Post by HooDunnit on Mar 4, 2004 16:08:55 GMT -5
In the last thread on ODD, people described various situations in which oppositional and defiant behavior might be seen:
1. It might be seen in ADHD and understood simply as an aspect of that. ADHD children are often frustrated and treated negatively, and may become oppositional because of that. They also often have sensitive nervous systems, and may react strongly for that reason. Their impulsivity (emotional, cognitive, behavioral) may also be viewed as defiance.
2. Oppositional and defiant behavior might have more to do with obsessiveness, and be part of obsessive-compulsive disorder (OCD). So when you say "salt" and they say "pepper" and they lock horns with you (even with both parents) it isn't so much a question of them being oppositional as being obsessed with pepper. They won't move from that until they are ready.
3. A child might be oppositional and defiant because they are pre-bipolar or bipolar. In this situation, which I don't understand too well, the behavior is better explained by being part of a mood disorder.
4. A child might have oppositional defiant disorder (ODD), with or without anything else.
ODD is described as:
A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four, or more, of the following are present:
1. often loses temper
2. often argues with adults
3. often actively defies or refuses to comply with adults' requests or rules
4. often deliberately annoys other people
5. often blames others for his/her mistakes and misbehaviors
6. is touchy or easily annoyed by others
7. is often angry or resentful
8. is often spiteful or vindictive
I would imagine that these behaviors would also need to be seen in two or more social situations. If the disorder pertains to the individual themselves, then they will carry it from one situation to the next.
and possibly
5. A child is oppositional and defiant just because they are that way. They don't have a disorder of any sort, but they just seem to have a cranky or cantankerous personality. It is their temperament, so to speak.
What I would like to know is this: "What is meant by the word 'often' in the above criteria for ODD?"
With ADHD evaluations, it seems to me that if a behavior happened "often" it was something like three times per week. "Very often" meant virtually every day. "Sometimes" meant less than three times per week.
Does anyone remember?
Barry
1. It might be seen in ADHD and understood simply as an aspect of that. ADHD children are often frustrated and treated negatively, and may become oppositional because of that. They also often have sensitive nervous systems, and may react strongly for that reason. Their impulsivity (emotional, cognitive, behavioral) may also be viewed as defiance.
2. Oppositional and defiant behavior might have more to do with obsessiveness, and be part of obsessive-compulsive disorder (OCD). So when you say "salt" and they say "pepper" and they lock horns with you (even with both parents) it isn't so much a question of them being oppositional as being obsessed with pepper. They won't move from that until they are ready.
3. A child might be oppositional and defiant because they are pre-bipolar or bipolar. In this situation, which I don't understand too well, the behavior is better explained by being part of a mood disorder.
4. A child might have oppositional defiant disorder (ODD), with or without anything else.
ODD is described as:
A pattern of negativistic, hostile, and defiant behavior lasting at least 6 months, during which four, or more, of the following are present:
1. often loses temper
2. often argues with adults
3. often actively defies or refuses to comply with adults' requests or rules
4. often deliberately annoys other people
5. often blames others for his/her mistakes and misbehaviors
6. is touchy or easily annoyed by others
7. is often angry or resentful
8. is often spiteful or vindictive
I would imagine that these behaviors would also need to be seen in two or more social situations. If the disorder pertains to the individual themselves, then they will carry it from one situation to the next.
and possibly
5. A child is oppositional and defiant just because they are that way. They don't have a disorder of any sort, but they just seem to have a cranky or cantankerous personality. It is their temperament, so to speak.
What I would like to know is this: "What is meant by the word 'often' in the above criteria for ODD?"
With ADHD evaluations, it seems to me that if a behavior happened "often" it was something like three times per week. "Very often" meant virtually every day. "Sometimes" meant less than three times per week.
Does anyone remember?
Barry
) and violent outbursts are usually what follow a request of any kind.
my 5 year son has ADHD/ODD. WHEN his medication does are correct the ODD is much more manageable. In your list of behaviors he has many, and many times a day. Just 3 days ago we took him off all meds and have started all over. At this time the behaviors are very pronounced until we give it more time and observation to get the right dose for him. In the mean time, do you have any suggestions as to how to handle all this argueing. Is it crushing his self esteem to simply point out "you are arguing". It appears that there is no parental respect. Any others have any words of wisdom. 
