Causes of ODD or pediatric obstinacy and treatment

ODD is a condition in which the child exhibits persistent patterns of non-participatory, indifferent, hostile, and abusive behaviors toward those in power.



ODD disobedience in children

Children with the confrontational defiant disorder often, over a period of at least 6 months, are negative, hostile, capricious, and disobedient to power authorities, albeit without serious violations of social norms or the rights of others.

They get angry, argue with adults, refuse to accept agreements and rules, or actively disobey, deliberately doing things that hurt others, angry and quick-tempered, biased, and resentful. are. Which is more than expected compared to other peers.

If you work in a child and adolescent psychology clinic, you will see that the referring parents usually start their conversation like this: “The children of this period and time have become bad! Tolerance of today’s teenagers requires Job’s patience! “When we were children …” And among these parents, you will find desperate people who, tired of endless arguments and arguments with a child or teenager, are looking for a solution to control the poor communication situation between themselves and their children…

Children who get mad at the slightest flick, argue, disobey the principles or requests of their elders, and worst of all, blame others for their mistakes and make the conversation with They end the insults. The fact is that defending one’s own desires and confronting the desires of others is essential to natural growth, and this is the coping behavior in two stages of growth; Between the ages of 18 and 24 months and the beginning of adolescence, it is necessary to establish autonomy and identity and express his efforts to gain independence.

What is an odd disorder?

But if the severity of these behaviors is too high and causes permanent dissatisfaction of adults and impairs the child’s performance, it is considered an ODD disorder. Instead of denying the problem and covering it up, parents are expected to differentiate this disorder from a simple and natural stubbornness in childhood to prevent it from becoming more complex problems and irreversible events such as addiction and so on. To be prevented. We talked about this with Dr. Nouri, a psychologist.

When should we suspect this disorder?
ODD means a defensive disorder, and the parents of a child or adolescent who is often angry and irritable argue about everything, behave sparingly and vindictively, are too quick-tempered and sensitive, actively and deliberately Rejects parents’ requests, upsets them, blames and blames others for their mistakes and problems, should be suspected of this disorder because these confrontational behaviors usually occur in adults Gives that the child or adolescent is familiar with them; Like parents and in some cases teachers and parents.

Sometimes these behaviors are seen only with the parents, and in other situations, the behavior of the child or adolescent is completely justified, so these children may show little or no symptoms during the clinical examination, so the parents are careful and aware of the diagnosis. It is very important.

Causes of ODD

Symptoms of the odd disorder

Parents who discipline their children play a key role in the development of ODD


Why do some children get this disorder?
Usually, the first question parents ask themselves is, of all these children, why does my child have a confrontational disobedience disorder? The fact is that there is little evidence that ODD is inherited, and the results of most studies show the role of the environment in causing this disorder; For example, parents’ marital conflicts; That is, contradictory instructions from parents who have not reached an agreement on parenting methods and legislation, parents who do not accept their children, do not approve of them, do not love them, do not understand them and do not explain things to them and without any Explanation punishes them, plays a key role in causing ODD.

What future awaits the child if we do not reach ODD?
Despite sufficient intelligence, these children are often isolated due to lack of participation, resistance to the expectations of others, and insistence on solving problems without the help of others, do not progress in school, and may be rejected. They do not enjoy human relationships, and their behavior disrupts their academic performance and social relationships to such an extent that they lose the respect of their teachers and friends. These failures cause them to feel incompetent and depressed. Secondary problems that may occur are low self-esteem, depressed mood, and in adolescents sometimes a tendency to alcohol abuse and psychiatric cases.

What can be done to control this disorder?
As mentioned, these disorders not only affect the child and his family in the present but also shape an unpleasant future for him and those around him. Unfortunately, most parents, after a period of unsuccessful struggle, become tired and desperate, and so-called to calm down the unsettled situation and the grunts and screams, shouting, unaware that this shortcoming in the face of the child’s annoying behavior, such as reinforcing It acts positively and becomes an important factor in the continuation of the child’s behaviors.

Treatment of the coping disorder
Over the years, a variety of treatments have been used to address the cognitive-behavioral problems of children with confrontational disobedience disorder. Some focus on individual interventions and some on family interventions, such as parent education programs to help manage their children’s behavior, individual psychotherapy to manage anger, family therapy to improve communication, social skills training to increase Flexibility and tolerance of peer failure, and cognitive-behavioral therapy to teach problem-solving and reduce negativity is referred to here as one that is called the solidarity agreement.

Causes of ODD

Cause of odd disorder

Contradictory parental instructions in parenting are one of the causes of ODD.

A Solidarity contract means setting up a daily behavioral contract to specify behavioral expectations, rewards, and punishments for child behaviors. In this way, the child will be rewarded every day for each positive behavior and a mild punishment for the negative behavior. Doing this includes four steps:

Step # 1- Discovering Your Behavior Receive rewards in return. Make sure the child is fully aware of the expectations. Target behaviors may include undesirable behaviors that need to be eliminated or desirable behaviors that need to be increased.

For example, if parents say, “You have to listen to everything I say,” it is very vague and general. The sentence should be: “I ask you to do your homework request only once.” This sentence is more specific than the previous request. The important thing is that the level of parents’ expectations should not exceed the child’s ability. It should not be forgotten that the goal is to shape the desired behavior, so one should not expect more from the child from the beginning.

Step two, Determining how to target behaviors will be measured: The parent or therapist must be able to prove the occurrence or non-occurrence of target behaviors.

Step 3: Determine when the behavior should be performed: Each contract should have a time frame to perform the behavior at the required time.

Step 4: Determine the points to be gained or lost according to the child’s behavior: This step involves creating a reward list. The child should be asked what rewards he wants to receive and what he expects from the parents. The benefits a child can gain or lose must also be identified. The basic idea is that small tasks have small points and big tasks have big points.

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