Is anyone raising a teen diagnosed with oppositional defiant disorder?

[Anonymous]

What coping mechanisms have you found? Did you try therapy and did it work? What has helped your family? Please only comment if you have a kid who truly has this disorder, not just a grumpy teen. Thank you.

[Anonymous]

In a nutshell: the dynamic with the teen will not change until the parents change the way they relate to their child. You (parents and teen) will need therapy, individual and family, in order to help the teen. If you don't then you should seriously consider some type of residential placement for your teen so that she or he is in an environment that will provide the necessary structure and support.

[Anonymous]

OP, does he have any other co-occuring issues? My son is only 11, but has ADHD, general anxiety disorder, AND ODD. The two - ADHD and anxiety - are likely what caused the ODD, at least according to the psychiatrist we are seeing. ODD can be fairly common in kids with ADHD.

My son is getting therapy. We are working on underlying causes first. Part of his issue is rigid, inflexible thinking, which comes from the ADHD, and we are working on that. In conjunction with this, we are using some parenting approaches that involve clearly outlined, non-negotiable rules, along with the precise consequence that comes from breaking those rules, AND a lot of high warmth, positive parenting. You can do a home points system too, with rewards and consequences. I find the high warmth, positive approach (catch them when they are good) to be helpful.

The ADHD book I'm reading recommends this approach, and outlines more of it in a book specifically for defiant kids.

https://www.guilford.com/books/Defiant-Children/Russell-Barkley/9781462509508 It's meant for ODD.

[Anonymous]

Anonymous wrote:OP, does he have any other co-occuring issues? My son is only 11, but has ADHD, general anxiety disorder, AND ODD. The two - ADHD and anxiety - are likely what caused the ODD, at least according to the psychiatrist we are seeing. ODD can be fairly common in kids with ADHD.

My son is getting therapy. We are working on underlying causes first. Part of his issue is rigid, inflexible thinking, which comes from the ADHD, and we are working on that. In conjunction with this, we are using some parenting approaches that involve clearly outlined, non-negotiable rules, along with the precise consequence that comes from breaking those rules, AND a lot of high warmth, positive parenting. You can do a home points system too, with rewards and consequences. I find the high warmth, positive approach (catch them when they are good) to be helpful.

The ADHD book I'm reading recommends this approach, and outlines more of it in a book specifically for defiant kids.

https://www.guilford.com/books/Defiant-Children/Russell-Barkley/9781462509508 It's meant for ODD.

ADHD and anxiety cannot and do not cause ODD. ADHD and anxiety that are not appropriately treated and managed can lead to a child developing ODD.

[Anonymous]

I think its more accurate to say that severe ADHD and/or severe anxiety can lead to ODD. There is no magic cure/treatment for some kids.

[Anonymous]

Anonymous wrote:I think its more accurate to say that severe ADHD and/or severe anxiety can lead to ODD. There is no magic cure/treatment for some kids.

Much better way of putting it, thank you!

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, does he have any other co-occuring issues? My son is only 11, but has ADHD, general anxiety disorder, AND ODD. The two - ADHD and anxiety - are likely what caused the ODD, at least according to the psychiatrist we are seeing. ODD can be fairly common in kids with ADHD.

My son is getting therapy. We are working on underlying causes first. Part of his issue is rigid, inflexible thinking, which comes from the ADHD, and we are working on that. In conjunction with this, we are using some parenting approaches that involve clearly outlined, non-negotiable rules, along with the precise consequence that comes from breaking those rules, AND a lot of high warmth, positive parenting. You can do a home points system too, with rewards and consequences. I find the high warmth, positive approach (catch them when they are good) to be helpful.

The ADHD book I'm reading recommends this approach, and outlines more of it in a book specifically for defiant kids.

https://www.guilford.com/books/Defiant-Children/Russell-Barkley/9781462509508 It's meant for ODD.

ADHD and anxiety cannot and do not cause ODD. ADHD and anxiety that are not appropriately treated and managed can lead to a child developing ODD.

Wow, you really missed the forest for the trees.

[Anonymous]

Collaborative Problem Solving

http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2004-21587-026

Effectiveness of Collaborative Problem Solving in Affectively Dysregulated Children With Oppositional-Defiant Disorder: Initial Findings.

By Greene, Ross W.; Ablon, J. Stuart; Goring, Jennifer C.; Raezer-Blakely, Lauren; Markey, Jennifer; Monuteaux, Michael C.; Henin, Aude; Edwards, Gwenyth; Rabbitt, Sarah
Journal of Consulting and Clinical Psychology, Vol 72(6), Dec 2004, 1157-1164.

Abstract

Oppositional-defiant disorder (ODD) refers to a recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures. Research has shown that children with ODD and comorbid mood disorders may be at particular risk for long-term adverse outcomes, including conduct disorder. In this study, the authors examined the effectiveness of a cognitive-behavioral model of intervention--called collaborative problem solving (CPS)--in comparison with parent training (PT) in 47 affectively dysregulated children with ODD. Results indicate that CPS produced significant improvements across multiple domains of functioning at posttreatment and at 4-month follow-up. These improvements were in all instances equivalent, and in many instances superior, to the improvements produced by PT. Implications of these findings for further research on and treatment selection in children with ODD are discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

see http://www.thinkkids.org/learn/research

[Anonymous]

Therapy--for both the family and the child. If nothing else, you need to get at what drives the ODD. In my kid's case, it took therapy and testing to determine that her oppositional behavior is driven by severe anxiety, rooted in multiple early childhood traumas and attachment difficulties stemming from adoption.

I'd caution against expecting therapy to "work" in the sense of giving you immediate results. To put it simply, you are not likely to see simple or straight-line progress, but a lot of one step forward, two steps backward or sideways for a long, long while. One of the hardest lessons I've had to learn is to detach from outcomes.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, does he have any other co-occuring issues? My son is only 11, but has ADHD, general anxiety disorder, AND ODD. The two - ADHD and anxiety - are likely what caused the ODD, at least according to the psychiatrist we are seeing. ODD can be fairly common in kids with ADHD.

My son is getting therapy. We are working on underlying causes first. Part of his issue is rigid, inflexible thinking, which comes from the ADHD, and we are working on that. In conjunction with this, we are using some parenting approaches that involve clearly outlined, non-negotiable rules, along with the precise consequence that comes from breaking those rules, AND a lot of high warmth, positive parenting. You can do a home points system too, with rewards and consequences. I find the high warmth, positive approach (catch them when they are good) to be helpful.

The ADHD book I'm reading recommends this approach, and outlines more of it in a book specifically for defiant kids.

https://www.guilford.com/books/Defiant-Children/Russell-Barkley/9781462509508 It's meant for ODD.

ADHD and anxiety cannot and do not cause ODD. ADHD and anxiety that are not appropriately treated and managed can lead to a child developing ODD.

Wow, you really missed the forest for the trees.

Really? Because the point is that the original poster is saying that the ODD basically just happened. As in, "Gosh, officer, I swear I don't know how I could be going 55 in a 25 zone". Better parenting of the ADHD and anxiety most likely would have meant that the child did not progress to then add ODD into the mix.

[Anonymous]

You people are fools and let these doctors tell you anything...

[Anonymous]

Anonymous wrote:You people are fools and let these doctors tell you anything...

I have always wondered about this "condition." One of the factors related to cause is environment. I bet this is often "overlooked" by many parents.

Environmental: Factors such as a dysfunctional family life, a family history of mental illnesses and/or substance abuse, and inconsistent discipline by parents may contribute to the development of behavior disorders.

[Anonymous]

If that was true, then wouldn't all the children in the same family have ODD?

[Anonymous]

Anonymous wrote:

Anonymous wrote:You people are fools and let these doctors tell you anything...

I have always wondered about this "condition." One of the factors related to cause is environment. I bet this is often "overlooked" by many parents.

Environmental: Factors such as a dysfunctional family life, a family history of mental illnesses and/or substance abuse, and inconsistent discipline by parents may contribute to the development of behavior disorders.

Well, i can tell you my brother has ODD and has been to prison. My parents are still married, there is no history of mental illness, my parents were strict and very consistent, and the other 3 of us kids went onto college, get white collar jobs, have families and never even remotely had his outbursts or issues.he terrorized the family and early sent my parents to an early grave.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:You people are fools and let these doctors tell you anything...

I have always wondered about this "condition." One of the factors related to cause is environment. I bet this is often "overlooked" by many parents.

Environmental: Factors such as a dysfunctional family life, a family history of mental illnesses and/or substance abuse, and inconsistent discipline by parents may contribute to the development of behavior disorders.

Well, i can tell you my brother has ODD and has been to prison. My parents are still married, there is no history of mental illness, my parents were strict and very consistent, and the other 3 of us kids went onto college, get white collar jobs, have families and never even remotely had his outbursts or issues.he terrorized the family and early sent my parents to an early grave.

Your parents are alive and still married OR they are dead early. Which one?