Even the most well-behaved children can be challenging sometimes. However, oppositional defiant disorder (ODD) involves a consistent and persistent pattern of anger, irritability, argumentativeness, and defiance toward parents and other authority figures. It also includes spiteful behavior and seeking revenge, known as vindictiveness.
These emotional and behavioral problems can seriously impact family life, social interactions, school performance, and work. It’s a relief to know that parents don’t have to handle a child with ODD alone; support from mental health professionals is available.
Treating ODD is a journey that focuses on developing skills to foster positive family interactions and manage problematic behaviors. It’s a journey that offers hope and the possibility of a brighter future. Additional therapy and medication may be required to address related mental health conditions.
Symptoms
Distinguishing between a strong-willed or emotional child and one with ODD can be challenging. It’s normal for children to exhibit oppositional behavior at specific developmental stages.
ODD symptoms typically begin during preschool years but can develop later, usually before early adolescence. These persistent behaviors lead to significant challenges in relationships, social activities, school, and work, affecting both the child and the family. The good news is that these symptoms are treatable, and with the right support, your child can overcome these challenges.
Emotional and behavioral symptoms of ODD usually last at least six months and include:
Angry and Irritable Mood
- Frequently loses temper
- Is easily annoyed by others
- Often feels angry and resentful
Argumentative and Defiant Behavior
- Argues with authority figures frequently
- Actively refuses to comply with requests or rules
- Deliberately annoys others
- Blames others for personal mistakes or misbehavior
Hurtful and Revengeful Behavior
- Says mean and hurtful things when upset
- Seeks revenge or tries to hurt others’ feelings (vindictive behavior)
- Shows vindictive behavior at least twice in six months
Severity
ODD can vary in severity:
- Mild: Symptoms appear in just one environment, such as at home, school, work, or with friends
- Moderate: Symptoms are present in at least two different settings
- Severe: Symptoms manifest in three or more environments
For some children, symptoms might initially appear only at home but may spread to other settings over time.
When to See a Doctor
Children with ODD typically don’t see their behavior as a problem and may complain about unreasonable demands or blame others. If you suspect your child has ODD or are struggling with parenting a challenging child, Saber Psychiatry can help.
In 2020, Dr. Sricharan Moturi, a renowned psychiatrist with over 20 years of experience, founded Saber Psychiatry to evaluate and treatanxiety and othermental health conditions in children, adolescents, and adults ages 2 to 65. Please get in touch with our offices at 615.678.7839 to schedule an appointment.