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Oppositional Defiant Disorder

Zaiba Jetpuri, MBA, FAAFP, DO and Nida Zahra, MD, FAAFP Reviewed 04/2024
 


BASICS

  • Oppositional defiant disorder (ODD) is a psychiatric disorder categorized by decreased self-control of emotions (anger and irritability) and behaviors (argumentativeness, defiance and vindictiv...

DIAGNOSIS

  • A full psychiatric interview, ideally with input from multiple sources including parents, teachers, and possibly employers, is needed to assess symptoms and behaviors before making a diagnos...

TREATMENT

  • Treatment must be tailored to the needs and behavioral symptoms of each individual.

  • First-line is psychotherapeutic management, including individual therapy, family therapy, and school-based ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS 1

  • Psychotherapy that is individualized to each child and family for adequate duration (several months or longer)

  • May require chronic or episodic treatment includin...

REFERENCES

1
Riley M, Ahmed S, Locke A. Common questions about oppositional defiant disorder. Am Fam Physician. 2
016;93(7):
2
586-591.

ADDITIONAL READING

SEE ALSO

Conduct Disorder 

CODES

CLINICAL PEARLS

  • First-line evidence-based treatment includes therapy services that are individualized to each patient's and family's needs

  • Pharmacotherapy can be used as an adjunct to treat comorbiditi...

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