ODD

Oppositional Defiant Disorder


Children with this disorder show defiant behavior that is significantly more severe than peers of the same age and developmental level.

These children are often labeled as troublemakers or spoiled brats. They have difficulity in school and with friends. There is some evidence that a child with ODD has been previously diagnosed with ADHD. This is true in some cases, but not all. There is evidence that, untreated, ODD leads to CD. Sometimes there is another behavioral disorder present, such as depression or ADHD (or both). This is co-morbidity and more about this can be found at Pediatric Psychiatry Pamphlets. Some doctors believe that a child can have both ODD and Bipolar together but others think the "ODD" is only a component of the manic phase of Bipolar. See the section on Bipolar.


  1. At least four of the following eight symptoms, showing a pattern of defiant behavior that is negative and hostile. This behavior lasts at least 6 months or more.
    1. Often gets angry and loses temper (short fuse).
    2. Often agrues, especially with adults and those in authority.
    3. Often refuses to follow directions given by an adult, fails to comply with adult requests.
    4. Often annoys others deliberately.
    5. Often blames misbehavior or mistakes on others.
    6. Often is annoyed by others, seems touchy.
    7. Often is angry, resentful.
    8. Often shows vindictive or spiteful behavior.
  2. This behavior interfers with the childs ability to function normally in school, at home, or in social settings.
  3. Behavior does not occur during a Mood Disorder (such as Bipolar) or other disorder.
  4. Criteria for Conduct Disorder has not been met.

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