Oppositional Defiant Disorder (ODD) is a mental disorder characterized by frequent and persistent pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness.[1]
A pattern of angry/irritable mood, argumentative/defiant behaviour, or vindictiveness lasting at least 6
months as evidenced by at least 4
symptoms from any of the following categories, and exhibited during interaction with at least 1
individual who is not a sibling.
twice
within the past 6
months.REAL BADS
can be used to remember the symptoms of ODD:
R
- ResentfulE
- Easily annoyedA
- Argues with adultsL
- Loses temperB
- Blames othersA
- Annoys people deliberatelyD
- Defies rules or requestsS
- Spiteful5
years, the behaviour should occur on most days for a period of at least 6
months unless otherwise noted (Criterion A8
- Vindictiveness). For individuals 5
years or older, the behaviour should occur at least once
per week for at least 6
months, unless otherwise noted (Criterion A8
- Vindictiveness). While these frequency criteria provide guidance on a minimal level of frequency to define symptoms, other factors should also be considered, such as whether the frequency and intensity of the behaviours are outside a range that is normative for the individual’s developmental level, gender, and culture.
The disturbance in behaviour is associated with distress in the individual or others in his or her immediate social context (e.g. - family, peer group, work colleagues), or it impacts negatively on social, educational, occupational, or other important areas of functioning.
The behaviours do not occur exclusively during the course of a psychotic, substance use, depressive, or bipolar disorder. Also, the criteria are not met for disruptive mood dysregulation disorder.
Specify current severity:
1
setting (e.g. - at home, at school, at work, with peers).2
settings. 3
+ settings.Hold the blood tests and medications! A biopsychosocial “investigation” to understanding aggressive behaviour is important. A child diagnosed with ODD or ADHD may all have these factors contribute to their symptoms: