Oppositional Defiant Disorder (ODD)

Oppositional defiant disorder (ODD) involves a persistent pattern of angry mood, argumentative behavior, and defiance that goes beyond typical childhood frustration and significantly affects functioning.

Quick Facts

  • ICD-10: F91.3
  • Onset: Childhood / adolescence
  • Treatment: Behavioral therapy, family support

Common Features

  • Frequent angry or irritable mood
  • Argues with adults; defies rules
  • Deliberately annoys others
  • Blames others for own mistakes
  • Easily annoyed; vindictive behavior

For diagnosis, symptoms must persist (typically at least 6 months) and be more frequent than expected for the child's developmental level.

Treatment

  • Parent training programs (most evidence-based)
  • Family therapy
  • Individual cognitive behavioral therapy
  • Social skills training
  • School-based supports
  • Treatment of co-occurring conditions (ADHD, anxiety, mood disorders)

When to Seek Help

Consult a pediatrician or mental health professional for persistent defiance, anger, or behavior that disrupts the family, school, or peer relationships.

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Academy of Child and Adolescent Psychiatry. ODD Information.