A recurrent childhood pattern of developmentally inappropriate levels of negativistic, defiant, disobedient, and hostile behavior toward au h

Oppositional Defiant DSM-IV-TR definition: Disorder

Rather than one risk factor operating in isolation, research indicates that the accumulation of many factors may be critical to the onset of ODD.

Co morbid Disorders
Symptoms of ODD that typically appear at the following ages: Acts stubborn (3 years) Defies adults (5 years) Has temper tantrums (5 years) Irritable (6 years) Argues (6 years) Blames others (6 years) Annoys others (7 years) Spiteful (7 years) Angry (8 years)

rity figures.

Behaviors: temper out- bursts; persistent stubbornness; resistance to directions; unwillingness to compromise, give in, or negotiate with adults or peers; deliberate or persistent testing of limits; and verbal (and minor physical) aggression.

These behaviors are almost always present in the home and with individuals the child knows well, and often occur simultaneously with low self- esteem, mood lability, & low frustration tolerance.

Presented by Caitlin Foran Karen Zwicker Jennifer Cochrane Angela Chiasson

Disruptive behavior such as ODD has historically been considered a male problem.

Conceptual Framework.

Proposed Profile of ODD

Angold, A., & Costello, E.J. (1996). Toward establishing an empirical basis for the diagnosis of oppositional defiant disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 12051212. Burke, J.D., Loeber, R., & Birmaher, B. (2002). Oppositional Defiant and Conduct Disorder: A review of the past 10 years, part 2. Journal of the American Academy of Child & Adolescent Psychiatry, 41(11) 1275-1293. Greene, R.W., & Doyle, A.E. (1999). Toward a transactional conceptualization Oppositional Defiant Disorder: Implications for assessmentthat and treatment. Clinical Child and Family *Each child is unique,ofand has different developmental pathways may lead to ODD. Psychology Review, 2(3), 129-148. Hamilton, S.S.,& Armando, J. (2008). Oppositional Defiant Disorder. American Family Physician, 78(7), 861-866. Loeber, R., Burke, J.D., Lahey, B.B., Winters, A., & Zera, M. (2000). Oppositional Defiant and Conduct Disorder: A review of the past 10 years, part 1. Journal of the American Academy of Child & Adolescent Psychiatry, 39(12), 1468-1482. McMahon, R.J., & Frick, P.J. (2005). Evidence-based assessment of conduct problems in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 477-505. Ohan, J. L. & Johnston, C. (2005). Gender appropriateness of symptom criteria for Attention-Deficit/Hyperactive Disorder, Oppositional-Defiant Disorder, and Conduct Disorder. Child Psychiatry and Human Development, 35(4), 359-381. doi: 10.1007/s10578-005-2694-y Sattler, J. M., & Hoge R. D. (2006). Assessment of Children: Behavioural, Social, and Clinical Foundations, 5 th Edition. La Mesa California, Jerome M. Sattler, Publisher, Inc. Steiner, H., & Remsing, L. (2007). Practice parameter for the assessment treatment of children and adolescents with Oppositional Defiant Disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 46(1), 126-141.