Oppositional Defiant Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
5/5
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About this ebook
Oppositional defiant disorder (ODD) is a medical disorder defined as a persistent pattern of negativistic, defiant, disobedient and hostile behavior toward influential figures that continues for at least 6 months and is not due to a mood or psychotic disorder.
Oppositional defiant disorder is a pattern of disobedient, hostile, and defiant behavior toward authority figures.
Possible risk factors for ODD are:
1. Temperament: a child who has a temperament that has problem controlling emotions, such as being highly emotionally reactive to circumstances or having difficulty accepting frustration
2. Parenting issues: child who has abuse or neglect, harsh or inconsistent discipline, or a lack of parental control
3. Other family issues: a child who lives with parent or family conflict or has a parent with a mental health or substance use disorder
Causative factors may be due to:
1. Genetics: a child's normal character or temperament and possibly neurobiological distinguishing in the way nerves and the brain function
2. Environment: disorders with parenting that may have a lack of supervision, inconsistent or harsh discipline, or abuse or neglect
DSM-5 criteria for diagnosis of ODD are both emotional and behavioral symptoms.
1. Angry and irritable mood:
a. Often losing temper
b. Often sensitive or easily annoyed by others
c. Often irate and resentful
2. Argumentative and defiant behavior:
a. Often disagrees with adults or people in authority
b. Often aggressively defies or refuses to comply with adults' requests or rules
c. Often intentionally annoys people
d. Often censures others for his or her mistakes or misbehavior
3. Vindictiveness:
a. Often spiteful or vindictive
b. At least twice in the past six months
ODD can differ in severity:
1. Mild. Symptoms happen only in one setting, such as only at home, school, work or with peers.
2. Moderate. Some symptoms happen in at least two settings.
3. Severe. Some symptoms happen in three or more settings.
For some children, symptoms may first be observed only at home, but with time widen to other settings, such as school and with friends.
Treating oppositional defiant disorder normally requires several forms of psychotherapy and training for the child as well as for parents.
Treatment often persists several months or longer.
Medicines alone normally are not used for ODD unless another disorder co-occurs.
If the child has concurrent disorders, principally ADHD, medicines may help considerably improve symptoms.
The foundations of treatment for ODD normally are:
1. Parent training.
2. Parent-child interaction therapy (PCIT).
3. Individual and family therapy.
4. Cognitive disorder-solving training.
5. Social skills training
As part of parent training, the parent may study how to control the child's behavior by:
1. Giving clear instructions and following through with suitable results when needed
2. Identifying and praising the child's good behaviors and positive features to produce desired behaviors
Learning more efficacious parenting skills is important for the child to improve.
When parents are not able or not willing to alter, because of their own emotional or other issues, treatment may not be possible.
TABLE OF CONTENT
Introduction
Chapter 1 Oppositional Defiant Disorder
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 ADHD
Chapter 8 Learning Difficulty
Epilogue
Any parent who has teenagers will recall how rebellious and defiant they are at that age group.
A child with Oppositional defiant disorder (ODD) is very different in behavior.
They are angry and defiant like all teenagers, but also argumentative, irritable at the tiniest provocation and worse still very vindictive and spiteful to friends, teachers, parents
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Reviews for Oppositional Defiant Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
1 rating1 review
- Rating: 5 out of 5 stars5/5It truly is a “simple “ guide to such a complex topic. The author states all issues related to ODD in a very clear manner. Furthermore, the writer’s knowledge of ODD is absolutely correct and he is able to relay detailed information without the reader feeling overwhelmed or confused. I can’t imagine anyone being capable of passing on so much information in an organized and brief period. I feel so much less worried about my sons ODD after redoing this Bc I now know how to approach the disorder and I feel confident, finally, working w the many professionals required in order for a kid w ODD to be successful and maintain a healthy lifestyle!
Book preview
Oppositional Defiant Disorder, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Oppositional Defiant
Disorder,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2016 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Oppositional Defiant Disorder, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Oppositional Defiant Disorder)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 amazon kindle books and 250 into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Oppositional Defiant Disorders
Any parent who has teenagers will recall how rebellious and defiant they are at that age group.
A child with Oppositional defiant disorder (ODD) is very different in behavior.
They are angry and defiant like all teenagers, but also argumentative, irritable at the tiniest provocation and worse still very vindictive and spiteful to friends, teachers, parents and any one in authority.
What is Oppositional defiant disorder?
Oppositional defiant disorder (ODD) is a medical disorder defined as a persistent pattern of negativistic, defiant, disobedient and hostile behavior toward influential figures that continues for at least 6 months and is not due to a mood or psychotic disorder.
Oppositional defiant disorder is a pattern of disobedient, hostile, and defiant behavior toward authority figures.
To fulfill the diagnosis, a person must have 4 of the following:
1. Often losing temper
2. Often disagrees with adults
3. Often aggressively defies or refuses to comply with adult requests
4. Often intentionally annoys others
5. Often blames others for his or her mistakes or poor behavior
6. Often sensitive or easily annoyed
7. Often irate or resentful
8. Often spiteful or vindictive
Symptoms are nearly always present at home and may or may not be present in the community and at school.
Doctors estimate the incidence rate to be 2-16% in the general population.
Before puberty, the disorder is more frequent in boys; however, after puberty, it is equally widespread in boys and girls.
The disorder normally manifests by age 8 years.
About 50% the children with attention-deficit/hyperactivity disorder (ADHD) have oppositional defiant disorder (ODD).
What are the Risk Factors of Oppositional defiant disorders?
Risk Factors
Oppositional defiant disorder is a complicated disorder.
Possible risk factors for ODD are:
1. Temperament: a child who has a temperament that has problem controlling emotions, such as being highly emotionally reactive to circumstances or having difficulty accepting frustration
2. Parenting issues: child who has abuse or neglect, harsh or inconsistent discipline, or a lack of parental control
3. Other family issues: a child who lives with parent or family conflict or has a parent with a mental health or substance use disorder
Oppositional defiant disorder (ODD) tends most likely to occur when a strong-willed child with a reactive and high-energy personality has a parent who is authoritarian rather than authoritative.
An authoritarian parent who anticipates obedience will be perturbed with a child who does not listen as an effect of being strong willed or having a high energy level.
Children with ADHD are mostly vulnerable.
The child will respond to the excessive control of the parent by becoming irate and wanting to stress oneself even more.
The child will see the parent as unbecomingly authoritarian and bossy, rather than helpful.
The parent sees