Oppositional Defiant Disorder dsm 5

ODD is a behavioral disorder that happens in defiance and violence against authorization. It can affect a person’s job, school, and social life.

The child is having a frequent pattern of aggressiveness, irritability, arguing. 

Behavior with parents or others may indicate a child has oppositional defiant disorder.

Oppositional Defient disorder comes under the DSM-5 criteria of Disruptive, Impulse-Control, and Conduct Disorders.

I have already shared a post related to this topic How Parenting a Child with Conduct Disorder? I hope you read this post.

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Table of Contents

Causes of oppositional defiant disorder (ODD)

First i recommend you to read following posts that will help you: Disruptive Behavior Disorder: Causes, Symptoms, and Treatment

  • Seeks to blame others for any misdeeds.
  • The cause of Oppositional defiant disorder, Conduct disorder, and Attention-deficit hyper disorder are unknown, but some risk factors associated with disruptive behavior disorders are:
  • Gender: Boys are more likely than girls to suffer from behavior disorders. 
  • Gestation and Birth: Hard pregnancy, before time birth, and low birth weight may, in some patients, lead to problematic manners of the child in later life.
  • Temper tantrum
  • Aggressive behavior 
  • Family life: Behavior problems are more likely to occur in dysfunctional families, such as domestic violence, low parenting skill, substance abuse, etc. 
  • Learning difficulties and intellectual disabilities: Children with reading and writing problems and intellectual disabilities are double as likely to have behavior disorders. 
  • Brain activity: Studies have shown that brain areas that control attention appear to be less active in children with ADHD.

Must read: Early Signs Of Antisocial Behavior in Children include: Causes, Symptoms, Treatment

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Signs and symptoms of oppositional defiant disorder (ODD)

Let’s see Symptoms of ODD:

  • Easily irritated or annoyed
  • Frequent temper tantrums 
  • Refuses to obey rules
  • Low self-esteem
  • Low frustration threshold
  • Tries to annoy others

Also see: How to Stop Tics disorder

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Diagnostic evaluation

The methods used for diagnosis include:

  • Diagnosis of Disruptive behavioral disorder is difficult, as these are complicated disorders and may include many different factors working in combination.
  • Diagnosis by a specialist, which may consist of a pediatrician, psychologist, or child psychiatrist.
  • In-depth interviews with parents, children, and teachers.
  • Behavior checklists or standardized questionnaires.

You must read this article: Children’s Mental Health and Emotional Well being in Primary Schools

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Some Complications are include:

  • Alcohol abuse
  • Substance abuse
  • Pathological gambling
  • Attention deficit hyperactivity disorder
  • Conduct disorder
  • Depression
  • Anxiety disorder
  • Suicide

I also wrote article about Withdrawal Alcohol Abuse . I hope you must read.


Treatment of disruptive behavior disorder is usually multifaceted. It may include:

Parental Education

  • Parents should teach how to communicate with and manage their children.

Functional Family Therapy

  • The family has to improve communication and problem-solving skill.

Also see to  improve your personal skills: Marital and Family Therapy: Goals, Complications and Types

Cognitive Behavior Therapy

  • Cognitive behavior therapy helps the child to control their thoughts and behavior.

Read this article: Cognitive Behavioral Therapy For ADHD Child

Social Training

  • The child has to teach the essential social skill to make conversation and play with others. 

You should also read: Mentally Challenged Child: How To Deal With Them?

Frequently Asked Question

Oppositional defiant disorder in adults?

Adults with oppositional defiant disorder display a negative, hostile, and defiant behavior that lasts at six months and includes four symptoms: Often losing temperOften argues with family and coworkers

How do you deal with someone who has ODD?

Lifestyle and home remedies

  1. Recognize and praise your child’s positive behaviors. …
  2.  the manners you want your child to have. …
  3. Pick your battles and avoid power struggles. …
  4. Set limits by giving clear and effective instructions and enforcing consistent, reasonable consequences

What medication is best for ODD?

No medications are FDA- authorized for the treatment of ODD in the U.S. research experience has shown that children and adults with ODD do show signs of improvement with a small dose of atypical neuroleptics – aripiprazole (Abilify) and risperidone (Risperdal), for example.

What is the difference between ODD and bipolar?

Both disorders can cause issues with focus or trouble sleeping. The difference is that in bipolar disorder, these signs come and go after weeks and months. In ADHD, they are present all or more of the time. But the symptoms are so similar that kids may end up with the wrong tests.


ODD is often very chaotic in daily work and has serious consequences. However, if diagnosed early, ODD can be successfully managed.

However, individuals who see wrong behavior must be wary of labeling it a behavioral disorder.

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