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Understanding Your Child's Behavior Disorder

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Behavior disorders (sometimes referred to as disruptive behavior disorders) are the most common reasons kids are referred for mental health evaluations and treatment. All disruptive behavior is not the same. Behavior disorders include mental health problems which include behaviors and emotional problems that create interpersonal and emotional problems for kids and teens during the course of their development. The most common behavior disorder in kids is ADHD, which includes inattentive, impulsive, and hyperactive behaviors. ODD (Oppositional Defiant Disorder) is another behavior disorder that includes behaviors disruptive to relationships with others (i.e., angry and resentful oppositional behavior). Conduct Disorder (CD) involves behaviors which violate social norms and expectations. 1. Attention-Deficit / Hyperactivity Disorder (ADHD)— ADHD, usually first diagnosed in childhood, is characterized by inattention, impulsiveness, and, in some cases, hyperactivity. These symptoms us

How should parents handle a violent child with Oppositional Defiant Disorder?

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Violent behavior in kids and teens with Oppositional Defiant Disorder (ODD) can include a wide range of behaviors: cruelty toward animals explosive temper tantrums fighting fire setting intentional destruction of property physical aggression threats or attempts to hurt others (including homicidal thoughts) use of weapons vandalism Numerous research studies have concluded that a complex interaction or combination of factors leads to an increased risk of violent behavior in ODD kids and teens. These factors include: Being the victim of physical abuse and/or sexual abuse Brain damage from head injury Combination of stressful family socioeconomic factors (e.g., poverty, severe deprivation, marital breakup, single parenting, unemployment, loss of support from extended family, etc.) Exposure to violence in media (e.g., TV, movies, etc.) Exposure to violence in the home and/or community Genetic factors Presence of firearms in home Previous aggressive or violent

What can parents do to help their oppositional defiant children?

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Since kids pass through many developmental stages as they mature, it is important to understand the differences between normal childhood attempts to defy authority and symptoms of full-blown Oppositional Defiant Disorder (ODD). Oppositional defiant kids share many of the following characteristics: are driven to defeat authority figures are relentless in their pursuit of proving authority figures to be wrong or stupid are socially exploitive and very quick to notice how others respond; they then use these responses to their advantage in family or social environments are vigorously intent on “getting their way” deny responsibility for their misbehavior and have little insight into how they impact others. have thoughts that revolve around defeating anyone’s attempt to exercise authority over them possess a strong need for control, and will do just about anything to gain power tolerate a great deal of negativity – in fact they seem to thrive on large amounts of conflict,

Would a “scared straight” boot camp work for a child with oppositional defiant disorder?

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Re: Would a “scared straight” boot camp work for a child with oppositional defiant disorder? The short answer is: not according to the research . “Scared Straight” is a program designed to deter “bad” teens from future criminal offenses. The teenagers visit inmates, observe first-hand prison life, and have interaction with adult inmates. Since many desperate parents are looking for a “quick fix,” these programs have become very popular. The basic idea behind these programs is that children and teens who see what prison is like will be deterred from future violations of the law (i.e., they will be frightened into behaving properly). Scared Straight emphasizes severity of consequences, but neglects two other key components of “deterrence theory” — certainty and swiftness. Why is this important? Because teens (in their naiveté) believe (a) “incarceration is never going to happen to me” and (b) “even if I do get incarcerated, it’s not going to happen anytime soon.” One

What should I do if I think my child has Oppositional Defiant Disorder?

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Mothers and fathers who are concerned that their youngster may have Oppositional Defiant Disorder should seek a professional evaluation. This is important as a first step in breaking the cycle of ineffective parenting of the "problem child.”  During the evaluation process, the parent may come to appreciate the interactive aspect of this disorder and look for ways to improve his/her management of the youngster. Books and parenting workshops given under the auspices of churches, schools, and community agencies may also help moms and dads respond better to the needs of their kids. Once Oppositional Defiant Disorder has been diagnosed, the psychiatrist or other professional may recommend a combination of therapies. Among the options your clinician may recommend are following: 1. Cognitive Behavioral Therapy: Behavioral therapy can help kids control their aggression and modulate their social behavior. Kids are rewarded and encouraged for proper behaviors. Cognitive therapy

Does bad parenting cause Oppositional Defiant Disorder?

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Re: Does bad parenting cause Oppositional Defiant Disorder? I don’t think there is a causal relationship (i.e., one causes the other) between bad parenting and Oppositional Defiant Disorder – but there certainly is a correlation (i.e., one contributes to the other) between lack of appropriate parenting skills (i.e., skills needed specifically for raising an oppositional child) and this disorder. Oppositional Defiant Disorder does seem to arise out of a circular family dynamic. The infant, who is by nature more difficult, fussy and colicky, may be harder to soothe. The mom or dad may feel frustrated and unsuccessful at parenting such a child. If parents perceive their youngster as unresponsive or "bad," they may begin to anticipate that the youngster will be unresponsive or noncompliant. They may then become unresponsive or unreliable in return, adding to the youngster's feelings of helplessness, neediness, and frustration. As moms and dads attempt to asser

What should be done about a child who abuses animals?

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Question My 11 yr old granddaughter that has lived with me since she was 2 has been hurting my animals. I show dogs and this is a business so it isn't as simple as re-homing a pet. A year ago she dislocated a dog’s ankle requiring 2 surgeries to repair when in anger she stomped on its foot. I made her tell the vet who talked to her, as did I about the inappropriateness of her actions. I found she's still hitting them but not as severely this past week and took her to the police station. They explained to her this is a felony and she could go to jail for 5 yrs and gave me a few options available in our county including institutionalizing her or some juvenile jail time or a program for troubled youth where she would live at home. We did a lot of therapy years ago, but it didn't seem to improve anything and now it's a mess and I am overwhelmed and don't even know where to begin. I really think each time she does something like this and she's talked to and rea

What are the identifying signs of Oppositional Defiant Disorder?

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I think my child may have ODD. How would I know for sure? Distinguishing Oppositional Defiant Disorder from age appropriate normal defiant behavior isn't easy. Symptoms of the disorder tend to mirror (in exaggerated form) child rearing problems common in all families. In addition, different families have various levels of tolerance for defiant behavior. In some, a minor infraction of the house rules produces major consequences, while in more liberal homes, defiant behaviors are largely ignored until they cause major problems. In kids with Oppositional Defiant Disorder, there is a pattern of uncooperative, defiant, and hostile behavior toward adults that seriously interferes with the youngster’s day-to-day functioning. Regularly, they lose their temper, argue with adults, actively defy adult rules, refuse adult requests, and deliberately annoy others. The symptoms are seen in multiple settings (e.g., home, school, in the neighborhood, etc.) and are not simply the result of

How does a therapist diagnose Oppositional Defiant Disorder versus Conduct Disorder?

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There is a large overlap between Conduct Disorder and Oppositional Defiant Disorder, with similarities in both disorders that include: anger bullying of peers and siblings defiance disobedience rebellion against authority resentment school problems In order to differentiate between the two, one of the things a therapist will generally look at is how the adolescent treats animals. Is he or she mean or cruel to the family pets or kind to them? Another area that is looked at is whether or not there have been legal problems, what those legal problems were, and if they are recurring or one-time events. For example, many adolescents experiment with shoplifting and end up getting caught, but this does not mean they have either a Conduct Disorder or Oppositional Defiant Disorder. However, if they keep shoplifting, or their activities turn to more serious stealing behavior, it is probably safe to assume that there is a more serious behavior problem going on. In addition

Is there a connection between ADHD and Conduct Disorder?

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Data collected in numerous studies indicates that about 50% of kids with ADHD will also develop Oppositional Defiant Disorder (ODD) or Conduct Disorder (CD) at some point during their development. An interesting finding has been that although "pure" ADHD (i.e., without either Oppositional Defiant Disorder or Conduct Disorder) is quite common in kids, the reverse is less likely. In other words, it appears that most kids under age 12 who meet criteria for Oppositional Defiant Disorder or Conduct Disorder will also be diagnosed with ADHD. In these cases, it appears that the impulsivity and over activity that is characteristic of ADHD kids, and the ensuing difficulties this creates in parent-child, teacher-child, and peer relationships, increases the risk for the kind of problematic interactions that promote the develop of these other disruptive behavior disorders. The long term outcomes of kids with pure ADHD - and with ADHD plus Conduct Disorder - are very diffe

What is Conduct Disorder?

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Conduct Disorder (CD) is a more severe type of behavioral disorder than Oppositional Defiant Disorder (ODD) and is more likely to develop in kids with ADHD. According to the publication of the American Psychiatric Association that provides current diagnostic criteria for all recognized psychiatric disorders, the essential feature of Conduct Disorder is "...a repetitive and persistent pattern of behavior in which the basic rights of others or age appropriate social norms or rules are violated." These behaviors fall into 4 main groupings: Serious violation of rules (e.g., truancy from school; running away from home; staying out at night prior to age 13) Non-aggressive conduct that causes property loss or damage (e.g., fire setting with intent to cause damage; deliberate destruction of property) Deceitfulness or theft (e.g., shoplifting; breaking into someone's house; frequent lying to obtain goods or avoid obligations) Aggressive behavior that causes or threatens t