Defiant Disorder is defined as an enduring pattern of uncooperative,
defiant, and hostile behavior toward authority figures that does not
involve major antisocial violations, is not accounted for by the child's
developmental stage, and results in significant functional impairment.
A certain level of oppositional behavior is common in children and adolescents.
should be considered a disorder only when the behaviors are more frequent
and intense than in unaffected peers and when they cause dysfunction
in social, academic, or work-related oppositional
defiant disorder, oppositional disorder, defiant.
For at least 6 months, these person's show defiant, hostile, negativistic
behavior; 4 or more of the following often apply:-
Arguing with adults.
Actively defying or refusing to carry out the rules or requests of
Deliberately doing things that annoy others.
Blaming others for own mistakes or misbehavior.
Being touchy or easily annoyed by others.
Being angry and resentful.
Being spiteful or vindictive.
The symptoms cause clinically important distress or impair work, school
or social functioning.
The symptoms do not occur in the course of a Mood
or Psychotic Disorder.
The symptoms do not fulfill criteria for Conduct
If older than age 18, the patient does not meet criteria for Antisocial
Dramatic or Erratic or Antisocial
Some disorders have similar or even the same symptoms. The clinician,
therefore, in his/her diagnostic attempt, has to differentiate against
the following disorders which need to be ruled out to establish a precise
Mental Retardation; impaired language
Typical feature of certain developmental stages
systematic research into the causes of oppositional defiant disorder
has been conducted. Its etiology is believed to be multifactorial. Genetic
and environmental factors are probably combined.
oppositional defiant disorder are more likely to have family history
of disruptive behavior disorders, substance-use disorders, or mood disorders.
few studies are available on the treatment outcome of oppositional defiant
Counseling and Psychotherapy [ See
Therapy Section ]:
variety of treatment approaches are commonly employed in clinical practice,
including behavior therapy, various forms of family therapy, parent
management training, and dynamic psychotherapy.