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Oppositional Defiant Disorder

Also called: Oppositional Defiance Disorder

- Summary
- About ODD
- Potential causes
- Signs and symptoms
- Diagnosis methods
- Treatment options
- Questions for your doctor

Reviewed By:
Steven A. King, M.D.
Tahir Tellioglu, M.D., APA, AAAP

Treatment options for ODD

The earlier oppositional defiant disorder (ODD) is detected, the more likely it is that treatment will be effective. Behavior therapy that helps children learn to modify their conduct is the chief method of treating ODD. Social skills training and individual and family-based psychotherapy are also often used to treat this disorder.

Parental training can be an equally important part of treatment. Parents can help a child with ODD by combining support and love with structure and discipline. Parents can work with a mental health professional to learn techniques that will help them better cope with their child’s behavior. It is important to set limits and impose reasonable punishments when these limits are violated. At the same time, parents are urged to create circumstances that do not leave their child feeling threatened. For example, parents who offer an obstinate child a choice between at least two positive options allow the child to feel a sense of control.

Other examples of effective parenting skills when faced with ODD include:

  • Provide effective time-outs
  • Avoid power struggles
  • Stay calm in the face of the child’s unruly behavior
  • Reinforce positive behavior by offering praise or reward

Parents who use these techniques may initially encounter resistance from their child. However, over time these techniques are often effective. Further, support from other adults (e.g., teachers, coaches, spouse) can help parents deal with their child's ODD.

It is also important to treat other mental health conditions that may be associated with ODD. In some cases, treating these conditions will also alleviate symptoms of ODD.

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Review Date: 04-25-2007
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