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Oppositional Defiant Disorder

Diagnostic criteria for 313.81 Oppositional Defiant Disorder

A. A pattern of negativistic, hostile, and defiant behavior lasting as least 6 months, during which four (or more) of the following are present:
(1) often loses temper
(2) often argues with adults
(3) often actively defies or refused to comply with adults' requests or rules
(4) often deliberately annoys people
(5) often blames others for his or her mistakes or misbehavior
(6) is often touchy or easily annoyed by others
(7) is often angry and resentful
(8) is often spiteful or vindictive

Note: Consider a criterion met only if the behavior occurs more frequently than is typically observed in individuals of comparable age and developmental level.

B. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.

C. The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder.

D. Criteria are not met for Conduct Disorder, and, if the individual is age 18 years or older, criteria are not met for Antisocial Personality Disorder. (p. 93-4)

(1994) American Psychiatric Association: Diagnostic And Statistical Manual of Mental Disorders, Fourth Edition, Washington, DC, American Psychiatric Association

Links to Oppositional Defiant Disorder websites:

  • Children with Oppositional Defiant Disorder
  • Discovery Health: Oppositional defiant disorders
  • Disruptive Behavior Disorders
  • Disruptive Behavior Disorders (DBD)
  • Oppositional Defiant Disorder
  • Oppositional Defiant Disorder Resources - Mental Health Net
  • Oppositional Defiant Disorder and Conduct Disorder in Children
  • Oppositional Defiant Disorder in Elementary Classrooms
  • Oppositional Youth - Leadership Training for Parents
  • Preventing Conduct Problems in Head Start Children: Strengthening Parenting Competencies
  • Children with Oppositional Defiant Disorder



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