ODD

Question 1

What does ODD stand for?

Answer 1

Oppositional Defiant Disorder

Question 2

Dx criteria for ODD

Answer 2

• pattern of negativistic/hostile and defiant behaviour for ≥6 mo with ≥4 of:
• ODD kids “ARE BRATS”
  • Annoying
  • Resentful
  • Easily annoyed
  • Blames others
  • Rule breaker
  • Argues with adults
  • Temper
  • Spiteful/vindictive

Question 3

Features that typically differentiate ODD from transient developmental stage?

Answer 3

onset <8 yr, chronic duration (>6 mo), frequent intrusive behaviour

Question 4

What is the key difference between Mx of ODD vs ADHD?

Answer 4

ADHD can use Rx, Rx has no effect on ODD. Psychological Mx better.

Question 5

What kind of Mx options are there for ODD?

Answer 5

Child interventions:

• Social skills - communication skills, accepting no
• CBT
• Motivational interviewing

Family interventions:

• teach how to teach
• parent-child relationship work
• counselling and family therapy esp. defining rules