| English term or phrase: Oppositional defiant disorder | Oppositional defiant disorder is a psychiatric diagnosis, which is generally thought of as a less serious form of conduct disorder. It usually becomes evident before the age of 10 and is defined by the presence of persistently defiant, disobedient and provocative behaviour, which is considered to be outside the normal range of behaviour for a child of the same age or socio-cultural background.
Children with oppositional defiant disorder are generally angry and resentful, and are easily annoyed by other people. A distinguishing characteristic is the tendency to irritate or provoke others deliberately. Children will often initiate confrontation, most commonly with adults and children they know well.
A key difference from the broader diagnosis of conduct disorder is that the child's behaviour does not include law breaking or a serious violation of the rights of others, such as assault and theft.
Oppositional defiant disorder is common and can affect as many as one in twenty boys aged between 5 and 10, and one in fifty girls. Although it is less serious than conduct disorder, it can lead to the more serious problems associated with conduct disorder as a child gets older.
Parent training programmes are thought to be effective for children under 10; the National Institute for Clinical Excellence, in collaboration with the Social Care Institute of Excellence, is currently carrying out an appraisal of the clinical and cost effectiveness of parent training/education programmes for the treatment of conduct disorders in children. |
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