Sunday, October 11, 2015

Oppositional Defiance Disorder







Definition:
A pattern of negativistic, hostile, and defiant behavior lasting at least six months during which four or more of the following are present:


  •          Often loses temper
  •          Often argues with adults
  •          Often actively defies or refuses to comply with adults' requests or rules
  •      Often deliberately annoys people
  •          Often blames others for his or her mistakes or misbehavior
  •          Is often touchy or easily annoyed by others
http://www.mayoclinic.org/diseases-conditions/oppositional-defiant-disorder/basics/definition/con-20024559

 DSM-5 criteria for diagnosis of ODD show a pattern of behavior that:
·       Includes at least four symptoms from any of these categories — angry and irritable mood; argumentative and defiant behavior; or vindictiveness
·       Occurs with at least one individual who is not a sibling
·       Causes significant problems at work, school or home
·       Occurs on its own, rather than as part of the course of another mental health problem, such as a substance use disorder, depression or bipolar disorder
·       Lasts at least six months

DSM-5 criteria for diagnosis of ODD include both emotional and behavioral symptoms.
 Angry and irritable mood:
·       Often loses temper
·       Is often touchy or easily annoyed by others
·       Is often angry and resentful

Argumentative and defiant behavior:
·       Often argues with adults or people in authority
·       Often actively defies or refuses to comply with adults' requests or rules
·       Often deliberately annoys people
·       Often blames others for his or her mistakes or misbehavior


Vindictiveness:
·       Is often spiteful or vindictive
·       Has shown spiteful or vindictive behavior at least twice in the past six months
http://www.parentcenterhub.org/repository/disc-details/

Modifications:
  ·       Use a matter-of-fact, neutral tone of voice
  ·       Take a short break if you are too angry to deal with the situation in that moment
  ·       Suggest to the student that they take a break to calm down
  ·       Use support staff to help you and the student
  ·      Engage students in a problem solving process when both parties are calm
Creating a psychologically supportive classroom:
  ·       Caring relationships with adults
  ·       Clear expectations  
  ·       Opportunities for meaningful participation in learning

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