hey everybody today I'm going to talk
with you about oppositional defiant
disorder what is it and how does it
relate to other disorders we may
struggle with so like I said today I'm
going to talk with you about
oppositional defiant disorder and
because I'm talking about disorder
I lack always I've got my DSM handy and
I'm going to read you the description of
what they say I'm going to call it o DD
from now on but we'll know that means
oppositional defiant disorder but OD D
what it really is they say it's a
pattern of angry / irritable mood
argumentative / defiant behavior or
vindictiveness lasting at least six
months as evidenced by at least four
symptoms from any of the following
categories so the way that I remembered
when I was studying for my licensing
exam you all remember when I was doing
that and the way that I remember the
difference because there are two of
these types of it's a young person's
disorder usually Oh DD and conduct
disorder or C D happened to people when
they're in you know late adolescent
early teen years that's usually when
these come about and the difference but
I always remember between oppositional
defiant disorder
Oh DD and conduct disorder C D was it Oh
DD the O stands for obnoxious these
people are very irritable they get very
angry and frustrated and they lash out
but the people with conduct disorder
commit crimes the C in conduct was for
committing crimes so that is how it
always differentiated these conduct
disorder is what if you remember my
antisocial personality disorder video I
bring it up because that is a precursor
to that so that's how these
differentiate just so that you know now
o DD the symptoms that people may
experience are things like often losing
their temper really touchy they get
annoyed easily they're angry and
resentful a lot of the time they can
argue with authority figures for
children they tend to do it with the
their teachers and adults tend to do it
more with their loved ones or their
boss even they often deliberately annoy
other people and they often blame others
for his or her mistakes or misbehavior
and they can also a part of this is like
being vindictive
and that says that they've been spiteful
or vindictive at least twice in the past
six months and that's just the
diagnostic criteria and we know that
that doesn't show us the whole picture
so I made some notes about what it is
what causes it why do we have this how
does it relate to other disorders we may
have and you can see already as I talk
about the different symptoms that may
pursue and you may feel how these can
relate I know a lot of you who struggle
with bipolar disorder for experience a
mixed state a mixed state being I may be
kind of hypomanic but I also feel very
depressed so we have that inner tension
irritability uncomfortable feeling and
we may exhibit these types of symptoms I
may have a DD or ADHD and in school it's
really difficult for me to pay attention
I get bored easily I don't want to
listen to the teacher and I get really
annoyed and I'm irritable about it you
can see how these may look the same how
they may overlap and so it's important
if you worry that you struggle with this
or if someone's told you that you've
been diagnosed with this then you ask
questions about these other issues that
you may have because we want to make
sure that you're getting diagnosed
properly okay so what causes it like
everything in psychology we don't
actually know because we can't look at
the brain while it's working and be like
why is this happening when did this
happen what caused it but we do know I
have all my notes here that's what I'm
looking at that they believe that
there's most likely a genetic component
because they find people who have
someone in their family who also
struggles with some kind of conduct
disorder or OD D that they are two times
more likely to struggle and it's also
environmental factors in my experience
with the I used to see children that
were forced to see me because they had
just gotten out of juvenile detention
and been in trouble with the law that a
lot of those kids had environmental
factors that played a role and a lot of
that they talk the
it's problems with parenting lack of
supervision or inconsistency and
parenting and a lot of the people that I
saw had intensely hard discipline like
they would get beat with a belt or a
wooden spoon or even punched or slapped
for doing something wrong and so
extremely harsh discipline or abuse or
neglect they find can lead to OD D and
as far as genetics we don't really know
they talk about the different nerves and
the way the brain functions and that
there's a disconnect and so people
really struggle so what do we do we know
we have it we have a lot of the symptoms
or we've been told that we have it and
it may be something that we just got
diagnosed with on top of something else
that we already have I looked up
different treatments and obviously
medication is something that they always
put in there that as an option but the
ones that I want to highlight are more
things that we can do as families
because we know environmental factors
play such a big role that we can put in
motion and we can start doing they can
actually help us in the long run and a
lot of it has to do with parents
parent-child interaction parent training
they talk about how you can do what they
call parent-child interaction therapy
PCIT you can look it up I hadn't heard
about this because I had never worked
with a family and a child was OD deep
but it really helps them interact with
their children in a way communicate in a
way set boundaries in a way that allows
the person with OD D to become less
irritable to feel safer to be able to
communicate their frustrations in a
healthier way and if they don't then
there's timeouts and different rules and
things that they follow that don't
involve any kind of abuse or extreme
discipline you can see how we're trying
to change the way of family functions
and another is obviously individual and
Family Therapy because it can give you a
place if you're the person who's really
feeling frustrated all the time is one
to lash out it can give you a place to
express the anger to express your
frustration with a situation to talk
about how annoying this whole thing is
and what's going on at school or at work
or whatever it gives you a place to vent
and we know that that's part of the
reason why therapy works so well am i
right
and the last thing that they talk about
there are a lot of options by the way
but these are just the ones that showed
the most research and the most support
cognitive problem-solving training now
this helps your child just like CBT if
you wonder about CBT you can click here
and go to see my CBT video but it gives
the child who's struggling with
oppositional defiant disorder the
ability to change their thought patterns
so if they don't get their way something
frustrates them it doesn't work out it's
okay they have these things that they
can write down automatic thoughts and we
can give you some tools like I do in my
work books right give you some tools to
work on that to help manage that thought
and to change the action that comes out
of that thought you know cognitive
behavioral it's like you have a thought
that leads to an action kind of thing a
belief and a thought and in action all
cycles together and we end up doing
these things and so this helps slow down
that process so that we can work to not
react but think about it realize what
we're doing and try to respond in a
better way now obviously all this takes
work all of the things that they talk
about the the lifestyle and home
remedies things that we can do like
modeling behavior picking your battles
as a parent all that like parent-child
interaction it takes a lot of work but
it's worth it because struggling with OD
D as a child can be really hard it means
that every day is a fight it's a battle
not only with ourselves but with other
people in our lives and from the people
that I worked with who struggle with it
they don't really like feeling this way
but it's almost like they don't know how
else to react or respond world doesn't
feel like a very safe place so they
react out of anger a lot they may have
never felt safe so they lash out quickly
to protect themselves they're kind of
like puffer fish and so doing all the
work is really worth it
because it not only makes your child
feel better or the person with OD D feel
better feel calmer but it helps your
whole household to be calmer and some
more of the home remedies they offer is
like recognized and praised like giving
your child praise for the things they've
done well recognized
when they're working really hard and
also setting up limits setting up a
routine you can find a lot of these
different ideas at the Mayo Clinic's
website they talk a lot about Oh didi
and how to help it as a family member
how to work with your partner and assign
certain chores and responsibilities and
then praise them when they do them and
just better structure in your household
so that it's not such an irritable
agitating place for the person with Oh
didi and there are also obviously some
medications that they recommend but we
all know I know that many of you don't
want to take those a lot of them are
like SSRIs and antidepressants things
that work for you know people with
anxiety or lashing out they even
recommend some anti-psychotic medication
to help kind of calm you down
so try the treatment remedies at home
try some of the the parent training and
setting boundaries because that can
really help and we all know in general
that if we have routines we have
different kinds of boundaries that we
know are there like well I can't do that
because my mom said that that's not
appropriate that's life and it helps us
all feel calmer stay calmer be able to
better manage what we're feeling and it
would also encourage any of you if
you're struggling with Oh didi check out
my DBT workbook I know that's a lot of
acronyms I'm sorry but DBT is a great I
have my self-harm workbook has a lot of
DBT stuff and there's a DBT workbook
that I recommend in my Amazon widget at
the bottom of katimorton.com
it is great for managing that explosive
anger feeling that buildup of tension
that we get and then we feel like we
explode and that will really help you
better manage those symptoms and feel
like you're more in control of your
emotions versus the other way around and
wouldn't that be nice I love you all
thank you so much for checking this
video out if you like these kinds of
topics you want me to discuss more
diagnoses give it a thumbs up and like
it because like I'm always saying it
lets you to know how important mental
health is so let's keep working together
let's keep sharing videos and sharing
our experiences as we work towards a
healthy mind and a healthy body