Oppositional Defiant Disorder What is it

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Oppositional Defiant DisorderWhat is it?

• Larry Burd
• Department of Pediatrics
• University of North Dakota
• 701-777-3683

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Onset in Childhood

• Temperament
• Developmental Disorders
• More boys

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Accompanying Disorders

• ADHD gt80
• Speech and Language Disorders
• Social Skill Defecits
• Sleep Disorders
• Gross Motor Delay

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Low Frustration

• Irritable

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Sleep Disorders

• Late to bed
• Up at night
• Snoring
• Parents bed

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Ending Activities

• Changing

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Gross and Fine Motor

• Dressing
• Tying shoes
• Zipping
• Writing
• lt Bilateral coordination

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Peer Relationships

• Social skills
• Exploitation
• Empathy
• Attachment

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Parents

• Many single parents
• Limited resources
• Family History (20-30)

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ODDWhat to Do
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Oppositional Defiant Disorders    ___ Speech
delays ___ Language delays ___ Difficulty
understanding ___ Irritable ___ Impatient ___ Slee
p problems ___ Hard to get to bed ___ Wakes up
often ___ Gets out of bed in the night ___ Sleeps
with parent(s) ___ Hits ___ Kicks ___ Bites ___ Th
rows ___ Temper tantrums ___ Wont
listen ___ Hyperactive ___ Poor
attention ___ Social skill deficits ___ Poor
coordination ___ Clumsy     Most
frequent _______________________   _________
______________    Most difficult _______________
________
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Management

• Parent training
• Time out
• Positive behavior management
• Speech and language therapy
• ADHD treatment

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Parent Training

• Education
• Planned Ignoring
• M Ms
• The Store
• Bedtime
• Getting dressed
• Respite care
• Sleep in own bed

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Management Time Out

• Time away
• 1 - 2 minutes each year
• 1 2 behaviors
• Attend to positive behavior

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Positive Behavior

• Does child have the behavior on demand?
• Catch em being good
• Stars
• MMs

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Speech Language Therapy

• Expressive
• Receptive
• Comprehension

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ADHD

• Assessment
• Education
• Behavioral Intervention
• Medication

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Sleep

• Bedtime ritual
• set time 800 830
• 4-5 activities
• no scaring
• reward success last nights success

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Getting Dressed

• Allow plenty of time
• Pick the clothes
• Reward success

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The Store

• Go when you dont need anything
• Talk before going in
• Have reward ready
• No second chance that day

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Social Skills

• Observe
• Identify
• Teach
• Positive skills
• Identify skilled partner

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Directions

• Short - short
• Low key approach

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Irritable

• Ignore temper tantrums
• Catch em being good

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Easy Living

• Plan ahead
• Slow pace
• Reward change

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Better Listening

• Come here
• Eat this M M
• Treasure hunt

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Everybody Gets to Sleep

• Bed time ritual
• No more talking
• No hugs of kisses
• No drinks
• Sleeps in own bed (no exceptions)

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Attending and Behavior Change

• Catch em being good

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Picture or Reward
Picture or Reward
Target Behavior __________________________________
___________ Morning ___ ___ ___ ___ ___ Afternoo
n ___ ___ ___ ___ ___
Target Behavior __________________________________
___________ Morning ___ ___ ___ ___ ___ Afternoo
n ___ ___ ___ ___ ___ Evening ___ ___ ___ ___ ___

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Teaching and Learning

• Task _______________________________
• Reinforcer___________________________

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• Task_________________________________
• Reinforcer

-
Improved

No change
Worse
-
-
-
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Teaching and Learning

• Task_______________________________
• Reinforcer

-
- Doesnt understand - Cant do it

Improved
Unchanged
-
Doesnt work
Worse
-
-
-
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