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The oppositional defiant disorder It is a very serious syndrome in children and must be treated as soon as possible.
It is not just bad behavior, but a defiance of authority which is often linked to other disorders such as TDH.
We tell you which are the symptoms and treatment of Negative Defiant Disorder in Children.
The first thing to know is whether the child actually suffers from this type of disorder. To do this, at least 4 of these questions must be answered positively.
How is the diagnosis of TDN made?
1. Assiduously gets angry and has tantrums.
2. You frequently argue with adults.
3. Often actively defies adults or refuses to follow through onobligations.
4. Usually deliberately annoying other people.
5. Often accuses others of their mistakes or bad behavior.
6. Often touchy or easily annoyed by others.
7. Is often angry and resentful.
8. He is usually spiteful and vindictive.
In addition, there must be:
- A duration of more than 6 months.
- Produce interference in the vital activities of the person.
- Not due to a psychotic condition.
Other issues to consider:
Although Oppositional Defiant Disorder may appear independently, it is rare.
The most normal thing is that it appears togetherAttention deficit disorder and hyperactivity (ADHD). This happens in 80% of the cases, more or less, and if you do not detect it in time, you will not be able to find the solution to all of your child's problems.
The attitude to take in each case is determined by two main factors: The age and intensity of the problem.
Overall, I can establish the recommendation to assess thepsychological intervention in mild cases and mixed in severe cases.
1. Pharmacological treatment of oppositional defiant disorder
When thesymptoms are dangerous, either for the child who suffers from it or for his environment, it is necessary to take quick and effective measures.
For this it is possible to usemedicines from the family of neuroleptics such as Risperidone (Risperdal), Aripiprazole (Abilify) or Paliperidone (Invega) among others.
In cases of ODD associated with ADHD, the use of common ADHD medications may be helpful. In these cases we have methylphenidate (Rubifén, Equasym, Medikinet, Concerta and Rubicrono), lisdexamfetamine (Elvanse) or Atomoxetine (Strattera). Guanfacine (Intuniv) can play a relevant role
The purpose of medications is to reduce impulsivity to limits that therapy is manageable. Otherwise, it will not be possible to initiate psychological intervention.
2. Psychological therapy in oppositional defiant disorder.
The psychological treatment of TOD is made up of different areas. You should have individual therapy for the boy but also group therapy to help him manage relationships.
Family therapy helps the whole to manage difficulties. Together with the therapist, strategies are being sought to resolve the conflicts that are generated.
Fundamental points to guide the TOD forecast
There are many aspects to take into account in order to assess prognosis oppositional defiant disorder. Each of these factors is crucial and plays a specific role that is closely related to the others.
- The gravity of the disorder.
- Persistence over time.
- The coexistence of others such as conduct disorder.
- The joint appearance with ADHD.
- Learning disorders.
- Existence of substance / drug abuse.
- Other cases in the TND family.
- The moment of diagnosis and the start of treatment.
Some practical tips to help you manage TND on a day-to-day basis.
- Start by getting good quality information about the topic. Not everything that comes out on the internet is true.
- Seek help from a professional team that can help you.
- Follow the instructions of the professionals and do not just assume the problems.
- Trust your family to ask for help when you need it.
- It is important that your child knows that you love him, despite the problems you may have
You can read more articles similar to Treatment for Negative Defiant Disorder in Children, in the category of Mental Disorders on site.