Oppositional defiant disorder (ODD)
Oppositional defiant disorder (ODD) is a psychiatric disorder found in children and reaches far beyond them simply not listening to what people are telling them to do. Characterised by a series of negative and disruptive behaviours, as well as dissocial or aggressive acts which usually involve people in authority, the condition is particularly common in children with attention deficit hyperactivity disorder (ADHD).
While all children and teenagers will display defiant behaviours when they feel upset, stressed or tired, disobeying rules, talking back, and generally disregarding commands of adults, if these negative behaviours happen frequently and stand out in comparison to peers of their own age and developmental ability, they may have ODD.
Specialist outpatient treatment
At Priory, we understand that having a child with ODD can be distressing, although our nationwide network of hospitals and wellbeing centres can offer specialist treatment on a primarily outpatient basis to help them manage and control their behaviours. One-to-one therapy sessions, family therapy, group therapy and medication can all play a role in improving associated symptoms of ODD. These sessions can enable your child to learn coping techniques to improve their quality of life, as well as allowing you as parents to understand more about the condition and how you can best support your child through the process.
ODD can adversely impact many aspects of your child’s life, including relationships with family and friends, as well as their performance in education. If your child has ODD, they may only display patterns of behaviour in-keeping with the condition in one setting, such as at home, although if their symptoms are more severe, they will appear excessively argumentative, angry or irritable in a number of scenarios.
The pattern of defiant behaviour and hostility towards people in authority can affect their daily routine, including disrupting lessons in school and placing considerable pressure on you as parents at home, where reasonable parenting methods are continually met with opposition and uncooperative behaviour. The key difference between bad behaviour seen in some children, and a diagnosis of ODD, is that your child will struggle to control impulses for rebelling against rules or blaming others for their own mistakes, leading to regular defiant or provocative behaviour to the point where they may refuse a request even before they have heard what is being asked of them.
This page was clinically reviewed by Dr Hayley van Zwanenberg (MBBS, MMedSci, MRCPsych) in August 2018, and is scheduled to be reviewed again in August 2020. To view all Priory ODD specialists, please click here.
Priory’s Group's Dr Hayley van Zwanenberg explains the common causes of depression, signs your teenager may be suffering and how to help.