Oppositional defiant disorder (ODD)

Common childhood onset symptom constellation dominated by negativism, temper tantrums, labile mood, aggression and quarrelsome attitude.  Children with ODD may also manifest learned helplessness and a lack of self-esteeem.  Signs of ODD usually show before 8 years-of-age, perhaps somewhat later, but always before the teenage period.  The signs appear gradually and then get worse over months or years.  In the States, ODD has a prevalence 10.2%, with 11.2% for males and 9.2% for females.  However, there are problems with its diagnosis.  To begin with, criteria found in DSM-IV differ somewhat for those in ICD-10.  Moreover, there are differences between DSM-IV and DSM-V to reflect that ODD is not just a behavior disorder, but also demonstrates emotional and mood symptomatology.  Then there is the problem of a marked co-morbidity with other disorders such as ADHD.  There is, however, evidence to treat ODD as having a distinct nosology.  The causes of ODD are unknown and treatment is generally carried out with medication, but rather by means of a behavioral approach.      

See Attention deficit hyperactivity disorder (ADHD), Aggressive behavior, Behavior problem, Co-morbidity, Conduct disorder, Learned helplessness, Nosology, Parent-Child Interaction Therapy (PCIT), Prevalence, Self-esteem, Temperament