Clinical supervision | NURS 6660 – Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent | Walden University




Response #1: Group 7- Oppositional Defiant Disorder (ODD)

Interesting post on assignment about the parental guide for ODD. According to research, when children act out persistently it causes serious problems at home, in school, or with peers, they may be diagnosed with Oppositional Defiant Disorder (ODD). ODD usually starts before 8 years of age, but no later than by about 12 years of age. Children with ODD are more likely to act oppositional or defiant around people they know well, such as family members, a regular care provider, or a teacher. Children with ODD show these behaviors more often than other children their age (Centers for Disease Control and Prevention, 2020)

                                  Signs and symptoms of Oppositional Defiant Disorder include the followings:  

  • Often being angry or losing one’s temper
  • Often arguing with adults or refusing to comply with adults’ rules or requests
  • Often resentful or spiteful
  • Deliberately annoying others or becoming annoyed with others
  • Often blaming other people for one’s own mistakes or misbehavior (APA, 2013)      

                                                             Treatment Plan for Oppositional Defiant Disorder

  1. Family psychotherapy is needed to improve communication and mutual understanding to help manage the child’s behavior.
  2. Treatment plans for ODD include cognitive problem-solving skills training and therapies to decrease negativity.
  3. Social skills training to increase flexibility and improve social skills and frustration with peers.
  4.  Since the child with ODD has trouble avoiding power struggles, prioritize things for them to do.
  5. If you give your child a time-out in his room for misbehavior, do not add time for arguing. Tell the child your time will start when you go to your room.
  6. Set reasonable, age-appropriate limits with consequences that can be enforced consistently.
  7. Always build on the positives, give the child praise and positive reinforcement when she/he shows cooperation (Sadock, Sadock & Ruiz, 2014)


American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental 

 Disorders (5th ed.). Washington, DC: Author.

Centers for Disease Control and Prevention. (2020). Behavior therapy. Children’s Mental health.

Retrieved from

Sadock, B., J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry:

Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

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