Oppositional Defiant Disorder

Unlike traditional psychiatry, which rarely looks at the brain, Amen Clinics uses brain imaging technology to identify brain patterns associated with oppositional defiant disorder.

What is Oppositional Defiant Disorder?

Every child has an occasional moment of disobedience or misbehavior. But when uncooperative, argumentative, and vindictive behavior is so frequent and problematic that it disrupts everyday life and relationships, it could be a sign of oppositional defiant disorder (ODD). This condition is a behavioral disorder that is most notably characterized by children being chronically defiant with parents, peers, teachers, and other authority figures. They tend to say “no” even when saying “yes” is clearly in their best interest.

Who Has ODD?

ODD is somewhat more common in boys than girls and is primarily diagnosed in children; however, it is also seen in adolescents and adults. Research estimates that an average of 3.3% of children have ODD and more than 10% of people will experience symptoms of this condition at some point during their life.

Core Symptoms of ODD in Children and Adolescents

Signs and symptoms associated with ODD in kids and teens include:

  • Frequent temper outbursts
  • Excessive arguing with adults
  • Blaming others for their mistakes or bad behavior
  • Being easily annoyed by others
  • Often feeling angry and resentful
  • Instigating conflicts
  • Being defiant
  • Deliberately pestering others
  • Ignoring, questioning, or resisting established rules
  • Saying mean or spiteful things when upset
  • Swearing or using obscene language

Considering that every child may occasionally exhibit these symptoms, it can be difficult for parents to know if their child is simply having a bad day. However, if abnormal behavior problems such as these occur regularly for at least 6 months, it can be a cause for concern. In mild cases of ODD, children and teens may only show symptoms in one setting, such as at home, whereas in more severe cases, their behavior problems occur in a variety of settings.

Signs of ODD in Adults

People who had oppositional defiant disorder in childhood but were never properly diagnosed and treated for it may continue to exhibit behavior problems in adulthood. The symptoms of ODD in adults can include these:

  • Feeling angry at the world
  • Engaging in road rage
  • Contempt for authority
  • Feeling restrained
  • Being easily angered
  • Thinking rules are unfair
  • A strong need to win arguments
  • Feeling like a rebel
  • Being vengeful or vindictive
  • Difficulty taking criticism
  • Blaming others for their own mistakes

Children and teens with ODD are at risk for developing anxiety and depressive disorders—and in some cases—conduct disorder which can be a precursor to antisocial personality disorder. Furthermore, untreated ODD can have alarming consequences and is associated with higher incidences of:

  • Poor academic achievement
  • Being suspended or expelled from school
  • Antisocial behavior
  • Difficulty landing and keeping a job
  • Having trouble maintaining relationships
  • Getting divorced
  • Having family dysfunction
  • Impulsivity
  • Substance abuse
  • Getting into trouble with law enforcement
  • Suicidal thoughts and behavior

What Causes ODD?

Researchers have yet to identify specific causes of ODD, however, it is believed that a combination of biological, psychological, and social factors play a role in its development. Possible risk factors include a family history of mental health issues such as ADD, substance abuse, obsessive-compulsive disorder, or mood disorders; aggressive behavior or difficulty regulating emotions; and growing up in an abusive household or with a lack of parental supervision.

Why Choose Amen Clinics For Treating ODD?

Unfortunately, traditional psychiatry remains the only medical specialty that rarely looks at the organ it treats. In that realm, ODD is typically diagnosed based on symptom clusters, and because some of the symptoms of ODD may overlap with those of other mental health conditions, it can be misdiagnosed. By not looking at the brain, it can be easy to overlook possible underlying issues, such as a traumatic brain injury that can contribute to disruptive behaviors associated with ODD. Healthcare professionals are quick to prescribe medications that may work for some people but can make others worse! It is not uncommon for it to take weeks, months, or even years for a child or adult to get an accurate diagnosis and the proper treatment. This amounts to a lot of needless suffering. Brain SPECT imaging changes everything.

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ODD Brains Work Differently

In people with ODD, brain scans show significantly increased activity in an area of the brain called the anterior cingulate gyrus (ACG), which is considered to be the brain’s gear shifter. When the ACG is healthy, it helps people shift from one thought to another or one activity to the next. However, when this part of the brain is overactive, people tend to get stuck on thoughts or on a single course of action. For those with ODD, this means getting stuck on saying “no”, being argumentative, and refusing to budge.

Healthy Brain Scan

ODD Brain Scan

SPECT (single photon emission computed tomography) is a nuclear medicine study that evaluates blood flow and activity in the brain. Basically, it shows three things: healthy activity, too little activity, or too much activity. An “active” scan shows the activity beneath the surface of the brain. Blue represents average activity and red and white represent increasingly higher levels of activity. In the healthy scan on the left, the most active area is the cerebellum (located at the back/bottom part of the brain), which is a normal finding. In the ODD brain on the right, there is very high activity in the front part of the brain, including the ACG.

Ready to learn more? Speak to a care coordinator today!

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Having Oppositional Defiant Disorder Affects Others Too

It’s important to know that having ODD is not a character flaw. However, with oppositional defiant disorder, it isn’t just the person with symptoms who suffers—it’s the whole family, as well as friends, colleagues, and classmates. Therefore getting properly diagnosed and treated is critical for improving their emotional well-being, the quality of their relationships, and increasing their chances for greater success in school and in life.

  • Feeling angry at the world
  • Feeling restrained
  • Being easily angered
  • Experiencing road rage
  • Contempt for authority
  • Thinking rules are unfair
  • A strong need to win arguments
  • Feeling like a rebel
  • Being vengeful or vindictive
  • Difficulty taking criticism
  • Blaming others for their own mistakes

 

“With A Better Brain Comes A Better Life”

– Daniel G. Amen, M.D.

 

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