View Full Version : ODD???


lindsayok
04-30-04, 08:46 AM
My spn's Dr. said that his ADHD might have turned into ODD? I don't know what that is. She said it had to do with authourity figures. Is that right. A little frustrated here. I thought that we were getting his ADHD undercontroal only to start having major problems with attitude and you can't make me's. Just looking for some answers. :uhh:

lindsayok
04-30-04, 08:47 AM
sorry that should be son's

krisp
04-30-04, 08:55 AM
It's Oppositional Defiant Disorder, and it sometimes occurs along with ADD. Kids who have ODD are defiant, often angry, and tend to blame others for their mistakes. This link will tell you a little more.

http://www.docspeak.com/Articles/TOODEFY.HTM

Andrew
04-30-04, 09:00 AM
I've also pulled together alot of information on O.D.D. on my site.

ADD/ADHD doesn't "turn" into O.D.D., but one could certainly exacerbate the other.

lindsayok
04-30-04, 09:45 AM
Thanks for the help, I often feel like I'm a bad mom 'cause I can't seem to get him to mind. I won't take him anywhere if I don't have to it just turns into a fight. Waht do you do when your 8 yr. old is able to crack your ribs if he gets mad?

Tara
04-30-04, 12:13 PM
Have you taken him to a specialist? If he does have ODD and stimulant medication is the only medication he is on it can possibly make his ODD symptoms worse.

lindsayok
04-30-04, 03:48 PM
I have to make an appointment and here there is a waiting list a mile long, And I have to find the money for the test. what do they use to treat ODD?

Andrew
04-30-04, 08:25 PM
Given the high probability that ODD is a comorbid condition with attention disorders, learning disorders, and conduct disturbances, an evaluation for these disorders is indicated for comprehensive treatment. Pharmacologic treatment (eg, stimulant medication) for ADHD may be beneficial once this is diagnosed. Children with oppositional behavior in the school setting should undergo necessary screening testing in school to evaluate possible learning disabilities. With the multifaceted nature of associated problems in ODD, comprehensive treatment may include medication, parenting and family therapy, and consultation with the school staff. If children with ODD are found to have ADHD as well, appropriate treatment for ADHD may help them to restore their focus and attention and decrease their impulsivity; such treatment may enable their social and behavioral interventions to be more effective.

Parent management training (PMT) is recommended for families of children with ODD because it has been demonstrated to affect negative interactions that repeatedly occur between the children and their parents. PMT consists of procedures with which parents are trained to change their own behaviors and thereby alter their child's problem behavior in the home. PMT is based on 30 years of well-developed research showing that oppositional and defiant patterns arise from maladaptive parent-child interactions that start in early childhood.

These patterns develop when parents inadvertently reinforce disruptive and deviant behaviors in a child by giving those behaviors a significant amount of negative attention. At the same time, the parents, who are often exhausted by the struggle to obtain compliance with simple requests, usually fail to provide positive attention; often, the parents have infrequent positive interactions with their children. The pattern of negative interactions evolves quickly as the result of repeated, ineffective, emotionally expressed commands and comments; ineffective harsh punishments; and insufficient attention and modeling of appropriate behaviors.

PMT alters the pattern by encouraging the parent to pay attention to prosocial behavior and to use effective, brief, nonaversive punishments. Treatment is conducted primarily with the parents; the therapist demonstrates specific procedures to modify parental interactions with their child. Parents are first trained to simply have periods of positive play interaction with their child. They then receive further training to identify the child's positive behaviors and to reinforce these behaviors. At that point, parents are trained in the use of brief negative consequences for misbehavior. Treatment sessions provide the parents with opportunities to practice and refine the techniques.

Follow-up studies of operational PMT techniques in which parents successfully modified their behavior showed continued improvements for years after the treatment was finished. Treatment effects have been stronger with younger children, especially in those with less severe problems. Recent research suggests that less severe problems, rather than a younger patient age, is predictive of treatment success.

Regardless of the child’s age, intervention early in the developing pattern of oppositional behavior is likely to be more effective than waiting for the child to grow out of it. These children can benefit from group treatment. The process of modeling behaviors and reactions within group settings creates a real-life adaptation process. In younger children, combined treatment in which parents attend a PMT group while the children go to social skills group has consistently resulted in the best outcome. Concerns regarding the efficacy of group treatment of adolescents with oppositional behaviors exist. Group therapy for adolescents with ODD is most beneficial when it is structured and focused on developing the skills of listening, empathy, and effective problem solving.

Excerpt from eMedicine Article located at: http://www.emedicine.com/PED/topic2791.htm

lindsayok
04-30-04, 09:40 PM
Thanks for the reply, I don't know where to find a PMT in my area, and I need to get him diagonsed first, but it is nice to know that there is someone out there that might be able to help me get a handle on him befor the worst happens. The major problem here is that my husband refuses thearpy. With out his permission or compliance what am I to do?

Nucking_Futs
04-30-04, 09:54 PM
I often feel like I'm a bad mom 'cause I can't seem to get him to mind. I won't take him anywhere if I don't have to it just turns into a fight.

Been there, done that, still living the nightmare. Your not alone that is for sure. Just keep your head up, your wit's about you and seek therapy. I saw that your husband does not agree with therapy. My husband is a wonderful man but for a long time he refused to allow our children to go to therapy. Eventually, I had to tell him that he was either going to be a part of our TEAM or he was gonna have to leave. It's important to remember that as a parent it's your job to give your child EVERY chance at excelling.

Your NOT a bad parent your husband is NOT a bad parent. Therapy has gotten a bad rep. in the past and sometime's for good reason's; but, don't exclude all your option's.

I wish you the very best of luck and am here if you need someone to yell at. It's a circle sometimes your son yell's and fight's you, you need someone to off load on. That's what you have us for, we understand and can definatly relate.

Hugs

lindsayok
04-30-04, 11:00 PM
Thanks, I was at my wits end yesterday when I joined her and to tell you the truth, it was hard to ask for help. I am one of those people that don't believe that the job will get done if I don't do it. and asking for help is something that I don't normally do. But this is something that I can't "fix" myself.

Nucking_Futs
05-01-04, 08:13 PM
I'm the same way I find it hard to ask for help or support for MYSELF but have no trouble offering it to other's. Make's no sense but most of life doesn't.

mctavish23
05-17-04, 08:18 AM
Yeah, what Big said....lol. Seriously, that was an excellent post. ADHD doesnt necessarily turn into ODD, altho I assume your doc didnt mean one went away and the other suddenly appeared. Either way, the cut to the chase treatment strategy would be behavior modification. My favorite reference is The Parents Guide to Attention Deficit Disorder..by Stephen McCarney & Angela Bauer.

Good luck to you and your child.

concerned mom
05-17-04, 02:52 PM
Ya your in the right place... my son has adhd and odd ... He is on risperdal and remeron .. my counslour had me check on my son and see if he was moving alot when he was asleep also asked him how many times he woke up at night. the remeron helps him sleep and the risperdal helps him to realize what is going on . My son just finally understands that the meds dont control his behavior he does but the meds help him to think and stop about his actions before following thru on them .

O.d.d. ... they talk back they dont listen .. they try to be the boss they will laugh at you when you tell them to do something .. you can do all the charts and chores stuff and it works for about a week

Jellybean
05-17-04, 10:31 PM
Kathy, My sons father isn't to into the therapy stuff either, but he doesn't fight me so far, I don't wait for an O.K, it helps that we don't live together. He is with son 3 days a week, so he deals with it also. I wonder if your sons father spent days with his son having to discipline him he might be more open minded?

My son is 8, I am sure he is o.d.d and a.d.d, but I think the o.d.d is stronger. We are just beginning a program of which will hopefully get a diagnosis. He pretty much fights every bit of discipline. He also often refuses to do most anything that he considered normal. He seems able to drop some of these defenses when HE feels like it.

He is overtime loosening up on somethings. His back-talking is the worst of all. I have been warning and then taking away privleges.

I find it hard not to take things to the extreme when he gets my goat. Earlier I got so tired of a battle that I started taking away too much, like it would wake him up, to my simple request of no back talk. I know how you feel. I think the impulsivity which ADD can bring coupled with the O.D.D makes for a biggie.

I think my best way through to my child is made up stories that reflect his behaviors to him. I am amazed at how well he listens and remembers details of the stories.

I don't sweat the small stuff, like him having to wear clothes backwards and inside out. He insisted on wearing his shoes on the wrong feet when he was younger, he would ride that out till his feet hurt. The list is long.

bluesman
05-21-04, 02:42 PM
O.D.D.? I had it very severely. If someone told me 2 and 2 is 4, i could find a way to dispute it. Again and again, i find through this site, the exact answers i've been looking for.
Once again, I have to say that 4 1/2 yrs. of a.a. has helped a lot.
They directly address defiance, but that is 4 1/2 years of misguidance for me. The o.d.d. is gone now, but a.a. sure is a brutal way to go about treating it.

doiadhd
08-12-09, 02:01 PM
If you are single,you need back up.....a stranger with a bigger presence.

I know it's not that easy....but it's better than struggling,obviously right circumstances,you need to think of you-in order to help him and you....

olden days,it would be a smack,job done....not today.....for some reason!I prefer the elders to my peers for some reason....Good luck