Among a group of disruptive behavior disorders is one called oppositional defiant disorder (ODD), a common mental health disorder in children and teens. ODD behavior patterns are often seen in early childhood first, with kids as young as preschool age being diagnosed with the disorder. Kids that do not outgrow the symptoms of ODD can continue to develop ever more disruptive behaviors into adolescence.
What is ODD?
Kids of all ages exhibit foul moods, hostility, and anger at times. But teens with ODD typically display consistent negative and destructive behavior patterns for more than six months, including:
- Reject authority
- Refusal to follow rules
- Verbal aggression
- Angry outbursts
- Argumentative and uncooperative
- Stubborn behaviors
Having a difficult, even explosive, adolescent can be taxing on families, teachers, fellow students, and friends of the troubled teen. The afflicted teen simply does not have the skill-set to respond appropriately to a given challenge, request, rule, or task, therefore they act out by expressing their frustration in a negative fashion. The bad behavior leads to punishments, which leads to more acting out, like a vicious cycle.
There is a common co-occurrence with ADHD among teens with ODD. In addition, teens with ODD may also struggle with anxiety disorders, depression, bipolar disorder, and learning disorders. A thorough assessment will provide the diagnostic details that can help the psychiatrist form a treatment plan. Having in place an oppositional defiant disorder treatment plan for is important for parents who are weary from attempts to manage the ODD on their own.
Creating an Oppositional Defiant Disorder Treatment Plan for Teens
Parenting a child or adolescent with ODD is taxing. Every day becomes a battleground where tempers flare, voices rise, and where ultimately the teen begins to learn how to manipulate the adults in their life. Parents reach a point when they realize they simply cannot manage their adolescent anymore and need help.
As part of the process of developing an oppositional defiant disorder treatment plan, a thorough psychiatric evaluation is conducted first. This includes an interview with the parents as well that can shed light on causal factors that will be considered when forming the treatment plan.
There are a variety of factors that can play into the development of ODD. Some of these might include:
- Some brain imaging studies have shown that kids with ODD have slight differences in the brain region where executive functions (reasoning, impulse control and judgment) take place
- Children whose parents had ODD, ADHD, substance use disorders, or mood disorders are more prone to also developing ODD
- Psychological makeup: A child’s general disposition and temperament can play in to the development of ODD, as well as whether the child also has ADHD.
- Environment: The home and family environment factor significantly in ODD. Children who did not receive supervision and structure, or were privy to violence and abuse are at higher risk of developing ODD.
Based on the needs and symptoms of each teen a tailored plan is devised, which can include medications if there is a co-occurring mood disorder or ADHD.
What Therapies Work Best for ODD
Residential treatment for ODD typically lasts several months, which requires a time commitment from the parents, the teen, and school officials who will work in tandem with the therapeutic team. Treatment for ODD usually involves a combination of the following therapeutic interventions:
- Cognitive problem-solving skills training
- Parent management training
- Family therapy
- Individual psychotherapy
Therapy for ODD should be behavioral-based, and may include a reward system to help reinforce new coping skills, social skills, and positive behavior. Learning effective discipline techniques through the family intervention component helps parents gain control in the home.
BNI Treatment Centers Provides an Oppositional Defiant Disorder Treatment Plan for Teens
BNI Treatment Centers is a highly regarded psychiatrist-owned and operated residential mental health treatment program in Los Angeles, Southern California. BNI offers acute psychiatric stabilization and treatment for a variety of mental health disorders, including ODD. By creating an individualized oppositional defiant disorder treatment plan that addresses the nuances of each teen’s case, BNI psychiatrists and therapist can offer hope to both the teen and their family. For more information about our program, please contact BNI Treatment today at 888-522-1504.