Defiant Teenager
Most defiant teens have trouble in
school, often use drugs and alcohol and are defiant against authority.
Some defiant teens will also display violent behavior. Boarding
schools are one solution.
Oppositional Defiant Disorder
Symptoms
- arguing with adults
- loss of temper
- angry and resentful of others
- actively defies adults'
requests
- pitiful or vindictive behavior
- blames others for their own
mistakes
- is touchy or easily annoyed
- few or no friends or loss of
previous friends
- constant trouble in school
Oppositional Defiant Disorder
Signs and Test
The pattern of behaviors must be
distinguished from what is commonly observed in other children of
similar age and developmental level, and must result in significant
social or academic problems.
Evaluation by a psychiatrist or psychologist may be recommended. In
children and adolescents, depression and attention-deficit
/hyperactivity disorder (ADHD) may cause similar disturbances in
behavior, and should be considered as alternate or additional
diagnoses.
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Oppositional Defiant Disorder
Treatment
The best treatment for the child is
individual psychotherapy. The parents should also learn behavioral
management skills. Medication may be helpful if the behaviors occur in
the course of another condition (such as depression, childhood
psychosis, or ADHD).
Punitive treatments like boot camps and "behavioral modification"
schools which restrict contact with parents and place the child among
other disturbed children can do more harm than good.
Expectations (prognosis)
The outcome varies. Some children respond well to treatment.
Complications
In a significant proportion of cases, the adult condition of conduct
disorder can be traced back to the presence of oppositional defiant
disorder in childhood.
Consistency in rules and fair
consequences should be practiced in the child's home. Punishments
should not be overly harsh or inconsistently applied. Appropriate
behaviors should be modeled by the adults in the household. Abuse and
neglect increase the chances that this condition will occur.
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