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TOPIC: ADHD and ODD: The Anger Games

ADHD and ODD: The Anger Games 21 Mar 2013 17:38 #75

ADHD and ODD: The Anger Games
Posted by Karen Barrow


Anne dreads waking up in the morning. Her son, Sam, who is nine, is unpredictable. Sometimes he just goes along with the morning routine. Other times, he'll lash out at the smallest thing — a request to get dressed, an unplanned stop on the way to school, or a simple "No" to a request for pizza for dinner.

"On any given day, I never know what to expect from him," says Anne, a public relations manager for an independent high school in New Hampshire. "He'll start yelling and kicking when anything doesn’t go his way."

Sam was diagnosed with ADHD at five, and while that explained some of his difficulties in school, it never explained his aggressive and defiant temperament. It wasn't until the beginning of this school year that Anne sought additional help for her son's behavior, which was becoming stressful to her family. The pediatrician determined that Sam was suffering from oppositional defiant disorder (ODD).

Recognize ODD in Your Child
Children with ODD have a pattern of angry, violent, and disruptive behaviors toward parents, caretakers, and other authority figures. Before puberty, ODD is more common in boys, but, after puberty, it is equally common in both genders. Sam is not alone in his dual diagnosis of ADHD and ODD; up to 40 percent of children with ADHD are estimated to have ODD.

Every child will act out and test his boundaries from time to time, and ODD seems like typical adolescent behavior: arguing, anger, and aggression. The first step to fixing a child's problematic behavior is recognizing ODD. How do you know whether your child is just being a child or if he needs professional help?

There is no clear line between "normal defiance" and ODD, says Ross Greene, Ph.D., associate clinical professor of psychiatry at Harvard Medical School and author of The Explosive Child. The lack of clear criteria explains why professionals often disagree as to whether a child should be diagnosed with ODD.

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Continue reading: http://www.additudemag.com/adhd/article/9868.html
Last Edit: 20 Jul 2015 16:02 by michael.bailey.
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