Oppositional Defiant Disorder Diagnostic Criteria Refer to conditions of use Oppositional Defiant Disorder O ppositional 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. 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 Disorder. If older than age 18, the patient does not meet criteria for Antisocial Personality Disorder.
Some disorders have similar or even the same symptoms.
Its etiology is believed to be multifactorial. Genetic and environmental factors are probably combined . Children with oppositional defiant disorder are more likely to have family history of disruptive behavior disorders, substance-use disorders, or mood disorders. A variety of treatment approaches are commonly employed in clinical practice, including behavior therapy, various forms of family therapy, parent management training, and dynamic psychotherapy.