However the basic rights of others are still respected and age appropriate societal rules and behaviour are not violated. Characterised by negative, hostile and defiant behaviour, generally strongest in the home. Before puberty the disorder is more frequently found in males than females, after puberty the ratio equals out.
Outward behaviour includes irritability, temper outbursts, frustration and intolerance.
Additional symptoms of anxiety and depression are also common. Only to be considered Oppositional Defiant Disorder if at least 5 of the following behaviours occurred over a period of at least 6 months, in home or school . Also the child must not meet the criteria for Conduct Disorder , Manic Episode or Major Depression . The practical role of the Mainstream Teacher is highlighted in each of the following strategies although different social, medical and psychological agencies will also be involved to differing degrees in implementing the strategies. 2nd edition, Chichester, Wiley.