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
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 diagnosis
Mental Retardation; impaired
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.
with 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
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.