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Oppositional Defiant Disorder

Anna Kurapey, Psychology, BS, Doctorate, DO and Matthew J. Filippo, DO Reviewed 06/2022
 


BASICS

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

DIAGNOSIS 2

  • 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 diagn...

TREATMENT 2

  • Treatment must be tailored to the needs and behavioral symptoms of each individual. There is not a one-size fits all treatment

  • First-line treatment is psychotherapeutic management, includin...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS 2

  • 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
American Academy of Child and Adolescent Psychiatry. Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. J Am Acad Child Ado...

ADDITIONAL READING

Practice Parameters: aacap.org/App_Themes/AACAP/docs/practice_parameters/odd_practice_paramter.pdf 
Head Start Program: acf.hhs.gov/ohs/about/head-start 

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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