Oppositional defiant disorder


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Oppositional defiant disorder

  1. 1. MR. JAYESH PATIDAR.www.drjayeshpatidar.blogspot.comOPPOSITIONALDEFIANT DISORDER
  2. 2. CONCEPT… All children sometimes talk back, argue, disobey, &defy their parents or teachers – especially when they’rehungry, tired, or stressed. In fact, for toddlers age 2 or 3 & for young adolescents,such oppositional behavior may be a normal part ofdevelopment. Hostile, uncooperative behavior in a child may signalODD if it’s more consistent & severe than that of otherchildren of the same age & development level - & ifsuch behavior affects the child’s social, family, &academic life. A child with ODD is consistently negative, disobedient,argumentative, & hostile. He behaves in a provocativemanner deliberatively meant to annoy & upset authoritywww.drjayeshpatidar.blogspot.in
  3. 3. Count… During an argument, a child with ODD dosen’tback down, even if he stands to loseprivileges. To him, the important things is thestruggle, which overshadows the reality of thesituation. If anyone objects to his behavior, heviews it as stimulation to continue theargument. ODD may be a precursor toconduct disorderwww.drjayeshpatidar.blogspot.in
  4. 4. EPIDEMILOGY… Roughly 5% to 15% of school-agechildren have ODD. Onset occurs between ages 3 & 19. Before puberty, ODD is more common inboys. After puberty, it affects bothgenders equally.www.drjayeshpatidar.blogspot.in
  5. 5. CAUSESNo known biological basis for ODD exists.Risk Factors: Parental rejection Inconsistent, unsupervised child rearing. Inconsistent or punitive discipline or limit setting Parental modeling of defiant interactions with others Family conflict Marital discord between the child’s parent Disrupted child care with a succession of differentcaregivers.www.drjayeshpatidar.blogspot.in
  6. 6. SIGNS AND SYMPTOMSSigns & symptoms of ODD usually occur in morethan one setting, although they may be morenoticeable at home or at school. They include: Persistent or consistent pattern of defiant,disobedient, hostile behavior. Disobeying directly by not following rules Disobeying indirectly by procrastinating & beingsneaky Refusing to cooperate Being touchy & easily annoyed Frequent bouts of anger & resentment.www.drjayeshpatidar.blogspot.in
  7. 7. Count… Persistent fighting Excessive arguing Stubbornness Testing of behavior limits Temper tantrum Deliberate attempts to upset or annoy people Vindictiveness Blaming others for his own misbehavior Violating other’s rights.www.drjayeshpatidar.blogspot.in
  8. 8. TREATMENT Treatment of ODD focuses on meeting the child’s& family’s psychological & psychosocial needs -& preventing ODD from progressing to conductdisorder. The child may benefit from individualpsychotherapy, with an emphasis on angermanagement. Parents may benefit from training programs thatteach them how to mange the child’s behavior.Together, the parents & child may undergo familypsychotherapy to improve communication. Usually, drug therapy is reserved for children whoalso have symptoms of anxiety or depression.www.drjayeshpatidar.blogspot.in
  9. 9. NURSING INTERVENTION Convey acceptance to help establish a trustingrelationship. Discuss with the child the limits & consequences ofoppositional behavior. Help him address negative feelings – especiallyanger & resentment. Determine appropriatestrategies for handling these feelings. Assist him in addressing situations & issues thattrigger negative thoughts & feelings. Discuss strategies he can use to control negativesituations. Help the child learn to accept responsibility for hiswww.drjayeshpatidar.blogspot.in
  10. 10. Count… Teach him how to express anger appropriately &control his temper. Identify his use of passive-aggressive behavior,evaluate its effect on others, & devise strategies toeliminate it. Teach the child problem-solving & communicationskills. Provide role-playing opportunities so he canbecome comfortable & self-confident when usingthese new skills. Reinforce the child’s acceptable behavior &positive behavior changes. Work with the child & his family to address conflict,clear expectations, & improvement inwww.drjayeshpatidar.blogspot.in
  11. 11. Thankyouwww.drjayeshpatidar.blogspot.in