Reply to Oppositional Defiant Disorder Diagnosis

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I am no expert but that seems OFF. ODD is very rarely diagnosed these days and it ALWAYS accompanies another diagnosis, which is part of the reason it is rarely diagnosed - ie., you want to see if remediating/understanding the ADHD, LD, anxiety or ASD helps. Also, clearly, something is goin on. That is some serious aggression and it is unlikely that it is "nothing", right? Did you do the ADOS? I am not sure what I would think. At the least, you have behavior issues, perhaps that do not fit into a diagnosis. And it sounds like the class switch has been great for him. Do you need an IEP? You may want one in case these issues appear in his next class. [/quote]

OP Again:

We didn't do the ADOS, would that be part of the neuropsych testing we have upcoming or do I have to specifically request that?  I'm thinking that I'll keep the KK appointment in March and have his new teacher do the evaluation portion.  I'm interested in seeing if his behavior continues to improve in school as he didn't have any issues in K or 1st.   I'm also not entirely convinced he doesn't have underlying anxiety issues.  [/quote]

OP, I'm guessing it's anxiety and impulse control/emotional regulation issues exacerbated by a bad teacher.  I would not want to be going for an IEP or 504 plan with a diagnosis of ODD, because that's enormously stigmatizing and more importantly, likely incorrect.  It could be that things are smooth sailing from  here on out.  If he's doing OK in the new classroom, I'd hold off for the rest of the year and work with private therapists.

I have a similar story but for a much younger kid.  His anxiety and motor delays, coupled with terrible classroom management and aggressive teachers, resulted in awful behavioral issues.  I have no doubt he would have gotten an ODD diagnosis if we'd sought it. (Luckily at 4 he qualified for an IEP under the more general developmental delay category, so we didn't have to go that route.)  With time and more importantly MUCH BETTER teachers, his behavior has done a complete 180.  He's still a sensitive, passionate, nervous, clumsy, kid!  But he does not have ODD.  [/quote]

OP Here:  Is this diagnosis any more stigmatizing than anything else?  He definitely has ups and downs in terms of behavior and seems to go through phases or irritability.  If it gets him some accommodations that would be the goal.  This is all new to us as he hadn't had any issues in school prior to this year.  When I look at the description of ODD he doesn't seem to fit everything.

Being easily aggravated and annoyed;
Irritating others intentionally;
Exhibiting sudden, unprovoked anger;
Blaming others for their mistakes or for their misbehavior;
Refusing to comply with adult requests;
Bragging about being mean and never truly being sorry;
Lying;
Being vengeful without provocation; and
Provoking conflict among peers, family members and other adult

He doesn't lie or provoke conflict among peers.  He doesn't brag about being mean.  He doesn't exhibit unprovoked anger.  It's more like he has meltdowns when things he perceives as unfair happen to him and the tantrums just snowball into increasingly bad behavior.  He is very sensitive and easily annoyed and sometimes doesn't comply with adult requests.  He is well liked by his peers and has a lot of friends in school.[/quote]

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