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oppositional defiant disorder
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oppositional defiant disorder, pattern of disobedient, hostile, defiant behavior toward authority figures, pattern must persist, at least 6 months, must go beyond the bounds of normal childhood misbehavior,
this disorder is more prevalent in boys than girls, 20%, the school-age population is affected, most experts believe this figure is inflated, due to changing cultural definitions of normal childhood behavior, racial, cultural, gender biases, onset typically occurs by age 8, due to a combination, of biology, parenting, environmental factors, arguing, adults, loss of temper, angry, resentful of others, actively defies adults' requests, spiteful, vindictive behavior, blames others, own mistakes, touchy, annoyed, few, no friends, loss of previous friends, constant trouble in school,
pattern of behaviors must be distinguished from what is commonly observed in other children of similar age, developmental level, must result in significant social, academic problems, evaluation by a psychiatrist, psychologist recommended, in children, adolescents, depression, attention-deficit /hyperactivity disorder, adhd, similar disturbances in behavior, alternate, additional diagnoses,
best treatment, the child is individual psychotherapy, parents should also learn behavioral management skills, medication helpful behaviors occur, in the course of another condition, depression, childhood psychosis, adhd, punitive treatments, boot camps, "behavioral modification" schools which restrict contact, parents, place the child among other disturbed children, more harm than good,
outcome, children respond well to treatment, , significant proportion of cases, adult condition of conduct disorder, traced back, presence of oppositional defiant disorder in childhood,
call health care provider, have concerns, child's development, behavior,
consistency in rules, fair consequences, practiced, in the child's home, punishments should not be overly harsh, inconsistently applied, appropriate behaviors, modeled by the adults, in the household, abuse, neglect increase the chances that this condition.
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