January 2009

January 6, 2009

Oppositional Defiance Disorder in Children

I’m the parent of five adopted kids, and I’m here to tell you that I know a little about oppositional defiance disorder in children, or ODD for short. James Lehman, MSW, behavioral therapist and creator of The Total Transformation Program for parents, says that a day with a child with oppositional defiance behavior is a series of battles in an undeclared war. It starts when they wake up, continues at breakfast, intensifies when they have to get dressed, and doesn’t end until they fight with you over bedtime.

What is Oppositional Defiance Disorder?

Children with ODD lose their temper quickly and often. They’re resentful of adults, and pushy and bossy with other kids, and become easily annoyed and frustrated. They blame everyone else for their problems and their inability to cope with life. They tend to gravitate to other kids like them and are usually sulking, angry teenagers.

It’s impossible to satisfy kids with ODD, because their thinking is irrational. They want your attention, but when they get it they’ll tell you to leave them alone. Bottom line is that kids with ODD aren’t very likable, which make parents feel guilty because even though they love the child, they pretty much don’t want to be around them. Plus, they’re hesitant about being in social situations since the ODD child is quite often embarrassing or out-of-control.

I’ve experienced all of these feelings with more than one of my kids, and I tell you, it’s not fun.

What Causes Oppositional Defiance Disorder in Children?

ODD is not a self-esteem issue; it’s a problem solving issue. In a nutshell, they don’t know how to solve a problem, so they try to gain control by bullying, screaming, negotiating, or bargaining. According to Mr. Lehman, there is no evidence that self-esteem leads to compliance, and emotions are not, in and of themselves, a way for kids to cope with their problems.

What can you do to stop the war and restore peace at home?

Mr. Lehman says that one thing to definitely not do is to give the child a time out. A child with ODD won’t use the time out to change his thinking – he’ll use it to plot revenge. Parents need to change their parenting style to deal with a kid with oppositional defiance behavior. Here are 4 tips that he suggests. You can find many more in his wonderful program The Total Transformation. I just can’t describe how much good it’s done for our family.

  1. Children with ODD need structure with aggressive training that is built around how to solve the problems that trigger their defiant behavior. You need to show the child that he has a problem that has to be solved and address it as such. For example: “Lying in bed after your alarm goes off won’t solve your problem. It makes you late and you miss the bus. What can you do to solve your problem?”
  2. The focus of treatment needs to be on developing compliance and coping skills, not primarily on self-esteem. Kids get self-esteem by doing things that are hard for them. Children with ODD need strong praise and support as well as realistic rewards. A pat on the back for something they should already know how to do doesn’t cut it.
  3. Avoid power struggles. Pick your battles carefully and win the ones you pick. Many times you can win a fight by not arguing back. Instead of arguing, set limits in a businesslike way and expect the child to comply.
  4. Have a plan for managing your child’s behavior. When you’re in the car, know what you’ll do if he acts out there. Similarly, if you’re at the mall or at a friend’s place, have a plan for how to handle the situation – for instance, one warning then leaving. Make sure the child learns that defiance doesn’t get him what he wants.

For many parents, ODD is not the primary issue. Rather, they’re dealing with low-level defiance that isn’t aggressive, but is still annoying and disruptive to the family. Left untreated, however, it can turn into full-blown Oppositional Defiant Disorder, and even worse to Conduct Disorder, a more serious problem that is a precursor for anti-social behavior and criminality. If you’re on the way to ODD, or right in the middle of it, I would highly suggest checking out The Total Transformation – it’s done wonders for our house and I’m sure it can for yours, too.

As you browse around this site, we hope you’ll find some effective parenting skills that will work for your family. As far as our family goes, we believe  The Total Transformation Program is the one tool that’s had the biggest impact on our household, but you need to find out for yourself. Click here to try it free for 30 days, and if you decide to keep it only then will you  have to pay for it.

Filed under ODD, Parenting Tips, Teenagers, Total Transformation

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