What to Do When ADHD and ODD Co-Occur | ADHD and ODD

ADHD tends to make the symptoms of ODD more noticeable, and vice versa. “When you have the oppositional irritability, noncompliance associated ...SkiptocontentContactanADHDSpecialist(HablamosEspañol)1-866-200-8098,M-F,1-5pmETLoginWhattoDoWhenADHDandODDCo-Occur ADHDWeeklyAugust9,2018Youaskyourdaughtertocometothefamilydinnertableandshelaunchesintoanangryoutburst.It’sthesameroutineeveryevening.Yousethercurfewfor11p.m.,butshehasnevergottenhomebefore1a.m.Inresponse,youmovehercurfewtoanearliertime,butshecontinuestoignoreitandblowsupwhenyoutrytotalkwithherabouthouserules.Youendupfeelinglikeyou’rewalkingoneggshellsaroundherbecauseyouneverknowhowshewillrespondtoeventhesmallestcomment.Yourdaughter’sbehaviorupsetstheentirefamily,becausenoonereallyknowswhatwillsetheroff.Soundfamiliar?That’swhatitcanbeliketolivewithachildwhohasoppositionaldefiantdisorder.WhatisODD?Oppositionaldefiantdisorderisfairlycommonamongchildrenandadolescents,andoftenco-occurswithADHD.Itisclassifiedasadisruptivebehaviordisorder.ThatmeansyoungpeoplewhohaveODDareoftenstubborntoanextreme,canbeeasilyangered,arguewiththeirparentsandteachersforseeminglynoreason,andgooutoftheirwaytoavoiddoingwhateverisaskedofthem.Thoughmostteenscertainlyactoutandtestboundariesfromtimetotimeaspartoftheirnormaldevelopment,ODDsymptomsusuallystartmuchearlier—oftenaroundthetimeachildenterspreschool.Inaddition,ODDbehaviorisconsistentlydefiant,incontrasttoaverageadolescentrebellion,whichcomesandgoes.“ParentsofkidswithnoncompliantODDproblemsgetintotheseverycoerciveexchanges,”saysSteveLee,PhD,aprofessorofpsychologyatUCLA,aclinicalchildpsychologist,andamemberofCHADD’sprofessionaladvisoryboard.Dr.LeecomparesODDtoaborderwarbetweentwocountries,usingthepoliticalscienceterm“brinksmanship”todescribetheconflictsthatoftenarisebetweenchildrenwithODDandtheirparents,guardians,orotherauthorityfigures.“Imove10,000troopsclosertotheborderandthenwhatdoyoudo,youmove8,000troopsandsometankscloser,”hesays.“It’ssortoflikegoinguptothebrink.That’softenwhathappen


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