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Oppositional disorder

Also known as Oppositional Defiant Disorder

Oppositional defiant disorder (ODD) is a childhood disorder described by the Diagnostic and Statistical Manual of Mental Disorders (DSM) as an ongoing pattern of anger-guided disobedience, hostility, and defiant behavior toward authority figures which goes beyond the bounds of normal childhood behavior. Children suffering from this disorder may appear very stubborn and often angry. A diagnosis of ODD cannot be given if the child presents with conduct disorder (CD).

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with oppositional disorder, 57% report having depressive or psychotic symptoms, 42% report having excessive anger, and 40% report having hostile behavior. The symptoms that are highly suggestive of oppositional disorder are excessive anger, hostile behavior, restlessness, antisocial behavior, obsessions and compulsions, and nightmares, although you may still have oppositional disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with oppositional disorder often receive psychotherapy, mental health counseling, depression screen, psychological and psychiatric evaluation and therapy, occupational therapy assessment and toxicology screen .

Common Medications

The most commonly prescribed drugs for patients with oppositional disorder include methylphenidate, risperidone, adderall, clonidine, quetiapine (seroquel), dexmethylphenidate (focalin), aripiprazole (abilify), divalproex sodium (depakote), atomoxetine (strattera), lisdexamfetamine (vyvanse), oxcarbazepine (trileptal), guanfacine (intuniv) and ziprasidone (geodon) .

Who is at risk?

Groups of people at highest risk for oppositional disorder include sex == male age 5-14 years. On the other hand, age 30-44 years, age 75+ years, age 60-74 years, age 45-59 years, and age < 1 years almost never get oppositional disorder.

Age

< 1 years
0.0x
1-4 years
0.4x
5-14 years
8.2x
15-29 years
1.3x
30-44 years
0.0x
45-59 years
0.0x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
1.6x
Female
0.6x

Race/Ethnicity

Black
1.1x
Hispanic
0.6x
White
1.1x
Other
0.6x
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