic behavior.
