Highlights & Basics
- Oppositional defiant disorder (ODD) is a behavioral condition characterized by persistent and substantial antagonism and defiance, often accompanied by chronic anger or irritability.
- Commonly first identifiable in childhood, ODD is typically present through adolescence and into adulthood. Symptoms are categorized by subdimensions of chronic irritability and oppositional behavior.
- All patients with suspected ODD should be referred to a mental health professional (who ideally specializes in ODD) to undertake a comprehensive assessment.
- ODD is a clinical diagnosis, confirmed by a detailed history and clinical interview of the patient, any available familial informants, and other close contacts of the patient, such as teachers in children of school age. Behavioral observation is also recommended alongside history-taking, particularly for younger children in whom clinical interview can be difficult in practice.
- All children and adolescents with ODD (and their families) should be referred for evidence-based behavioral interventions; parents should be involved throughout treatment, and behavioral parent training is a key component of management in these age groups.
Quick Reference
History & Exam
Key Factors
Other Factors
Diagnostics Tests
Treatment Options
Definition
Epidemiology
Etiology
Pathophysiology
Citations
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