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ADHD Disorder

Oppositional Defiant Disorder (ODD) commonly coexists with ADHD, with children having ADHD being 11 times more likely to develop ODD. ODD symptoms stem from emotional dysregulation and social defiance, influenced by factors such as child emotional dysregulation and disrupted parenting. Effective treatment typically involves ADHD medications and behavioral parent training.

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57 views1 page

ADHD Disorder

Oppositional Defiant Disorder (ODD) commonly coexists with ADHD, with children having ADHD being 11 times more likely to develop ODD. ODD symptoms stem from emotional dysregulation and social defiance, influenced by factors such as child emotional dysregulation and disrupted parenting. Effective treatment typically involves ADHD medications and behavioral parent training.

Uploaded by

Sui Kix
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

ADHD and Oppositional Defiant Disorder (ODD)

ODD is the most common disorder found to coexist with ADHD and often develops within two years of the onset of
ADHD. If a child has ADHD, they are 11 times more likely to develop ODD than another child without ADHD. Why?
Because ADHD is one of several causes of ODD. How? Because ADHD is associated with poor emotional self-
regulation, especially for impatience, frustration, anger, and hostility or reactive aggression and being easily excitable
more generally.

So how does that lead to ODD? Understand that ODD is a condition having two symptom dimensions. The first is
emotional dysregulation, especially frustration and hot temperedness. The second is social, comprising defiance of
others, usually parents.

Now you can see that ADHD contributes to the first symptom dimension of ODD. Now look at Figure 1 here and you
will see that ODD can be understood as arising from 4 factors: Child Emotional Dysregulation, Disrupted Parenting,
which can come from Parental emotional dysregulation and other psychological problems such as adult ADHD and
depression. The fourth indirect factor is the social ecology. All this is graphed in Figure 2.

Note that the two direct causes of ODD are child features (box 1), such as ADHD (or other disorders of emotion), and
disrupted parenting (box 2), which is explained in Figure 3. ODD can arise from just one of these causes but both are
usually present in clinical cases. Disrupted parenting can arise from parental disorders that affect emotional
regulation and parenting behavior generally (box 3). And those parental features can be affected by the social
ecology (box 4).

Once ODD develops, it can feedback to affect parental adjustment and the larger social ecology likely worsening the
circumstances.

What to do? Figure 4 lists the implications of this model for treating ODD. ADHD medications combined with
behavioral parent training would be the most common ways to do so. For more on this, see my book, Your Defiant
Child. Be well.

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