1 / 36

Oppositional Defiant Disorder What is it?

Oppositional Defiant Disorder What is it? . Larry Burd Department of Pediatrics University of North Dakota 701-777-3683. Onset in Childhood. Temperament Developmental Disorders More boys. Accompanying Disorders. ADHD >80% Speech and Language Disorders Social Skill Defecits

hova
Download Presentation

Oppositional Defiant Disorder What is it?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Oppositional Defiant DisorderWhat is it? Larry Burd Department of Pediatrics University of North Dakota 701-777-3683

  2. Onset in Childhood • Temperament • Developmental Disorders • More boys

  3. Accompanying Disorders • ADHD >80% • Speech and Language Disorders • Social Skill Defecits • Sleep Disorders • Gross Motor Delay

  4. Low Frustration Irritable

  5. Sleep Disorders Late to bed Up at night Snoring Parents’ bed

  6. Ending Activities Changing

  7. Gross and Fine Motor Dressing Tying shoes Zipping Writing < Bilateral coordination

  8. Peer Relationships Social skills Exploitation Empathy Attachment

  9. Parents • Many single parents • Limited resources • Family History (20-30%)

  10. ODDWhat to Do

  11. Oppositional Defiant Disorders  ___ Speech delays ___ Language delays ___ Difficulty understanding ___ Irritable ___ Impatient ___ Sleep problems ___ Hard to get to bed ___ Wakes up often ___ Gets out of bed in the night ___ Sleeps with parent(s) ___ Hits ___ Kicks ___ Bites ___ Throws ___ Temper tantrums ___ Won’t listen ___ Hyperactive ___ Poor attention ___ Social skill deficits ___ Poor coordination ___ Clumsy   Most frequent _______________________ _______________________  Most difficult _______________________

  12. Management • Parent training • Time out • Positive behavior management • Speech and language therapy • ADHD treatment

  13. Parent Training • Education • Planned Ignoring • M & M’s • The Store • Bedtime • Getting dressed • Respite care • Sleep in own bed

  14. Management – Time Out • Time away • 1 - 2 minutes each year • 1 – 2 behaviors • Attend to positive behavior

  15. Positive Behavior • Does child have the behavior on demand? • Catch ‘em being good • Stars • M&M’s

  16. Speech Language Therapy Expressive Receptive Comprehension

  17. ADHD • Assessment • Education • Behavioral Intervention • Medication

  18. Sleep • Bedtime ritual • set time 8:00 – 8:30 • 4-5 activities • no scaring • reward success – last night’s success

  19. Getting Dressed • Allow plenty of time • Pick the clothes • Reward success

  20. The Store • Go when you don’t need anything • Talk before going in • Have reward ready • No second chance that day

  21. Social Skills • Observe • Identify • Teach • Positive skills • Identify skilled partner

  22. Directions • Short - short • Low key approach

  23. Irritable • Ignore temper tantrums • Catch ’em being good

  24. Easy Living • Plan ahead • Slow pace • Reward change

  25. Better Listening • Come here • Eat this M & M • Treasure hunt

  26. Everybody Gets to Sleep • Bed time ritual • No more talking • No hugs of kisses • No drinks • Sleeps in own bed (no exceptions)

  27. Attending and Behavior Change • Catch ’em being good

  28. Picture or Reward Picture or Reward Target Behavior _____________________________________________ Morning ___ ___ ___ ___ ___ Afternoon ___ ___ ___ ___ ___ Target Behavior _____________________________________________ Morning ___ ___ ___ ___ ___ Afternoon ___ ___ ___ ___ ___ Evening ___ ___ ___ ___ ___

  29. Teaching and Learning • Task: _______________________________ • Reinforcer:___________________________

  30. Task:_________________________________ • Reinforcer: + - Improved + No change Worse - - -

  31. Teaching and Learning + - • Task:_______________________________ • Reinforcer: - Doesn’t understand - Can’t do it + Improved Unchanged - Doesn’t work Worse - - - 1 2 3

More Related