Even the best-behaved students occasionally can be difficult. But kids and teens who display a continual pattern of tantrums, arguing, and angry or disruptive behavior toward teachers, parents, or other authority figures may have oppositional defiant disorder (ODD). Students with ODD can be so uncooperative and combative that their behavior affects their ability to learn and get along with classmates and teachers.
ODD is more common in boys than girls. Signs of ODD typically start by age 8, but they can begin as early as preschool.
ODD symptoms may be difficult to distinguish from mental health problems such as:
Common behaviors associated with ODD include:
Students with ODD might need:
ODD treatment involves therapy, training to help build positive interactions, and sometimes medications to treat related mental health conditions.
It can be difficult to recognize the differences between a strong-willed or emotional student and one with ODD.
Post classroom rules and review them regularly. Have a plan in place to handle serious behavior problems. Students with ODD often are isolated and lack friends. They may be the targets of bullies or be seen as bullies.
Be sensitive to self-esteem issues. Provide feedback to your student with ODD in private, and avoid asking the student to perform difficult tasks in front of classmates. It can be helpful to praise positive behaviors, such as staying seated, not calling out, taking turns, and being respectful.
Reviewed by: Mary L. Gavin, MD
Date reviewed: May 2014
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